Q. There are itchy cracks on my scrotum. What is it?

Answered by
Dr. Jyotisterna Mittal
and medically reviewed by iCliniq medical review team.
Published on Apr 17, 2017 and last reviewed on: Nov 15, 2019

Hello doctor,

I have a skin problem on my scrotum. I am having this issue since six months. It itches every time and there are cracks on my scrotum. I am using Betnovate. When I use the ointment, it goes away and when I stop it, it recurs. Previously, I had a skin disease, which I think as keratosis pilaris. Please help.

Dr. Jyotisterna Mittal

Cosmetology Dermatology HIV/AIDS Specialist Venereology


Welcome to icliniq.com. I have read your query in detail and do understand your concern.

The Probable causes:

From your description it seems that your symptoms could be due to:
1. Scrotal dermatitis.
2. Second possibility is fungal infection.

You may put up two to three pictures of the affected area for better evaluation, guidance and to differentiate the conditions.

Treatment plan:

1. For scrotal dermatitis you can take antihistamines like tablet Levocetirizine 5 mg twice daily.
2. You can use a combination of Sertaconazole and Beclomethasone cream (Onabet-B cream) on the affected skin for four to five days when dry itchy skin occurs.
3. Apply Elovera cream (Aloe vera and Vitamin E acetate) twice a day.
4. Use a medicated gentle cleansing lotion on your skin for bath like Cetaphil cleansing lotion once a day.
5. Avoid soaps or perfumed cosmetics or creams on the affected area.
6. Wear cotton clothes.

Regarding follow up:

Revert back with the pictures to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Hello doctor,

I am attaching the pictures of my skin. Please feel free to see and give me a solution. Thank you.

Dr. Jyotisterna Mittal

Cosmetology Dermatology HIV/AIDS Specialist Venereology


Welcome back to icliniq.com.

  • I have seen the pictures (attachment removed to protect patient identity) and your symptoms are due to scrotal dermatitis.
  • Firstly, take the already mentioned medications along with the following.
  • Apply mid-potency steroid like Mometasone cream over it twice a day for a week.
  • Avoid repeatedly rubbing or itching over the area as it will increase the problem.

For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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