What is the reason for itchy paches on the penis?

Question

Hello doctor,

My testicular area is white and itchy. Similarly, the penis has a slightly black color. Also, itching and rashes on the umbilical side. Hair loss can be overwhelming.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

The itching and discoloration on your scrotum and penis may be due to fungal infection. But it could also be due to another condition called scrotal dermatitis. The first and most important thing is to wear loose undergarments to allow air circulation. Keep the area dry always. Do not use too much soap or other antiseptics. Use Candid solution at night time and let it dry. You can use the Candid solution in the umbilical area also.

Take a single dose of Fluconazole 150 mg tablet. If your symptoms show no improvement in two weeks, we can consider other treatment options. I would recommend you upload photos of rashes in your genital area and umbilical area to protect your privacy, which will help me to get a more clear picture. Regarding hair loss, I would like to know your family history of male pattern baldness. You can use Mintop (Minoxidil 5 %) solution every day. Follihair tablet is a multivitamin tablet to help you with hair loss. If you have scale on your scalp, use Triclenz shampoo (Sodium Laureth Sulphate, Aqua, Cocamide MEA) twice a week. Follow up after two weeks or whenever needed. We can consider necessary lab tests then.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

The white spots are minor sebaceous gland prominence (attachment removed to protect the patient's identity). It is a common problem, nothing to worry about. Continue the treatment recommended last week and follow up after two weeks.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.