Suggest Treatment For Persistent Rash In The Groin Area

Posted on Sun, 10 Jan 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 10 Jan 2016 Answered on

Tue, 2 Feb 2016 Last reviewed on

Question : Hi, So I went to the doctor the other week because I have had a persistent rash in the groin region for weeks now. Concerned with an std I asked and he said it does not look like an std rather a rash/ yeast infection. I was tested 6 weeks after my last unprotected sex encounter for all std's and all were negative. The doctor prescribed me a cream to apply to the region. I have been applying the cream to the region and genitals and I don't know if I am have side effects or something else is going on on my penis shaft. Can you take a look and let me know what you think? Should i continue with the cream (clotrimazole benzonatate ) or not?
Thanks

Also note the redness in the pictures is from recent picking of the skin?

Answered by Dr. VINAY KUMAR (1 hour later)

Brief Answer:
Matches fungal infection

Detailed Answer:
Hello Dear Sir

Welcome.

I am Dr V XXXXXXX a Sr Dermatologist.

I have looked into your details and pics minutely and think that it is manageable because it matches a fungal infection that spread on from groins to the genitals. The first and third pics are an evidence favoring this while the second one shows subsided condition of the same.

I assume that you are not diabetic.
For someone in this state, The following would work fast and best

1 Good hygiene by cleaning with plain water four times a day and then drying up followed by Miconazole cream. Clotrimazole may be suspended for the time being.

2 Oral Ketocnazole 200 after ensuring that SGOT and SGPT are within normal range. Alternative would be to use Terbinafine 250 twice a day orally

3 Tab Levocetrizine 5 mg a day

Please wait for few days before it starts clearing as scratching causes some minor skin damage that hampers recovery

It is advisable to get tests for HIV done once again, 90 days from the date of unprotected exposure.

Let me know if there are any concerns. I will be glad to help.

Best wishes from our team!

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. VINAY KUMAR (10 minutes later)

Why do you recommend the hiv test?

Answered by Dr. VINAY KUMAR (15 minutes later)

Brief Answer:
It can take up to 90 days before the antibodies level build up

Detailed Answer:
Dear Sir

Thanks for your query.

The aim of getting HIV antibodies test at 90 days is because our bodies respond to infection by producing certain proteins which are so small in quantity in the initial period that they can be missed by initial testing. Therefore, it is desirable to have another test to confirm and be sure that the infection is indeed absent.

I will be glad to explain anything in more detail should you feel the need for the same.

Best wishes, Sir.

Above answer was peer-reviewed by : Dr. Yogesh D