[Question #1994] Groin irritation

48 months ago
Developed pimple like bumps on penis shaft. When I went to doctor she took a look and said herpes.  No oozing so bloodwork was done. Came back hsv 1 but obviously it's hard to say if this was the cause. No issues like that since but have had a red/brown irritated dry scrotum since shortly after this occurred. Over 2 years now. Is this linked or another std? Dermatologist said no fungal and probably just dermatitis
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago
Welcome to the Forum.  I will try to help.  I think you are looking for an on-line "second opinion".  Before I comment however, the fact that a trained dermatologist has had the opportunity to directly evaluate your rash is probably far more helpful to you than my on-line opinion in which I have not had the opportunity to examine you.   That said, from your description it sounds as though the red/brown irritation of your scrotum has been present for some time.  If so, this is not characteristic of HSV (which your description does not sound like) but is consistent with a dermatitis.  Do the lesions itch?  did the dermatologist suggest what to do about the rash?

I hope this comment is helpful.  EWH
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47 months ago
The lesions did not really itch. Now that I just have the rash which is really contained to the scrotum it more of a dry prickly feel. The scrotum is tight and wavy.  I was told to switch soaps and detergents as well as loose fitting clothes.  I was given a steroid for two weeks. All of which has little effect. It continues to come and go throughout the day but never goes away 
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Thanks for the additional information.  It acts to strengthen my earlier reply.  If you have tried these things for a week or 10 days and have had not improvement, my approach would be to return to the same dermatologist.   There is still a fair amount of trial and error involved in sorting out problems like this while seeing a new clinician would potentially lead to them just starting over again, adding to your frustration.  EWH
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47 months ago
So this does not sound like any std or a symptom of hiv? Seems to be what pops up while searching for info. Thanks again. 
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
You did not tell me how long the rash has been there but almost irrespective, this really does not sound at all typical of any STI. 

Typically we would close this thread at this time, following three replies but I will keep it open for one more exchange in case you want to ask more specfic questions or provide a bit more information regardn=ing any suspect exposures you might have had or the time course of the rash you mention.  EWH
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47 months ago
Sorry for the lack of information. The scrotum irritation started off just as red skin and the color of reddish brown. It comes and goes throughout the day and has been constant for over two years.  I guess I wanted to make sure this would not be some side effect from what was initially diagnosed as hsv or anything that would come to your mind? I really haven't had exposure outside of relationships. Thanks again for your insight
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
When people have HSV the lesions typically heal without scarring or leaving signs of the infection. The duration of the lesions you describe, as well as their appearance, not to mention the assessment of a trained professional (your dermatologist) truly rule out any STI including herpes.  This is some other process.

Thank for the additional information. I urge you not to worry that your rash is an STI of any sort.  To continue to focus on the possibility of an STI will just make you anxious and potentially could distract you from managing it to get over it. 

I hope my comments have been helpful. This thread will be closed in a few hours.  Take care.  EWH
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