Managing Scrotal Eczema: Causes, Symptoms, and Treatment Options

February 23, 2024

Scrotal Eczema is a chronic eczema that is localized to the skin of the scrotum in men or around the anus or penis. It is not contagious, so there is no need to worry if you have eczema on the scrotum. The first step is to identify the cause and then seek treatment.


Scrotal Eczema

Scrotal eczema is a chronic eczema that is localized to the skin of the scrotum in men or around the anus or penis.

The symptoms are similar to those of common eczema. The skin on the scrotum has deep wrinkles, is thickened, often dry, with scales or thin scabs, pigmentation, or partial loss of pigmentation.

During acute episodes or scratching, the skin on the scrotum becomes moist, swollen, with exudate, scabs, or fissures. It is intensely itchy and can recur for many years.

Causes of Scrotal Eczema

1. Prolonged moisture in the genital area

Due to the location of the condition on the scrotum, many patients suspect that they have a sexually transmitted disease. Unlike sexually transmitted diseases, scrotal eczema is not contagious and does not have a history of unclean sexual activity.

In Traditional Chinese Medicine, this condition is believed to be caused by dietary imbalances, emotional stress, constitutional weakness, and internal dampness and heat. It can also be aggravated by external wind and heat evils.


2. Identify the cause and remove allergens

Scrotal eczema tends to recur, so the best approach is to identify and remove all possible causative factors, and thoroughly investigate potential allergens in the living environment.

Avoid contact with allergens or foods that may worsen or trigger eczema. Alcohol should be avoided as it can exacerbate skin lesions or itching.

Avoid inappropriate local treatments and refrain from scratching or rubbing the affected area.

Avoid excessive use of soap or hot water on the affected area to avoid irritation. Regular exercise should be done to strengthen the body's immune system.

Chinese herbal remedies for treating scrotal eczema

(1) For those with a lot of exudate: Huang Bai, Pu Gong Ying, and Wild Chrysanthemum, each 30 grams, can be boiled and used as a wet compress after cooling.

(2) For those with mainly redness, papules, and few exudates: Wild Chrysanthemum, Bai Xian Pi, and Di Fu Zi, each 30 grams, can be water decocted and used for fumigation and washing of the affected area.

(3) For those with rough and thickened skin: 60 grams of peeled mung beans, 15 grams of Qing Dai, can be finely ground and mixed with sesame oil for topical application. A small amount of menthol can be added for itching and pain relief.

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