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  1. #1

    **Marc** Male

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    May 2012
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    Colorado
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    Default Long term anal and genital itching (male)

    Hi everyone, this is my first post, and I have to start by saying I am so grateful that a forum like this exists. I have had this particular problem for many years, and am at about my wits end with it. Let me explain in as much detail as I can.


    From a young age I developed this problem, though it started only as an anal itch, and spread to the gentials (the scrotum and shaft in particular) a few years back. I am a 23 year old male from Colorado (though I have been living in Italy for a couple years now.) It occurs almst always at night (and almost every night), though it has happened also less frequently during the day, that it begins to itch, and it is so intense that I find myself itching it until it begins to bleed and give off a wet discharge (a clear tacky pus.) Usually I am in my boxers at night in bed, and i try to scratch through the boxers to lessen damage, and end up with a modest amount of dampness from this discharge. A few days after a particularly intense episode the skin begins to heal itself by drying and flaking off. No hemorrhoids, or anything visually unusual, aside from the slight redness from years of itching, and a very small skin tag that developed most probably because of the itching.


    -It began before I became sexually active, ruling out the diagnosis of an STD (though I've been tested anyways, clean.)
    -I thought it may have been a climate issue as well, but I'm move from a dry cold location to a hot wet one and the problem persists.
    -I've used jock itch sprays, powders and creams with no postive results.
    -I've taken a cycle of amoxicillin in case it was a bacterial infection, but no sucess.
    -If it were pinworms, I would think that my family would have also gotten them, but for the century and some that I lived with them, they never suffered the same symptoms.
    -Hydrocortisone cream make it worse (any creams in general have made it worse, I think maybe because of the hightened moisture level.)


    I have seborrheic dermatitis, which I also combat, which began many years after the anal and genital itching started. For this I am using Protopic (tacrolimus ointment, 0.03%) to keep the lesions I get on my upper forehead, behind the ear, and occasionally the eyebrows and sides of nose. I have tried using this on the anal and gential problem, with negative results (it made the itching far more intense and miserable afterwards.) I would say with a slight bit of certainty that the two problems are not the same demon, because even when my seborrheic dermatitis is under control, the itching problem is persistant as ever. I have found that when I drink alcohol and go to bed, the itching is more intense, which continues for the next couple days, so my intake of alcohol is limited (though I had a long term binge in the first year at university.) Other than the Protopic, I take finasteride for hair loss (which I also began taking many years after the itching problem.) No other medicines, I only recently began taking a multivitamin for overall health, eat healthy, whole grains, from scratch meals every day, and drink plenty of water. I get in about 2 to 3 hours of cardio exersize in via running every week. I've tried everything I can think of from the practical to the wierd. All attempts at doctors offices have lead me no where, theyve taken blood samples to check my thyroid levels, ect, all with normal results. I would usually leave the doctor with a prescription of hydrocortisone cream, that whenever i introduced it to the area it became much itchier and not solve anything. It is a very embarassing, mentally exhausting problem that I have dealt with for most of my life, and I just want to be free of it already. Would anyone know of any other avenues I could take to free myself from this? Thank you for having read this and given me your time.

  2. #2
    Dr.Deepak's Avatar
    **Deepak Ghimire** Male

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    May 2008
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    Ktm
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    Default

    Welcome to DermaTalk, Marc. Please check about lichen simplex chronicus or neurodermatitis. I'm on my way home. Will see it in details about ur problem when i get back home and reply in detail. Thanks...u may also want to post or pm me ur pic if u can.

  3. #3

    **Marc** Male

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    May 2012
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    Colorado
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    Default

    you mean a picture of the affected area?

  4. #4

    **Marc** Male

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    May 2012
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    Colorado
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    Default

    bump. is anyone out there who could give me more info?

  5. #5
    vencasand's Avatar
    **Brenda** Female

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    Aug 2008
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    CARROLL CO. MD
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    deepak is a doctor. dermatologist. he wasn't being smart or anything. he meant for you to pm him with a picture. he is very intelligent and knows a lot about skin issues. i didn't want you to think he was weird. he and his wife just finished a thesis. he on his way home to see his family.

  6. #6
    vencasand's Avatar
    **Brenda** Female

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    CARROLL CO. MD
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    Neurodermatitis - MayoClinic.com
    http://www.mayoclinic.com/health/neu...atitis/DS00712 - Similarto Neurodermatitis - MayoClinic.com

    this is what i found about lichen simplex chronicus. it is from the mayo clinic. i hoped i helped some. i have psoriasis so i know how hard it is to not scratch.

  7. #7
    Dr.Deepak's Avatar
    **Deepak Ghimire** Male

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    well as already stated it still looks like lichen simplex chronicus to me but fungal infection is also usually accompanied with LSC. So do a fungal testing before proceeding for any treatment. The first thing u need to do is take oral anti itch medications before sleep or during daytime. This will control ur itch. Unless u won't stop itching it will never go away. so take some anti-itch medications morning and night, sedative antihistamines are preferred during night so u'll have a good night sleep without scratching. Simple and useful, trim ur nails very shorter, this will help a lot. If u say hydrocortisone cream made it worst u may also have fugal infection so treating for fungal infection may also be needed.

  8. #8

    **John Michael** Male

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    Dec 2012
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    Default

    This sounds identical to my situation! I have been dealing with this for about 12 years now, and really need help. I am constantly in pain and its affecting my daily mood and irritation level. Any new help available?what should I do? How do I search for an appropriate doctor?

  9. #9
    pepsimax's Avatar
    **Nikki** Female

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    Dec 2010
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    London
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    Quote Originally Posted by John Michael View Post
    This sounds identical to my situation! I have been dealing with this for about 12 years now, and really need help. I am constantly in pain and its affecting my daily mood and irritation level. Any new help available?what should I do? How do I search for an appropriate doctor?
    Hello John and welcome. The best thing you can do is start a new thread explaining your problem in full, including when it started, anything that aggravates it, any treatment tried and anything else you can think of which could help.
    It will give our members better info in which to help you. But please note, although we have highly experienced dermatologists, this site shouldn't be used instead of seeing a doctor if a condition is severe enough or advice given is to seek medical attention.

  10. #10

    **Ryan Hardy** Male

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    Aug 2015
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    Default

    Quote Originally Posted by John Michael View Post
    This sounds identical to my situation! I have been dealing with this for about 12 years now, and really need help. I am constantly in pain and its affecting my daily mood and irritation level. Any new help available?what should I do? How do I search for an appropriate doctor?
    To be honest, doctors (I've seen 3 specialists) don't know much about chronic anal itching, which is referred to as pruritus ani. You name it, I've tried it…they couldn't tell me how to cure myself from the constant urge to itch! The condition was taking my life from me until I did some online research and bought Pranicure ointment…best decision I ever made! Don't waste your time with anything else, look up pruritus ani and Pranicure, order it, follow the instructions, and I can almost guarantee you'll feel like a new person!


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