What causes itchy testicles?

Testicular itching is not necessarily a testicular disease, but may be scrotal inflammation. Scrotal inflammation may be caused by scrotal skin damage, which causes itching of the scrotal skin. Many male friends may mistakenly think that it is testicular itching. Scrotal inflammation may also be caused by bacterial infection due to excessive moisture in the scrotal skin. For example, anaerobes such as Streptococcus anaerobicus, Pseudomonas aeruginosa, and Staphylococcus aureus are common bacteria that cause scrotal inflammation.

At the beginning of scrotal inflammation, it is a slightly raised erythema with clear edges, which gradually expands, has scales on it, and it itches spontaneously, gradually changing from red to purple, brown or skin color. If not treated in time, the damage will spread and expand to the surrounding area, and the center of the lesion will gradually heal itself and develop to the surrounding area. The inflammation of the edge of the erythema is more obvious, and there may be active rashes, blisters, scabs, and even erosions on it. The center will heal itself and form a ring or semi-ring shape. Outside the scrotal folds, it appears as scaly patches.

People who do too much physical labor may have dampness in the genitals, sweat stains on the scrotal skin, and friction on the underwear. White-collar workers who often sit at work should also pay attention to the ventilation of the scrotum and avoid wearing jeans that are too tight and nylon pants with poor breathability. Scrotal injury, urine extravasation, diabetes and other pathological causes can all cause it.

Riboflavin deficiency can lead to scrotal inflammation, which is more common in men who eat refined white rice and flour all year round or who suffer from long-term diarrhea, constipation, loss of appetite or picky eating. The main symptoms are: the scrotum is slightly red and shiny at first, and then light red patches appear on both sides of the scrotum, with scales sticking to them. Soon, multiple flat papules the size of soybeans may appear, with varying degrees of itching, and are often accompanied by angular cheilitis and glossitis.

For the treatment of scrotal inflammation, clotrimazole or econazole can be chosen. If abscess has formed, surgical drainage or scrotal resection can be considered. Patients should develop good living habits, and underwear must be loose and made of highly absorbent fabrics. Do not work too hard and live in a dry environment.