Patient's question:
A friend of mine has been experiencing itching at the junction of the glans and the body, as well as in the scrotum and pubic hair area for the past week. When the itching is severe, it becomes unbearable. He has no history of sexual contact but does have a habit of masturbation. Could you please tell me what might be the cause of this condition, what possible diseases it could be, and how it should be treated?Additional question: He is 24 years old. Is there any harm? Could it be a sexually transmitted disease?
Doctor's answer:
Hello, Treatment:① General treatment: Pay attention to personal hygiene and maintain external genital cleanliness and dryness. Avoid scratching, hot water washing, and using soap. For infections, use potassium permanganate solution for sitz baths. Underwear should be breathable and loose-fitting. Avoid alcohol and spicy or allergenic foods.
② Etiological treatment and symptomatic treatment:
Topical medications: During acute inflammation, a 1% resorcinol and 1% rivanol solution can be used, or Jieryin or polyiodine can be used to wash the external genitalia. After washing, 40% zinc oxide ointment can be applied. For chronic itching, desonide cream can be applied externally.
Oral medications: Appropriate supplementation of vitamins B, C, A, and E can be given. Chlorpheniramine 4mg, three times daily. Postmenopausal patients can take ethinyl estradiol powder 0.25–0.5mg orally once daily for 10 days.
Traditional Chinese medicine external washing: Boil 15g of cinnabar, 15g of stemona, 15g of white peony bark, 15g of hibiscus bark, and 15g of polygonum for external washing or sitz baths, once or twice daily.