What causes a cold and damp scrotum?

Patient's question:

I am 39 years old this year. In the past 10 years, I have been working outdoors, especially busiest in winter. In the past two years, I often feel damp and cold in the scrotum, accompanied by a pain like needle pricks. I have sought medical help from various sources and taken medicine, but it hasn't helped. Please help me, thank you!

Doctor's answer:

The performance of our body plays a role in regulating body temperature. The scrotum is a relatively loose piece of skin. Our testicles inside the scrotum require an environment lower than normal body temperature, and this is regulated by the scrotum. Only sperm produced at lower temperatures are viable. If the scrotal temperature is too high, it can lead to a decline in sperm quality. Therefore, sometimes the scrotum may feel cool, which is a normal phenomenon.
Scrotal dermatitis—The cause may be related to a lack of B vitamins in the diet. Its symptoms include skin redness, (exudation), peeling, and even blisters, accompanied by pain and itching. The main preventive measures are to eat more fresh fruits, vegetables, and whole grains, and to supplement nutrients such as vitamin B2 and B6. After onset, it is important to keep the affected skin clean and apply zinc oxide ointment or similar treatments.

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