![]() Avoid soap a pH balanced non-soap cleanser can be used but should be rinsed off.If you don’t hop in the shower (or at least rinse off your groin area) after an intense workout, you may be more prone to an insatiable itch down there. Wash once or twice daily with warm water. Genital skin is delicate, so treatment must be undertaken gently. Treatment depends on the individual condition. Swabs from the affected skin, urethral or vagina for bacteria, yeast and virus culture.Peyronie disease, in which a fibrous band appears on the penis.Ī careful history and full skin examination, including genital skin, are recommended.Mucosal melanoma (a rare form of skin cancer in which there is an uncontrolled proliferation of pigment cells).Genital melanotic macules or melanosis (harmless brown marks in which there is more pigment in the skin cells).Vulval cancer can also arise from lichen sclerosus or lichen planus) Invasive squamous cell carcinoma including vulval cancer and anal cancer (arising from genital warts).Anal intraepithelial neoplasia or AIN (also called anal squamous cell carcinoma in situ).Penile intraepithelial neoplasia or PIN (also called penile squamous cell carcinoma in situ, Bowen disease of the penis, erythroplasia of Quyerat).Vulval intraepithelial neoplasia or VIN (also called vulval squamous cell carcinoma in situ), which includes Bowenoid papulosis.Sebaceous adenitis (inflamed papules on labia minora).Hidradenitis suppurativa (boil-like lumps in skin folds).Non-infectious skin lesions and miscellaneous conditions that are commonly found in the genital area include: Important sexually transmitted infections (STIs) include: ![]() The groin is also a favoured site for some parasitic infestations: Genital warts, the commonest cause of papules in this region.Genital herpes, the commonest cause of recurrent blisters or sores.Bacterial vaginosis (cause of frothy discharge).Folliculitis (surface infection of hair follicles).Boils (deep infection of hair follicles).Non-venereal skin infections may present in the genital area, presumably because the organisms thrive in warmth and humidity. Non-sexually transmitted skin infections.This has been classified into provoked localised vulvodynia (or vestibulodynia) and generalised spontaneous vulvodynia ( dysaesthetic vulvodynia or neuropathic pain). When no cause has been found for vulval pain, the term vulvodynia is sometimes used.Spasm in pelvic muscles leading to vaginismus.Non-sexually acquired acute reactive genital ulceration.Non-sexually acquired acute recurrent genital ulceration (complex recurrent aphthous ulceration).Recurrent fissuring of posterior fourchette.Lichen sclerosus (white scarred patches).Psoriasis ( persistent, well-defined, red, scaly or moist patches).Irritant contact dermatitis (from wetness, incontinence, vigorous cleansing) ( incontinence-associated dermatitis).Lichen simplex (dermatitis due to localised itch-scratch-itch response and resulting in thickened skin on labia majora.Itchy vulva (pruritus vulvae) in prepubertal girls.Itchy vulva (pruritus vulvae) in adult women. ![]() Erosive lichen planus (which often also affects the mouth).The affected area is often redder than normal. ![]()
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