What Causes Scrotal Itching?

Jul 06, 2022 Source: Cainiu Health
Dr. Luo Yong
Introduction
Internal factors include: a predisposition to allergies, significant or prolonged emotional fluctuations (e.g., chronic stress), endocrine disorders, chronic gastrointestinal diseases, and immune system abnormalities—any of which may predispose individuals to scrotal pruritus. External factors: Scrotal pruritus may be triggered by irritation resulting from prolonged exposure to sweat or friction from undergarments.

Itching of the scrotum is commonly associated with conditions such as scrotal eczema, allergic dermatitis, and scabies. It is a very common symptom, particularly prevalent among young men.

① Internal factors

These include individuals with allergic constitutions, those experiencing significant emotional fluctuations or prolonged stress, and patients with endocrine disorders, chronic gastrointestinal diseases, or immune system abnormalities—all of whom are more prone to developing scrotal itching.

② External factors

Wearing overly tight, poorly ventilated, or non-absorbent undergarments may irritate the scrotal skin due to sweat accumulation and friction from underwear, thereby triggering itching—especially during summer when elevated temperature and humidity in the genital area create a favorable environment for such symptoms. Additionally, individuals with skin allergies who come into contact with parasitic mites (e.g., Sarcoptes scabiei) may develop intense pruritus, as these mites burrow into the epidermis.

Therefore, patients with scrotal itching should maintain a varied and nutritious diet, emphasizing fresh vegetables and fruits, which are rich in vitamins B and C—nutrients that can help prevent and improve scrotal eczema. At the same time, they should avoid spicy and irritating foods, such as scallions, ginger, garlic, and chili peppers, as well as stimulating beverages including strong tea, coffee, and alcoholic drinks, to prevent exacerbation of symptoms.

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