What causes itching, peeling, dryness, cracking, and hardening of the scrotum?
Nov 28, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, itching, peeling, dryness, cracking, and hardening of the scrotum may be caused by inadequate hygiene or friction, humid and hot environments, scrotal eczema, tinea cruris (jock itch), lichen sclerosus, or other conditions. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, maintain cleanliness and dryness of the scrotal area and wear cotton, breathable clothing; avoid indiscriminate use of cleansing or skincare products.
Generally, itching, peeling, dryness, cracking, and hardening of the scrotum may be caused by improper hygiene or friction, damp and hot environments, scrotal eczema, tinea cruris (jock itch), lichen sclerosus, and other conditions. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a reputable hospital. Specific causes are analyzed as follows:
1. Improper cleaning or friction
Excessive cleaning or use of irritating personal care products can damage the skin barrier of the scrotum; tight clothing can cause skin irritation due to friction, leading to itching and peeling. Clean gently with lukewarm water, choose soap-free cleansers, wear loose-fitting, breathable cotton underwear, and avoid frequent friction.
2. Damp and hot environment
Prolonged exposure to humid and hot conditions prevents sweat from evaporating promptly, promoting bacterial growth and skin irritation, resulting in itching and thickened, hardened skin. Keep the scrotal area dry, avoid prolonged sitting, change underwear frequently, and wear loose, breathable pants.
3. Scrotal eczema
Inflammation triggered by allergies, stress, or other factors can lead to redness, papules, and intense itching on the scrotal skin. Repeated scratching may result in peeling, dryness, and skin hardening. Treatment under medical guidance may include calamine lotion, loratadine tablets, and hydrocortisone butyrate cream. Avoid scratching and contact with allergens.
4. Tinea cruris (jock itch)
Infection of the scrotum and surrounding skin by dermatophytes such as Trichophyton rubrum causes ring-shaped rashes with itching and flaking. Chronic infection leads to rough, hardened skin. Under medical supervision, treatments may include terbinafine hydrochloride cream, itraconazole capsules, or bifonazole cream. Avoid sharing clothing with others.
5. Lichen sclerosus
Immune abnormalities cause thinning, thickening, and hardening of the scrotal skin, accompanied by severe itching, cracking, and peeling. Treatments under medical guidance may include tacrolimus ointment, clobetasol propionate cream, and vitamin E cream. In severe cases, surgical interventions such as circumcision or scrotal skin release procedures may be required.
In daily life, maintain cleanliness and dryness of the scrotal area and wear cotton, breathable clothing. Avoid overusing personal care products to reduce skin irritation. Follow a light diet and avoid spicy foods. Maintain regular sleep patterns to strengthen immunity, and undergo routine health checkups to detect problems early.
