What should I do if my testicles are extremely itchy?

Apr 27, 2022 Source: Cainiu Health
Dr. Li Mingchuan
Introduction
When scrotal eczema causes testicular itching, the entire genital area can be rinsed with Peking Union Medical College (PUMC) wash solution, followed by topical application of medications such as Paison ointment, Momison ointment, or Shiduqing ointment. If itching results from heat retention due to tight or non-breathable underwear—or from friction caused by wearing snug jeans—opt for loose-fitting, breathable underwear to promote genital ventilation. With consistent adherence to these measures, symptoms typically resolve spontaneously over time.

In daily life, many men experience itching of the testicles—a highly embarrassing condition that significantly disrupts both personal life and work, and may even harm physical health. So, what should one do if the testicles itch severely?

What to Do for Severe Testicular Itching

The scrotal area is anatomically concealed, warm, and poorly ventilated—making it highly susceptible to infection by fungi, bacteria, viruses, and other pathogens, which can trigger itching. Although testicular itching is not a serious illness per se, it can adversely affect a patient’s work performance and studies, necessitating prompt treatment. Since the underlying causes of testicular itching vary, treatment approaches and medications must be tailored accordingly.

When scrotal eczema causes testicular itching, the entire genital area may be rinsed with Peking Union Medical College (PUMC) Wash, followed by topical application of medications such as Paison Ointment, Mometasone Ointment, or Shiduqing Ointment. If itching results from heat retention due to tight-fitting underwear or friction caused by snug jeans, switching to loose-fitting undergarments to improve ventilation in the genital region is recommended. With consistent adherence to these measures, symptoms typically resolve spontaneously over time. For scrotal inflammation secondary to vitamin deficiency, supplementation with vitamin B₂ or vitamin B₆ is advised; additionally, increasing intake of green vegetables and fruits in the daily diet is beneficial. Numerous treatment options exist for scrotal itching; however, the optimal approach begins with a visit to a healthcare facility for appropriate diagnostic evaluation to identify the precise etiology, after which a clinician can formulate an individualized, evidence-based treatment plan.

Patients should cultivate sound personal hygiene habits—including regular changing and washing of undergarments—and maintain a light, non-spicy, non-irritating diet. We hope this information proves helpful to you!

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