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How do I get rid of bacteria in my groin area?

What is the treatment for fungal groin infection? You can buy an antifungal cream from pharmacies, or obtain one on prescription. There are various types and brands - for example, terbinafine, clotrimazole, econazole, ketoconazole and miconazole. These modern creams are good at clearing fungal skin infections.

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Fungal groin infection (tinea cruris) is an infection of the groin caused by a fungus. It is a common problem, particularly in athletes and in the elderly. Treatment with an antifungal cream usually works well. The tips given below may help to prevent recurrences. This page has been archived. It has not been updated since 16/03/2021. External links and references may no longer work.

What is fungal groin infection and how do you get it?

What is fungal groin infection and how do you get it?

Fungal groin infection (tinea cruris) By Robertgascoin, via Wikimedia Commons

By Robertgascoin (Own work), via Wikimedia Commons

Fungal groin infection (tinea cruris) is a fungal skin infection of the groin. Some types of fungal germs (fungi) are commonly found on human skin. They usually do no harm. However, if conditions are right they can 'invade' the skin, multiply and cause infection. The conditions fungi like best are warm, moist and airless areas of skin, such as the groin, under the arms and under the breasts.

What are the symptoms of fungal groin infection?

Typically the groin becomes itchy and a bit sore, mainly in the crease between the top of the leg and the genitals. It is more common in men and the scrotum may also be itchy. Red, slightly scaly skin then develops in the groin, usually with a definite edge or border. Both sides are commonly affected. The rash often spreads a short way down the inside of both thighs. Sometimes the infection spreads to the skin on other parts of the body (or may have first started in another area, such as athlete's foot (tinea pedis)). Fungal infections do not usually go deeper than the skin into the body and are not usually serious.

What is the treatment for fungal groin infection?

You can buy an antifungal cream from pharmacies, or obtain one on prescription. There are various types and brands - for example, terbinafine, clotrimazole, econazole, ketoconazole and miconazole. These modern creams are good at clearing fungal skin infections. Apply the cream to the surrounding 4-6 cm of normal skin in addition to the rash. Apply for as long as advised. This varies between the different creams, so read the instructions carefully. For skin that is particularly inflamed, your doctor may prescribe an antifungal cream combined with a mild steroid cream. This would normally be used for no more than seven days. You may need to continue with an antifungal cream alone for a time afterwards. The steroid reduces inflammation and may ease itch and redness quickly. However, the steroid does not kill the fungus and so a steroid cream alone should not be used. An antifungal medicine taken by mouth is sometimes prescribed if the infection is widespread or severe - for example, terbinafine, griseofulvin, or itraconazole tablets. You can read more about treatments for fungal infections in the separate leaflet called Antifungal Medicines.

Preventing recurring fungal groin infection

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Will BV go away if untreated?

Sometimes BV will go away without treatment, but not treating the infection can involve serious health risks. Untreated BV can increase a woman's risk of getting sexually transmitted infections, such as HIV, herpes, gonorrhea, and chlamydia.

Women with symptoms of BV should be treated for the infection, not only to relieve symptoms but also to prevent complications.

Medication Options

Recommended medication treatment options include:

Metronidazole, 500 milligrams (mg), orally twice a day for seven days, or

Metronidazole gel, 0.75 percent, one full applicator inserted vaginally, once a day for five days, or Clindamycin cream, 2 percent, one full applicator inserted vaginally at bedtime for seven days.

Other medical treatments include:

Tinidazole, 2 grams (g), orally once a day for two days, or

Tinidazole, 1 g, orally once a day for five days, or

Clindamycin, 300 mg, orally twice a day for seven days, or

Clindamycin ovules, 100 mg, inserted vaginally at bedtime for three days

Alternative and Complementary Therapies

During treatment and for 24 hours after completion of treatment, alcohol should be avoided while taking metronidazole or tinidazole. Women should refrain from sexual activity or use condoms during treatment; but clindamycin cream, which is oil-based, may weaken latex condoms and diaphragms for five days after use. While some studies have evaluated the use of vaginal suppositories containing lactobacillus or other probiotic formulations to treat BV, there’s no evidence supporting these as a replacement therapy in women with BV. Even after treatment, it’s not uncommon for BV to persist or recur for reasons that aren’t entirely understood. Research published in the Journal of Infectious Diseases found that 58 percent of women who were treated for symptomatic BV had a recurrence within a year. To effectively treat recurrent BV, your doctor may prescribe an extended course of antibiotics. In some cases, taking oral or vaginal probiotics may help prevent recurrent BV but ask your doctor before trying any supplements.

Prevention of Bacterial Vaginosis

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