“Fungal infection on face and private area for 6 months – itching & dark spots” - #22248
Hello Doctor, I have been suffering from a fungal infection for the past 6 months. The affected areas are my face and private parts. My symptoms include: - Severe itching - Burning sensation, worsens with water - Dark spots on the skin Previously, I have used creams such as: - Dermasol-N - Monmohan Currently, I am using **Lucazol (Luliconazole) cream** once daily at night. However, the problem has not fully resolved. I would like to know: 1️⃣ Are there any free online/telemedicine doctors who can provide safe and effective advice? 2️⃣ What additional care, hygiene, or diet should I follow? 3️⃣ What kind of medication/cream may be needed, especially for the face and private area? Thank you for your guidance. (I can also upload photos if it helps for a better evaluation.)
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Doctors’ responses
Your symptoms suggest a chronic superficial fungal infection (dermatophytosis / candidal intertrigo) that has not healed properly due to prolonged duration, incomplete treatment, and prior use of steroid-combination creams (such as Dermasol-N and Monmohan). These mixed creams often reduce redness temporarily but worsen fungal infection long-term, leading to persistent itching, burning, and dark pigmentation.
Why it is not healing:
Long-standing infection (6 months) Previous steroid-containing creams causes resistance and recurrence Moisture, sweating, and friction in private areas Face skin is sensitive needs milder, safer treatment Inflammation has caused post-inflammatory hyperpigmentation (dark spots)
Luliconazole alone may not be sufficient at this stage Face and private areas need different strength and duration Dark spots are secondary and will fade only after infection is fully cured
Tablet Itraconazole 100 mg 1 capsule twice daily after meals × 14 days Avoid if liver disease, pregnancy, or alcohol intake. Liver function test advised if prolonged use.
2. Luliconazole 1% Cream Apply thin layer once daily at night on private area only × 3 weeks
3. Ketoconazole 2% Cream (for face) Apply once daily at night × 2 weeks (Avoid strong antifungals on face)
4. Ketoconazole 2% Shampoo Use as face + body wash 3 times/week Leave for 3 minutes → wash off 5. Tab levocetrizine 5 mg 1 tab at bedtime for 10 days
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