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“Fungal infection on face and private area for 6 months – itching & dark spots”
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Skin & Hair Concerns
Question #22248
138 days ago
281

“Fungal infection on face and private area for 6 months – itching & dark spots” - #22248

Md

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

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
138 days ago
5

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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Considering your symptoms, it does sound like a persistent fungal infection, potentially a condition like tinea cruris or tinea faciei. It’s not uncommon for these infections to linger and recur, particularly if not completely cleared with initial treatment. Lucazol (Luliconazole) is an antifungal that targets fungal cell membranes, and while it’s effective, some infections might require a more comprehensive approach. Ensuring that the cream is applied consistently, and according to its instructions is crucial. Start by using it regularly for at least two weeks or as prescribed, and give it time to work before switching treatments. It’s often recommended to continue using the cream for a week even after symptoms subside to avoid recurrence. As for additional care, keeping the affected areas dry and clean is vital. Avoid using heavy moisturizers or oils that could worsen the situation. Loose, breathable clothing can help too. Regarding diet, reducing sugar intake can be beneficial, as yeast, a type of fungus, thrives on sugar. Whole foods, like vegetables, lean proteins, and whole grains, promote overall health but won’t directly impact the infection. Be cautious about taking photos or uploading sensitive information online — privacy and security are important, and visual diagnosis through photos alone can sometimes lead to misinterpretation. If you’re not seeing improvement, consulting a dermatologist in person is advisable. Sometimes oral antifungals might be necessary, or there could be a secondary skin condition needing attention. Be mindful of prescribed durations and resist trying many over-the-counter products all at once, as this may irritate the skin further. Online resources can offer general advice, but professional consultation ensures safer, more precise care. For telemedicine consultations, various platforms and apps provide these services, but it would require you to check their availability based on your region or health plan. Ensure these services are reputable—affiliated with licensed professionals or established health networks.

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