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What causes persistent strong body odor in men despite good hygiene?
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Sexual Health & Wellness
Question #29641
45 days ago
114

What causes persistent strong body odor in men despite good hygiene? - #29641

Client_c7d796

I am a male experiencing a persistent strong body odor problem for the past few weeks. The smell is present in my underarms, scrotum, and also under the foreskin of the penis. The main issue is that the odor returns immediately even after bathing and maintaining proper hygiene. I bathe daily, dry the areas properly, and wear clean cotton underwear, but the smell still persists. There is no severe pain, but occasionally there may be mild discomfort. I have not noticed major redness, swelling, or discharge, but there may be slight moisture or buildup under the foreskin. I live in a hot and humid climate, and I sweat regularly. I have tried improving hygiene and using regular soaps, but it has not helped. I would like to know: What could be the cause of this persistent odor? Is this a fungal or bacterial infection (like Balanitis or Bromhidrosis)? What treatment (medicated wash, creams, or tablets) would you recommend? Thank you.

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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello dear I think it is balanitis which is primarily candidal Etiology is Immunity weakening Incomplete elemination of previous infection Iam suggesting some precautions and medication for improvement Please follow them for atleast two weeks Candid/clomed/clozed twice a day for 15 days Micogel to be applied topically Nizoral for Skin application Terbinafine 250 mg twice a day for 5 days ( oral) in addition Apply lulliconazole or fusidic acid topical application twice a day for 5 days Prevent moisture contamination Dry the involved organ Use lukewarm water for cleaning

In case of no improvement consult general physician (medicine) for better clarity Hopefully you recover soon Regards

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You’re describing a situation that might have several underlying causes, including infections, lifestyle factors, or even medical conditions. One common suspect in persistent body odor, especially in areas like the underarms and groin, could be bacterial overgrowth or infection. Bromhidrosis, which you mentioned, is often due to bacteria breaking down sweat into smelly compounds. Hot and humid climates can exacerbate this issue. Another potential culprit, especially considering moisture and buildup under the foreskin, could be a yeast infection like candidiasis, which can manifest in these warm, moist environments, although Balanitis is also possible. As a starting point, consider a few actionable steps. Over-the-counter antiseptic washes containing chlorhexidine or a medicated antifungal soap might help reduce both bacteria and yeast. It’s crucial to dry thoroughly after washing, too, as moisture can promote microbial growth. For localized symptoms under the foreskin, ensuring regular retraction and thorough cleaning can be beneficial. In some cases, an antifungal cream like clotrimazole may be used if a yeast infection is confirmed; however, medical evaluation is necessary to avoid self-misdiagnosis and to confirm the appropriate treatment. If odor persists after these measures, a healthcare provider’s visit is recommended. They may perform tests to pinpoint bacteria or fungi responsible and prescribe antibiotics or antifungal medications accordingly. Be sure to also consider conditions like diabetes or hyperhidrosis, which can affect odor by increasing sweat or altering skin conditions. Regular follow-ups would then ensure the treatment’s effectiveness or lead to further diagnostic steps if symptoms persist.

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