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February 10, 2012

Jock Itch (cont.)

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Why is my groin still discolored?

Residual skin discoloration in the groin may persist for weeks to months after more severe forms of jock itch clear. This darkish discoloration is called hyperpigmentation and may be treated with one or a combination of

  • hydroquinone 4% cream,


  • kojic acid cream,


  • azelaic acid 15% cream,


  • over-the-counter fading cream with 2% hydroquinone (Porcelana), or


  • specially designed prescription creams for particularly resistant skin discoloration using higher concentrations of hydroquinone 6%, 8%, and 10% may also be formulated by prescription by compounding pharmacists.

What is the best drug for jock itch?

Overall, the best jock-itch drug is a topical antifungal cream like miconazole, clotrimazole, or terbinafine. If the jock itch does not improve within two to three weeks of treatment, then a physician should be consulted.

What is the prognosis with jock itch?

The prognosis with jock itch is very good. Overall, jock itch tends to be an easily treated and curable skin condition. Commonly, it is a mild, benign, usually noncontagious, and self-limited skin condition. More widespread, atypical cases of jock itch may be embarrassing, chronically disfiguring, and psychologically distressing for the patient.

When should I call my doctor?

If your jock itch persists over one to two weeks despite proper skin care and use of over-the-counter medications, you may need to schedule an appointment to see your physician. In addition, if your rash is worsening despite medical treatment or if you develop any of the following signs of an advancing skin infection, you should contact your physician.

  • spreading despite treatment


  • increasing pain


  • rapidly spreading rash


  • formation of pus, abscesses, or draining sores


  • red streak(s) extending from the groin (called lymphangitis)


  • fever or chills


  • failing to improve after two weeks of continuous topical treatment

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