Excessive sweating on scrotum? Is Scrotox a safe option?

Question

I have been experiencing excessive sweating on my scrotum/groin for a couple years and haven't been able to find a product/way to prevent it. I've tried every powder targeted for that area with no real improvement. I've also recently gone on glycopyrolate and while it's helped other areas it's not helping there. I'm wondering if it's safe to use a normal, aluminum antiperspirant (one without parabems and phthalates) on the genitals? I'm also considering scrotox if that's a safer option.

Anna Chacon, MD, FAAD · Answer

Excessive sweating in the scrotal/groin area, known as scrotal hyperhidrosis, can be particularly challenging to manage. Here are some approaches and considerations regarding your situation:

### Topical Antiperspirants
Using a regular aluminum-based antiperspirant on the scrotum can be an option, but there are a few things to keep in mind:
1. **Skin Sensitivity**: The skin in the genital area is more sensitive compared to other parts of the body. Antiperspirants can cause irritation, rashes, or allergic reactions.
2. **Application**: If you choose to try this, start with a small amount to see how your skin reacts. Apply it to clean, dry skin. Avoid any cuts or abrasions.
3. **Formulation**: Look for antiperspirants that are free from parabens and phthalates, as you mentioned. Consider those designed for sensitive skin.

### Medical Treatments
1. **Glycopyrrolate**: While you've noted that glycopyrrolate (an oral anticholinergic) hasn't helped with your groin area, it's worth discussing the dosage and administration with your physician. Sometimes adjusting the dose can make a difference.
2. **Topical Anticholinergics**: There are topical formulations of anticholinergics that might be more effective for localized hyperhidrosis. Discuss this option with your dermatologist.

### Scrotox (Botulinum Toxin Injections)
Scrotox involves injecting botulinum toxin into the scrotal area to reduce sweating:
1. **Efficacy**: Botulinum toxin can be effective in reducing sweating by blocking the nerve signals responsible for sweat production.
2. **Safety**: The procedure is generally considered safe when performed by a qualified healthcare provider. However, potential side effects include pain at the injection site, bruising, and temporary muscle weakness.
3. **Duration**: The effects of botulinum toxin are temporary, typically lasting 3-6 months, requiring repeat treatments for sustained results.
4. **Consultation**: A detailed consultation with a dermatologist or urologist experienced in this procedure is crucial to discuss the benefits, risks, and suitability for your specific case.

### Other Considerations
1. **Lifestyle Modifications**: Wear loose-fitting, breathable clothing made from natural fibers like cotton. Maintain good hygiene and keep the area dry.
2. **Absorbent Pads**: Consider using absorbent pads designed to manage sweating in the groin area.
3. **Hygiene Practices**: Regular washing and drying of the area can help manage symptoms to some extent.

### Conclusion
Given the sensitivity of the genital area, it's important to proceed cautiously with any treatment. While applying aluminum-based antiperspirants might provide some relief, monitoring for skin reactions is essential. Scrotox could be a viable option, but it requires a thorough discussion with a healthcare provider to weigh the benefits and risks.

For a tailored approach, booking an appointment with a dermatologist or urologist who can provide personalized advice and potentially offer alternative treatments is recommended.

Victoria Falcone, DO · Answer

Scotox can be very effective but the cost may be prohibitive. You will need between 50 and 100 units. I would try this above using toxin filled antiperspirants. Scrotox will only be locally active and should be safe if injected by a skilled provider.

Jacquelline Leva, DO · Answer

Either or is fine solution. In regards to safety, Usually, excess aluminum is filtered out of your body by your kidneys. So, people with weakened kidney function can't filter aluminum fast enough. However, if you have normal kidney function, your kidneys can usually process the amount of aluminum from antiperspirants and cosmetics that is absorbed through your skin. 
Scrotox aka botox in the scrotum It’s a fairly safe procedure. But remember that Botox can have some side effects that may interfere with your sexual pleasure, such as numbness or pain.

Excessive sweating on scrotum? Is Scrotox a safe option?

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Excessive sweating on scrotum? Is Scrotox a safe option?

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