###Human: What is the reason for severe itch in genitals and the surrounding area? ###Assistant: Hi. Your problem seems to have lingered on to become a chronic hyperkeratotic scrotal eczema. This is a result of your hyperallergic tendency, constant scratching, sweat induced maceration and intermittent but incomplete treatments with suboptimal medicines. Till you revert with the answers, I advice you to do the following: 1. Sweating. 2. Tight undergarments. 3. Constant scratching. 4. Application of inappropriate creams intermittently. 1. Blood sugar levels fasting and postprandial. 2. Serum levels of IgE antibodies. Follow up in two weeks with pictures to a dermatologist online.--->