###Human: I feel some pricking sensation without itching in genitals. What could it be? ###Assistant: Hello. Looking at your photographs (attachment removed to protect patient identity), I can see the follicular prominences (the tiny raised bumps around hair) on scrotal skin. They look more like Fordyce spots which usually do not itch. But itching can be due to secondary xerosis, friction, sweating or intertrigo (infection of the folds). You need to understand there is another disease known as Fox Fordyce's disease but that has severe itching, not infrequent and more common in the axilla. It does not seem you have that right now. It looks to me as Fordyce's spots along with intertrigo and xerosis. Follow the medication I am writing below. Treatment: 1. Cetaphil cream apply twice a day. 2. Oilatum soap for bath. 3. Tablet Teczine M ( levocetirizine and montelukast) 10 mg once at night. 4. Tablet Ivermectin 12 mg once a week for two weeks.