Dermatologist tips for managing genital eczema and delicate skin

Eczema can happen anywhere on the body – including the sensitive areas such as the genitals and the perianal area (the sensitive area around the anus). These areas can be difficult to treat as we’re often embarrassed to talk about them, even with our health care providers. It’s also difficult to treat due to sensitive skin, and living with it can be challenging, as itching and burning in these areas can be embarrassing and distressing.

Toronto-based dermatologist, Dr. Sheila Wang, PhD, MD, FRCPC, shares her tips on managing genital and perianal eczema.

Dr. Wang tells us, “First, you want a correct diagnosis. A dermatologist can review the rash, itching, and burning in the genitals and perianal area to help determine if it is indeed eczema or something else. Genital eczema can look very similar to other skin conditions. These include inflammatory rashes, yeast infections, skin irritation from friction or hormones, pigment changes, scarring, and, rarely, pre‑cancerous or cancerous skin conditions. Because treatments differ, getting the right diagnosis is important, especially if symptoms do not improve or keep coming back.”

With eczema in the perianal area, or on the vulva, penis, or scrotum, careful selection of treatments is required. Dr. Wang shares, “We want to be cautious with the use of topical steroids on sensitive skin areas, and there are other topical treatments that can be helpful, depending on the patient’s condition.” 

Products can make a difference:

Fragranced products, harsh soaps, genital sprays, feminine washes and wet wipes should be avoided. Daily bathing or showering with plain water, or fragrance-free soap can be helpful. Gentle moisturizers can help with dryness, and your health care professional can recommend treatments to manage your specific symptoms.

Avoid irritation:

Dr. Wang shares, “We also want to be aware of contact irritants, that is, products or irritants in the environment that come in contact with the skin and can cause rash, itching, and burning. We also want to think about other things your skin in those delicate areas is in contact with, such as latex condoms, which can impact  both men and women.”

Menstrual health:

Menstrual health can also pose a challenge, as pads and tampons may irritate the vulva and skin at the opening of the vagina. “This can be trial and error as you find products that work for you.”

Stay cool:

Eczema and irritation like it cool. Dr. Wang shares more of her tips, “Sweating in the groin area can trigger flare and itch. Wearing cotton and breathable clothes may be helpful. Avoiding tight and restrictive clothing that can rub and chaff can be helpful.”

The bottom line is, you don’t need to suffer. Your healthcare provider can help manage your symptoms.

Dr. Wang’s top tips to manage genital eczema: 

• Confirm accurate diagnosis
• Work with a health care provider and/or dermatologist to find appropriate treatments
• Avoid fragranced products, harsh soaps, genital sprays, feminine washes and wet-wipes
• Wash or shower daily using plain water and fragrance-free soap
• Use a gentle moisturizer to help alleviate dryness
• Wear loose, breathable cotton clothing
• Steer clear of tight clothes and underclothes that can cause chaffing
• When itch strikes, apply a cool, wet cloth to the affected area for a few minutes may provide relief

When to seek medical care:

See a health care provider or dermatologist if:

• Symptoms do not improve or keep coming back
• There is significant itching, pain, burning, or discomfort
• You notice new or changing skin, such as thickening, colour changes, sores, or cracks
• There is bleeding, open sores, or pain with urination, sex, or bowel movements
• Symptoms begin after menopause or later in adulthood
• Something doesn’t feel right, even if you’re unsure why

Dr Wang reminds patients that “persistent or unusual symptoms should always be checked to ensure the correct diagnosis and safe treatment.”

ESC thanks dermatologist Dr. Sheila Wang for her volunteer contributions to this article. If you or your child is struggling with eczema and needs urgent care, go to your nearest emergency department.

Disclaimer: Information provided in this resource does not constitute medical advice and is not intended to be used as a diagnostic tool. The information is up-to-date at time of publication. All medications, interventions, and treatment plans have risks and benefits, and it is important that individuals discuss their or their child’s specific health care needs with a qualified health care professional. 

April 2026