Conversation: The conversation between human and AI assistant.
[|Human|] doctor i have fungal infection on my parineum and i already using terbinafine 1% cream from one month but no effect.i have history of the infection from 3year .i take fluconazole 150 mg dose weekly twice .but no effect.so do you have any suggestion for me?
[|AI|]  Hello, Welcome to Chat Doctor, The fungal infections are common in the perineal region as the fungus are the normal comedians of this region, which will be kept under control by the helpful organisms. Whenever there is any change in the environment it will activate and produces these symptoms. In spite of antifungal treatment your symptoms has not come down. I would suggest you to undergo lab investigations like KOH mount to confirm the presence of fungal infection. You may need physical examination to confirm whether it is a fungal infection and based on that we can decide further mode of treatment. Thank you.