Conversation: The conversation between human and AI assistant.
[|Human|] hi, i have a problem with severe itchyness on and under my scrotum.  About 10 years ago i had the same problem i think but it was in the upper part of my butt crack. then i put on some considerable weight when i started on a methadone program, and as i gained weight it worked its way to my crotch and settled where is is now, have tryed everything, antifungal, cortisone, ecxema, and psorisis creams, powders, and my doctor gave   me pills for a yeast infection, didnt work.
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection o urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.