Maybe something else with active fungal.

• Since there has been minimal improvement even after 4 months of antifungal treatment, this may not be a straightforward fungal issue alone • The thickened, discolored, scaling skin with burning and irritation could also suggest chronic irritation, eczema-like changes, friction-related inflammation, or another inflammatory skin condition • The absence of a clear active border and the burning sensation more than itching makes a persistent fungal infection less typical • The odor may be related to moisture retention, sweat, irritation, or secondary bacterial overgrowth Next Steps • A detailed in-person dermatology evaluation is advisable now rather than continuing repeated self-treatment • It would be helpful to review all creams/medications already used, especially if any steroid-containing combinations were applied • You may need further examination/tests to confirm whether fungus is still present or if another skin condition is contributing • Keep the area dry, avoid prolonged sitting in sweaty clothing, and continue using loose breathable fabrics Helpful Tips / Words of Caution • Avoid excessive washing, harsh soaps, antiseptics, scrubbing, or over-cleaning, as these can worsen burning and skin barrier damage • Do not peel or repeatedly scratch the scaling skin • Avoid starting multiple OTC creams together, especially combination creams containing steroids • Seek earlier review if you develop cracks, pain, discharge, swelling, worsening redness, or difficulty retracting the foreskin further Kindly consult with me via practo for detailed evaluation and treatment

Detailed medical history needs to be assessed before starting you on your personalised treatment Kindly share a clear picture in good lighting of affected areas

Feel free to connect via INSTANT ONLINE CONSULT

Avoid any OTC topicals

●𝗬𝗲𝘀 𝗶𝘁  𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 . ●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰 ●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳. ●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁. ●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲     𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.

Fungus  infection....common around skin folds like thighs and genitals.. avoid sweating, sharing clothes,towels and soap.. specific medicine required depends on the severity.. for detailed prescription do direct online consultation

It could be seborrheic dermatits, or fungal infection or yeast infection Kindly consult for better diagnosis and management