Excessive groin sweating can be an especially uncomfortable problem for men - sweaty balls are no joke. Luckily, there are many effective treatment options available. The type of treatment a person needs depends on the cause of their sweating. Many times, excessive sweating in men, especially groin sweating, is caused by a condition called primary focal hyperhidrosis.[1]

Primary focal hyperhidrosis usually develops during puberty and can last for a lifetime. It usually affects specific areas of the body including the hands, feet, face, armpits, and sometimes, the groin. When primary hyperhidrosis affects the groin it is medically referred to as Hexsel’s hyperhidrosis.[1] Excessive groin sweating caused by primary focal hyperhidrosis affects both men and women equally.[2] However, excessive sweating in men causes different secondary issues when it affects the groin because their anatomy is different than women.

Sometimes, excessive groin sweating is caused by a condition called secondary generalized hyperhidrosis. Sweating from secondary hyperhidrosis tends to come on suddenly and it is caused by an underlying medical issue or as a side effect of a medication. Secondary hyperhidrosis affects both men and women, but there are some issues that cause it to occur in women that men will not have to deal with. Treatment for secondary hyperhidrosis consists of treating the underlying condition that’s causing the excessive sweating.[1] Here are some conditions that can cause groin sweating from secondary hyperhidrosis:

Treatment Options for Men

Sweaty balls are no fun - they’re downright uncomfortable! The good news is that there are several effective treatment options men can use to get their groin sweat under control. Below are several choices you can try out if you are struggling with sweat.

Lifestyle Adjustments

In some cases, lifestyle adjustments can make a big difference when trying to lessen excessive sweating in men. It often won’t completely solve the issue, but it can help.

First of all, the type of underwear you use can make a big difference. It is best to opt for boxers that are made out of breathable cotton instead of briefs or boxer briefs. This is because sweaty balls need proper ventilation.

Secondly, it is imperative to maintain proper hygiene. This means washing the groin with warm water and soap at least once a day, or twice if sweat has had time to accumulate. Otherwise, men can develop problems like chafing, itching, bacterial infections, and fungal infections. This is how many athletes get jock itch.[4]

Finally, losing extra weight, eating healthy, and limiting your consumption of beverages like coffee and alcohol can also improve the amount of groin sweat men produce.[4]

Over-the-Counter Treatments

Many over-the-counter topical treatments can stop or help lessen excessive sweating in men. The most important over-the-counter medication men can use is called antiperspirant. It is a type of topical medication that temporarily lowers the skin’s ability to produce sweat. It can be tricky to find the right type of antiperspirant for the groin, especially because it can cause irritation. However, there are solutions and antiperspirants can be quite helpful.[4]

Aside from antiperspirant, powders like baby powder (talcum) powder or cornstarch powder can be applied to the groin to help with sweating. These powders absorb moisture, prevent chafing, and ease irritation. Talcum powder has been linked to ovarian cancer, but this is not an issue for men. Combining over-the-counter methods may lead to the largest benefit.[4]

Medical Treatments

If more conservative measures don’t stop excessive sweating in men, then they can pursue medical treatment options. There are oral medications that can be prescribed to reduce sweat production, but they often have undesirable systemic side effects. Doctors usually prescribe a class of medications called anticholinergics that prevent the body from producing sweat. They occasionally prescribe antidepressants or anxiolytics if they believe there is a psychiatric component to sweating.[2]

One of the most promising treatments used to decrease the production of groin sweat is the use of botox injections. Botox is injected into the skin of the problem areas and it prevents sweat production. To be clear, botox is not injected directly into sweaty balls, so don’t worry about that. Results can last for more than three months in most cases. Botox has very few side effects and is quite effective for this type of hyperhidrosis.[2]

Finally, there are surgical treatments available to treat hyperhidrosis, but they usually are not a good option for issues with groin sweat. Usually excision of sweat glands is used, but this can be risky for the sensitive tissue in the groin region.[2]

If you are a man struggling with groin sweat, it is worth your time to investigate the treatment options available. It can greatly improve your quality of life and reduce the symptoms you have to live with on a daily basis.

Sources
  1. Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Amsterdam: Elsevier Pub. Co., 2014. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
  2. Hexsel, D. M., Dal'Forno, T. D., & Hexsel, C. L. (2004). Inguinal, or Hexsel’s Hyperhidrosis. Clinics in Dermatology, 22, 53-59. Retrieved June 27, 2019, from https://www.sweathelp.org/pdf/Hexsel.pdf
  3. Is the Sweating Between My Legs Excessive? (n.d.). Retrieved July 1, 2019, from https://www.healthline.com/health/how-do-i-stop-sweating-between-my-legs
  4. What Causes Excessive Testicular Sweating, and How Can I Treat It? (n.d.). Retrieved July 1, 2019, from https://www.healthline.com/health/what-causes-excessive-testicular-sweating-and-how-can-i-treat-it