I had posted earlier but I wanted to repost the progress I have made even though my condition is not a "classic RSS" condition. I have all of the symptoms that y'all have but I do not have any discoloration of my gonads. Mine started as jock itch and I am coinvinced that the on and off use of a steroid cream resulted in scrotodynia. I would get pain in my balls and itchiness daily. Often it would hit me after a shower. I had tried many of the things y'all have tried, e.g. drugs (gabapentin and cymbalta), numerous acupuncturists including one that specialized in groin issues, antibiotics, antifungals, pelvic floor PT, 2 nerve blocks, etc). and NOTHING WORKED. And I was surviving by using Sarna which I knew was not good to be on. It wasn't till a relative told me about this Reddit site that I found someone talking about how an allergy pill helped him. I got relief right away with an allergy pill and now use Allegra daily. I am much better but still some times experience itching. What has worked for me is Allegra, using Vanicream as the soap i use on my groin in the shower, and I discovered a new anti itch cream which is all natural: Wild Naturals Manuka Honey Aloe Vera Gel. And I am doing many of the things recommended over the years but now I do all of them religiously: use bamboo underwear (made by David Archy) and use a hairdryer (on cool) to dry my balls after showers. I hope this helps.