These side effects are likely related to the weekly triamcinolone (Tricort) injections, a corticosteroid that can cause fluid retention while temporarily weakening your skin's defense against fungal flare-ups. Please do not stop your medications abruptly. I highly recommend consulting your dermatologist promptly. They can safely taper off the steroid injections, which will help resolve the puffiness and weight gain, and adjust your antifungal therapy (itraconazole and topical sertaconazole) to clear the returning infection safely.

Candid cream (clotrimazole) and Candiforce (itraconazole) are strong antifungals, but sometimes the infection can be resistant, or the underlying issue may not be fungal. I highly recommend consulting a dermatologist. They can perform a simple, painless test, like a skin scraping, to pinpoint the exact cause of your symptoms and prescribe a targeted, more effective treatment.

Since it has not helped your ringworm after a month, it is very important to consult your doctor or a dermatologist. Sometimes, fungal infections can be resistant to a specific dose, or the rash may be a different skin condition entirely, like eczema. Your doctor can perform a simple skin scraping to confirm the diagnosis and safely adjust your treatment. Please keep the areas clean and dry, and avoid scratching to prevent irritation.

The primary reason it may be spreading is likely due to the Betnovate C cream. It contains a strong steroid (betamethasone) which temporarily eases itching but actually suppresses your skin's local immunity, allowing fungal infections to grow much faster and become resistant to treatments like Micogel (miconazole) and Candiforce 200 (itraconazole). Please stop using the Betnovate C cream immediately. Keep the groin area clean, dry, and wear loose cotton clothing. I highly recommend visiting a doctor or dermatologist soon to reassess the infection and safely guide your recovery.

Since these antifungal treatments and strong topical lotions have not cleared the rash, it is important to stop using harsh over-the-counter applications, which may be irritating your skin further. The rash might be eczema, contact dermatitis, or a resistant infection rather than a simple fungal issue. I highly recommend seeing a dermatologist for a physical exam and possibly a skin scraping. In the meantime, keep the area clean, dry, and cool, and apply a gentle, fragrance-free moisturizer to soothe the skin.

Since your symptoms haven't improved with Candiforce (itraconazole), it is very important to have a specialist evaluate it. The rash might require a different treatment, or it could be a different skin condition altogether. I highly recommend consulting a female dermatologist in your local area for a physical examination and perhaps a skin scraping test to find the exact cause. They can safely adjust your treatment plan.