1. Possible Reasons for Persistent Itching

   • Itching in the pubic area and on the penis may persist despite antihistamine treatment because the cause might not be allergic. Common causes include fungal infections (like yeast or ringworm), bacterial infections, dermatitis, or other skin conditions that require different treatments.

2. Limitations of Histafree-M

   • Histafree-M contains Montelukast (a leukotriene receptor antagonist) and Fexofenadine (an antihistamine). These work by blocking allergic reactions and histamine effects but may not relieve itching caused by infections or non-allergic skin issues.

3. Importance of Re-evaluation

   • It is important to consult your doctor or a dermatologist again for a thorough examination. They may need to reassess your symptoms and consider other causes beyond allergies.

4. Additional Diagnostic Steps

   • Your doctor might recommend skin swabs, fungal tests, or blood tests to identify infections or other underlying causes of itching.

5. Alternative Treatments

   • Depending on the diagnosis, treatments may include antifungal creams, topical steroids, or antibiotics if an infection is present. Proper medication tailored to the cause is essential for relief.

6. When to Seek Urgent Care

   • Seek immediate medical attention if you experience severe pain, swelling, spreading rash, fever, or any signs of infection worsening.

7. Preventive Measures and Hygiene

   • Maintain good hygiene by keeping the area clean and dry, avoid irritants such as harsh soaps or tight clothing, and wear breathable fabrics to reduce itching and prevent recurrence.

Please consult a dermatologist for personalized evaluation and treatment to address your symptoms effectively. If symptoms worsen or new symptoms develop, do not hesitate to seek urgent care.To narrow down potential causes, we will need some more information.I understand you're dealing with itching in your pubic area, and the medication didn't help. To assist you better, could you please share your age and gender?