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Every summer I get a red itchy rash under my breasts that smells. What causes it and how to stop it coming back?

An AskHer answer: what is known, what depends on you, and what only a clinician can decide.

Nobody asked this one. AskHer’s editorial team wrote the question to open the topic. It is not anyone’s submission, and nobody’s own words are in it.

Written with AI assistance — not yet reviewed by a person Version 1 · Not yet reviewed by a person · English

The short explanation

A red, itchy, sometimes smelly rash under the breasts in hot weather is very common. It usually starts as intertrigo, which is irritation from skin rubbing against skin in a warm, moist area. Sweat and friction break down the skin, and yeast or fungus can then grow, causing more redness, itching, soreness and odour. Prevention focuses on keeping the area cool and dry: wearing well-fitting cotton bras, changing out of sweaty clothes quickly, gently drying the skin after bathing, and placing a thin cotton cloth under the breasts if needed. If the rash is already present, a doctor can confirm whether it is fungal and suggest suitable treatment. Avoid using steroid combination creams on your own, as they can make fungal rashes worse.

What depends on your situation

The parts of this that change from woman to woman. Uncertainty is stated, not hidden.

  • Diabetes, weight gain, and very humid conditions increase the chance of these rashes, so a sugar test may be suggested if they keep coming back.
  • Talc and powders may help some people keep dry, but should not be used on broken skin.
  • A rash that does not improve with treatment should be checked again to rule out other skin conditions.

What this answer cannot determine

The boundary of online education. These need a clinician who can see you.

  • This cannot tell you whether your rash is fungal, bacterial or another condition. A doctor can examine it.

Questions for your clinician

Take these with you. You can add any of them to an appointment card.

  1. Is this intertrigo with a fungal infection?
  2. What treatment should I use, and for how long?
  3. How can I prevent it next summer?
  4. Should my sugar be checked?

When to seek help

Clinician-approved guidance for this topic. When in doubt, being seen is never the wrong choice.

Book an appointment soon

  • See a doctor within a few days if the skin is broken, oozing, very painful or you develop fever.

Raise it at a routine appointment

  • Book a routine appointment if the rash keeps returning every summer.

Sources

The evidence this explanation is built on.

  1. Fungal infections MedlinePlus (NIH)
  2. Ringworm NHS
  3. Type 2 diabetes NHS

Who wrote and reviewed this

Every AskHer answer names its author. A clinically reviewed answer also names the clinician who signed it off — if no clinician is named below, it has not been clinically reviewed.

Author
AskHer Editorial (AI-assisted draft) AskHer's editorial team — not an individual clinician Works in English, தமிழ், हिन्दी
Clinical reviewer
Nobody yet No clinician has signed this answer off, and no person on the editorial team has read it yet. That is what the “Written with AI assistance” label means. It is queued for an editor to read, and then for a clinician who works in this area. The sources it was drafted against are listed above.
Review status
Written with AI assistance — not yet reviewed by a person
Last reviewed
Not yet reviewed by a person
Version
1

Correction history

Substantive changes are listed, not quietly edited away.

No corrections have been made since this answer was first published.

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