Herpes on the penis glans?

[ma_ranks]

Hello Terri,

I had unprotected sex with two women, June and Nov 2020. I am uncircumsized.

Timeline
Start of itchiness – January 5th/6th, 2021. Started using Clotrimazole, Hydrocortizone and Viaderm 1 week apart. Each of them did not help much but Hydrocortizone and Viaderm helped more.

STD panel test – February 4th. All tested negative, herpes was not tested.

Herpes blood draw – February 13th. This was an IGG test from Canada that came back reactive for HSV2.

First rash/sore – February 14/15th. Started off as a red dot on left side of penis glans and became a rectangular rash, as I was applying Viaderm. Soon after it showed a whitish skin in the middle of the rash and I accidentally rubbed off the skin on top of the rash. Soon after, the tip of the penis glans and area of the rolled off glans became red and painful to the touch.

I started to see yellowish pus coming out. Every time I went to the bathroom, I cleaned off pus and retracted the glans.

Second sore – February 15/16th. A second dot showed up on the right side of the glans but a small one. The next day it looked like it opened up and showed some liquid in it but not the same way with pus. No lesions or vesicles on the shaft area.

Clinic’s failed Herpes sore swab – February 17th

Hospital full STD panel and Herpes swab – February 20th. With doctor’s visual diagnosis that this was genetic herpes, I started taking Famivir 500mg 3X a day and applied acyclovir ointment to affected area. They went away by end of February to March 1st/2nd.

Still waiting on swab result from hospital.

Question: You have mentioned in the past that Herpes rarely occurs just on the glans without accompanying vesicles or lesions that pop up on the shaft or groin area. I only had it on the penis glans area. From what I described, do you think this is herpes?

And recently, I’ve been waking up with a hot face and ears and they randomly get hot and no fever. Is this caused anxiety? Should I get the Western Blot test?

[Terri Warren]

well, it’s difficult to say but it’s possible.
If you get another lesion, I think you should have it swab tested for sure to be more clear about this. It’s really difficult to know from your description
Can you tell me exactly what blood test was “reactive”?

Terri

[ma_ranks]

Hello Terri,

Thank you for your message. I am still waiting on the swab from the lesions that I gave on Feb 20th. The test that was reactive was a blood IGG test. Here in Canada I don’t know if they have numerical ranges. I asked to get a numerical range but they can’t provide it.

I also don’t know if you accept pictures of what the lesions looked like (Feb 17th) so I thought I should add the link here for your reference. The second picture was what my penis looked like before pus started forming. As you can see there were two lesions forming. The left side lesion was painful to touch but not the right one.

https://imgur.com/a/B8PACf5 – Here is the link to the images.

Thank you very much for your help.

[Terri Warren]

By now, you should definitely have results back. And no, sorry, I don’t look at pictures on this website.

Terri

[ma_ranks]

Terri: I did not, unfortunately. I have been following up since last week.

It would have been great for you to have a look at the pictures at a glance since my descriptions had been unclear to you.

Thank you for helping people like us on this site.

[Terri Warren]

Sorry, looking at the pictures and making comments about them is too close to practicing medicine online which I cannot or will not do, unless you are a private patient of mine. In this case, I don’t think that would help you.

Terri

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