I’ve continued having persistent symptoms for the last 4 months:
– rash on the upper surface of glans
– mild pruritus where the rash is
– occasional referred discomfort in perineum and prostate that is much more noticeable when I am feeling more anxious about the rash
Symptoms look identical to pictures here https://patient.info/forums/discuss/penile-rash-balanitis-not-responding-to-treatment-683412#topic-replies (click the 4 “Click here to view image” blocks). Symptoms are dramatically worsened after any sexual activity.
PCP and dermatology say its balanitis, but of course that is just a catch-all description for over a dozen underlying conditions. Have tried multiple antifungals but none have changed things. Have taken a course of antibiotics but symptoms remain. Anti inflammatory creams help with symptoms for a while, but not permanently.
As per the thread above I believe this is Chronic Pelvic Pain Syndrome (CPPS) with an underlying psychological component even if the surface level rash was ‘set off’ by something else.
Given all this, I wanted to ask, in your professional experience, have you seen HSV leading to these kinds of long-lasting symptoms? Particularly as these symptoms clearly relate to the regional nervous system (glans rash, but also tightness in pelvic, perineal, and prostate area), and with HSV being a virus that settles in the nervous system. I realize that a Western Blot test would be a definitive way to test and am considering it for a sense of certainty.