Persistent Itching and Blisters in the Genital Area - Urology

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Itching in the genital area, including the penis and pubic hair, on a daily basis?


Hello: I have been seeing a urologist for two years (once or twice a month).
I used to feel a lot of itching in the pubic area, and later I discovered small blisters in that area.
I went to see a urologist, and the doctor told me I had contracted herpes.
I had been in a relationship with my first girlfriend for six years, and before that, I never experienced itching or had any contact with other women.
After starting the relationship, we were intimate often...
The itching and pain began during intimacy, and it wasn't until the urologist informed me that I had herpes that I stopped being intimate when I felt itchy.
However, I have always been puzzled as to why my herpes seems to be getting worse while my girlfriend has no issues at all.
Every time I experience pain and itching, she doesn't see any blisters; it takes one or two weeks of itching before any blisters appear.
My girlfriend has always suspected that the blisters might be caused by scratching.
Each time I visit the urologist, I tell the doctor that even when I apply medication and the blisters heal, I still experience persistent itching, but the doctor does not address my concerns.
I once tried using a fungal treatment prescribed by my girlfriend's gynecologist, and the blisters healed quickly.
My question is: After herpes treatment, is it normal to still experience itching all day? I almost feel itchy and in pain all the time, regardless of whether I have an outbreak! Are the blisters always due to herpes? Thank you...

Huai xin qing, 30~39 year old female. Ask Date: 2017/03/16

Dr. Du Shixi reply Urology


Hello: Blisters are mostly caused by herpes, but they are usually painful during an outbreak.
Once herpes is treated, it shouldn't itch all day.
If the treatment is unsuccessful, I recommend visiting a different hospital (make sure to see a doctor on the first day of the outbreak).
Thank you for your inquiry.

Reply Date: 2017/03/16

More Info


Persistent itching and blisters in the genital area can be a distressing experience, and it’s understandable that you have many questions regarding your condition, especially after being diagnosed with herpes. Let’s break down your concerns and provide some clarity.


Understanding Herpes and Its Symptoms
Herpes simplex virus (HSV) is a common viral infection that can cause outbreaks of blisters or sores in the genital area. The symptoms typically include itching, burning, and the appearance of painful blisters. After the initial outbreak, the virus remains dormant in the body and can reactivate, leading to recurrent symptoms.

Why You May Experience Persistent Itching
1. Post-Herpetic Itching: Even after the blisters heal, some individuals experience persistent itching or discomfort in the affected area. This can be due to nerve irritation caused by the virus. The skin may remain sensitive for a while, leading to ongoing itching.

2. Secondary Infections: Sometimes, the skin can become irritated or infected after an outbreak. If you are scratching the area due to itching, it can lead to secondary bacterial infections or fungal infections, which can cause additional symptoms like itching and discomfort.

3. Other Conditions: It’s also possible that other conditions are contributing to your symptoms. Conditions such as fungal infections (like candidiasis), contact dermatitis (due to irritation from soaps, detergents, or other products), or even other sexually transmitted infections (STIs) could be causing the persistent itching.


Why Your Girlfriend May Not Show Symptoms
It’s important to note that herpes can be asymptomatic in many individuals. This means that your girlfriend could be carrying the virus without showing any signs or symptoms. The virus can be transmitted even when no visible sores are present, which is why it’s crucial to practice safe sex and communicate openly with partners about STIs.


Treatment and Management
1. Antiviral Medications: If you have been diagnosed with herpes, antiviral medications (like acyclovir, valacyclovir, or famciclovir) can help reduce the frequency and severity of outbreaks. If you are experiencing persistent symptoms, it may be worth discussing with your healthcare provider about adjusting your treatment plan.

2. Topical Treatments: Over-the-counter creams or ointments may provide relief from itching. However, be cautious with what you apply, as some products can further irritate the skin.

3. Fungal Treatments: Since you mentioned that a fungal treatment helped with the blisters, it may indicate that a fungal infection was present alongside the herpes. If you suspect a fungal infection, it’s essential to consult with a healthcare provider for appropriate antifungal treatment.

4. Avoid Irritants: Try to identify and avoid any potential irritants that may exacerbate your symptoms. This includes certain soaps, laundry detergents, or personal care products.

5. Follow-Up Care: If your symptoms persist despite treatment, it’s crucial to follow up with your healthcare provider. They may recommend further testing to rule out other conditions or adjust your treatment plan.


Conclusion
In summary, persistent itching and blisters in the genital area can be multifactorial, especially after a herpes diagnosis. While herpes can cause ongoing symptoms, other conditions may also contribute to your discomfort. It’s essential to maintain open communication with your healthcare provider, explore all potential causes, and adjust your treatment plan as necessary. If you continue to experience symptoms, consider seeking a second opinion or consulting a dermatologist or infectious disease specialist for further evaluation. Your health and comfort are paramount, and there are options available to help manage your symptoms effectively.

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