Recurring Genital Symptoms: Is It Herpes?

Q: Recurring Genital Symptoms: Is It Herpes?

Hello： 1) This facility cannot provide a diagnosis. 2) Traditional Chinese medicine and Western medicine are quite similar. 3) It is possible. 4) It may not necessarily be lymph nodes; please seek medical examination. 5) Unable to determine. 6) If it is a herp

Questions about herpes recurrence?

I developed a very itchy area in my genital region at the end of March and beginning of April last year.
Initially, the doctor thought it was pubic lice and prescribed topical treatment, which helped.
However, nearly a year later, the itchy area still recurs every one to two months, even without any sexual contact.
Therefore, I believe it is not pubic lice.
After researching online, I suspect the symptoms resemble genital herpes, but the affected area is in the genital region, not on the genitals.
I consulted a dermatologist, but they could not identify the issue (possibly because I did not seek help during the initial recurrence).
Each time it recurs, the lymph nodes in the groin area become swollen, and they shrink back after healing, but they have never returned to their normal size.
The affected area has not shown any blisters, but it initially appears like a pimple and is very itchy.
Over time, it slowly turns into an ulcer, which is almost painless, just very itchy, and eventually crusts over and heals.
This cycle repeats every one to two months, and even without medication, it resolves on its own.

I would like to ask:
1.
Are these symptoms truly indicative of the herpes virus?
2.
Since Western medicine currently cannot cure the herpes virus, can traditional Chinese medicine detoxify and achieve a cure?
3.
If it is indeed the herpes virus, does this recurring nature mean I will experience outbreaks for life, or is there a general recurrence period after which it will not recur?
4.
Regarding the lymph node issue, I have not had a recurrence for two months, and the lymph nodes have shrunk to the point where I can only feel a slight lump with careful palpation.
How long will it take for the lymph nodes to return to their previous state where they are completely unnoticeable? A few months? Six months?
5.
Although I have not had a recurrence for two months (possibly due to taking traditional Chinese medicine during this time), the skin in the affected area still occasionally feels itchy and appears slightly red.
Is this a sign of an impending recurrence?
6.
In the future, if I decide to have children, is there a risk of transmitting this condition to them? Thank you, doctor.

KK, 20~29 year old female. Ask Date: 2018/03/16

Dr. Du Shixi reply Urology

Hello: 1) This facility cannot provide a diagnosis.
2) Traditional Chinese medicine and Western medicine are quite similar.
3) It is possible.
4) It may not necessarily be lymph nodes; please seek medical examination.
5) Unable to determine.
6) If it is a herpes virus, it is likely primarily transmitted through direct contact.
Wishing you good health.

Reply Date: 2018/03/16

More Info

Understanding recurring genital symptoms can be complex, especially when considering conditions like herpes. Based on your description, it seems you are experiencing recurrent itching and ulceration in the genital area, which has raised concerns about herpes simplex virus (HSV) infection. Let’s address your questions systematically.

1. Is this truly a herpes virus symptom?
The symptoms you describe—itching, the appearance of lesions that evolve into ulcers, and the involvement of lymph nodes—are indeed suggestive of a herpes infection. Herpes lesions typically start as small blisters that can rupture and form painful ulcers. However, the absence of water blisters and the fact that the lesions are not consistently painful could indicate that you might be experiencing a different condition, such as a recurrent dermatitis or another type of infection. It’s crucial to have a healthcare provider perform a thorough examination, ideally during an active outbreak, to confirm the diagnosis.

2. Can traditional Chinese medicine (TCM) cure herpes?
Currently, there is no cure for herpes in Western medicine; antiviral medications can help manage outbreaks and reduce transmission risk. TCM may offer supportive care, focusing on strengthening the immune system and alleviating symptoms. However, it’s essential to approach TCM as a complementary treatment rather than a primary cure. Always consult with a healthcare provider before starting any new treatment regimen.

3. Will herpes outbreaks continue for life?
Herpes is a lifelong infection, and while many individuals experience recurrent outbreaks, the frequency can vary significantly. Some may have frequent recurrences, while others may have only a few outbreaks per year. Over time, many people find that their outbreaks become less frequent and less severe. There is no definitive timeline for when outbreaks will cease, as this varies from person to person.

4. Lymph node recovery time
Lymph nodes can remain enlarged for some time after an infection has resolved. The duration for lymph nodes to return to their normal size can vary widely, from weeks to several months, depending on the individual’s immune response and overall health. If your lymph nodes are still slightly enlarged but not painful, this may be a normal part of your recovery process.

5. Is itching a sign of impending recurrence?
Itching and localized redness can indeed be early signs of a potential outbreak. Many individuals with herpes report prodromal symptoms, which can include tingling, itching, or discomfort in the area where lesions typically appear. If you notice these symptoms, it may be wise to consult your healthcare provider for guidance on managing potential outbreaks.

6. Transmission during childbirth
If you have a confirmed herpes infection, it is essential to discuss this with your healthcare provider, especially when considering pregnancy. While it is possible to transmit the virus to a child during delivery, the risk can be significantly reduced with appropriate medical management. If you have active lesions at the time of delivery, a cesarean section may be recommended to prevent transmission.

In conclusion, while your symptoms may suggest a herpes infection, it is vital to have a healthcare professional evaluate your condition for an accurate diagnosis. Managing herpes involves understanding the nature of the virus, recognizing symptoms, and working with healthcare providers to develop a comprehensive treatment plan. Regular follow-ups and open communication with your healthcare team will be crucial in managing your symptoms effectively and ensuring your overall health.

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