Herpes Symptoms and Treatment in Urology

Q: Herpes Symptoms and Treatment in Urology

Hello： Unless there is an injury, most cases of skin lesions are likely due to herpes. <br>Some blisters may be very small, and this condition typically takes 10-14 days to heal. <br>Treatment should be ongoing, and it is important to keep the area clean and dry. <br>If it become

Herpes issues?

Hello, initially there were small red spots on the glans, which gradually enlarged, and then there was some discharge (also on the inner foreskin).
I saw a doctor about three days later.
The doctor tested my urine and said it was normal, and he diagnosed it as herpes.
However, during the entire process, I did not notice any blisters; I wonder if they might have burst too quickly? The doctor prescribed antibiotics and a herpes ointment.
After five days of treatment, I feel that the ulcerated area has not decreased much.
I'm unsure what the issue might be.
Should I see a doctor again, or can I continue applying the herpes ointment? I do not have any discomfort while urinating.
The lesion sometimes itches slightly or feels a bit uncomfortable.
Thank you.

Xiao Jie, 30~39 year old female. Ask Date: 2020/10/26

Dr. Du Shixi reply Urology

Hello: Unless there is an injury, most cases of skin lesions are likely due to herpes.
Some blisters may be very small, and this condition typically takes 10-14 days to heal.
Treatment should be ongoing, and it is important to keep the area clean and dry.
If it becomes very red, antibiotics may be necessary.
Ointments can help speed up the healing process.
If the immune system weakens, there is a possibility of recurrence.
The wound should definitely not be kept moist.
Wishing you good health.

Reply Date: 2020/10/26

More Info

Herpes is a common viral infection caused by the herpes simplex virus (HSV), which can manifest in various forms, including genital herpes. Your symptoms, including the initial appearance of small red spots on the glans (the head of the penis) that later enlarged and began to ooze, are indicative of a possible herpes outbreak. The absence of blisters may suggest that they either did not form or ruptured quickly, which can happen in some cases.

When it comes to the treatment of herpes, antiviral medications are typically the first line of defense. Common antiviral drugs include acyclovir, valacyclovir, and famciclovir. These medications can help reduce the severity and duration of an outbreak, as well as decrease the frequency of future outbreaks. The topical herpes ointments prescribed by your doctor are also designed to alleviate symptoms and promote healing of the lesions.

Given that you have been using the prescribed treatment for five days without significant improvement in the ulcerated area, it is advisable to follow up with your healthcare provider. The lack of improvement could indicate that the treatment needs to be adjusted or that there may be another underlying issue that requires attention. It is also important to monitor for any new symptoms, such as increased pain, fever, or the development of additional lesions, which could suggest a secondary infection or a more severe outbreak.

In addition to antiviral medications, there are supportive measures you can take to manage symptoms. Keeping the affected area clean and dry, avoiding irritants (such as harsh soaps or fragrances), and wearing loose-fitting clothing can help reduce discomfort. If you experience itching or discomfort, over-the-counter pain relievers or topical anesthetics may provide temporary relief.

It is also essential to maintain open communication with your healthcare provider regarding your symptoms and treatment progress. If you notice any changes or worsening of your condition, do not hesitate to seek medical advice. Regular follow-ups can help ensure that you receive the appropriate care and adjustments to your treatment plan as needed.

Lastly, it is important to understand that herpes is a lifelong condition, and while there is no cure, many individuals manage their symptoms effectively with the right treatment and lifestyle adjustments. Practicing safe sex and informing potential partners about your condition can help prevent transmission and manage outbreaks more effectively.

In summary, while your current treatment may not have yielded the expected results, it is crucial to consult with your healthcare provider for further evaluation and potential adjustments to your treatment plan. With proper management, many individuals with herpes can lead healthy and fulfilling lives.

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