Can Antis Cream Treat Other Conditions Beyond Herpes? - Urology

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Can Antis ointment (herpes virus cream) cure other diseases?


Dear doctors, I have been experiencing itching in the coronal sulcus of my genitalia.
After consulting several medical institutions, most diagnosed me with balanitis, but one physician suggested a herpes virus infection (although there were no visible blisters on the genitalia).
Subsequently, the redness and swelling in the coronal sulcus worsened, accompanied by a stinging sensation.
I began applying herpes antiviral ointment and taking oral antiviral medication, which did lead to some improvement.
However, when I went to the hospital for a blood test for herpes, the result came back negative.

1.
Based on the above situation, can it be concluded that I have a herpes infection (since the symptoms improved with the use of oral antiviral medication and topical ointment)?
2.
Could excessive washing and application of ointment in the coronal sulcus in the past have caused the skin to thin, making it more susceptible to itching?
I would greatly appreciate your insights.
Thank you.

N, 20~29 year old female. Ask Date: 2020/10/29

Dr. Cai Zhuorong reply Urology


1.
Does Antis cream (herpes virus ointment) cure other diseases? No.
Based on the above situation, can it be considered a definitive herpes infection (since symptoms improved with oral antiviral medication and topical herpes ointment)? The diagnosis of herpes relies on clinical symptoms and laboratory tests.
If there were blisters that later developed into ulcers, it aligns with the typical presentation of herpes.
2.
In the past, could excessive washing and application of ointment in the genital area lead to thinning of the skin, making it more prone to itching? Thinning of the skin is one of the side effects of corticosteroids.

Reply Date: 2020/10/29

More Info


In addressing your question about the effectiveness of Antis Cream for conditions beyond herpes, it’s essential to first understand the nature of the symptoms you are experiencing and the properties of the medication itself.

Antis Cream, which typically contains antiviral agents such as acyclovir or similar compounds, is primarily designed to treat herpes simplex virus infections. This includes conditions like genital herpes, which can manifest as painful sores or lesions. However, the symptoms you describe—itching, redness, and a burning sensation in the coronal sulcus—can also be indicative of other conditions, such as contact dermatitis, fungal infections, or bacterial infections, which may not respond to antiviral treatments.

1. Can your symptoms indicate a herpes infection despite a negative blood test?
The absence of visible blisters or sores does complicate the diagnosis of herpes. Herpes simplex virus can sometimes present atypically, and it is possible to have a herpes infection without the classic symptoms. The fact that your symptoms improved with the use of antiviral medication suggests that there may be a viral component to your condition, but it does not definitively confirm a herpes infection. Blood tests for herpes can yield false negatives, especially if the test is conducted outside the window period after exposure. Therefore, while your symptoms may have improved with antiviral treatment, it does not conclusively indicate an active herpes infection.

2. Could excessive washing and application of creams lead to skin thinning and increased sensitivity?
Yes, over-cleansing and the frequent application of topical medications can lead to skin irritation and thinning, particularly in sensitive areas like the genital region. The skin in this area is delicate, and excessive washing can strip away natural oils, leading to dryness and irritation. This can make the skin more susceptible to itching and discomfort. Additionally, certain topical medications, especially corticosteroids, can cause skin thinning if used excessively over time. It’s crucial to use such products as directed and to avoid over-application.

Given your situation, here are some recommendations:
- Consult a Dermatologist: Since you have seen multiple healthcare providers with varying opinions, it may be beneficial to consult a dermatologist who specializes in skin conditions. They can provide a thorough examination and possibly conduct additional tests to determine the exact cause of your symptoms.

- Consider a Patch Test: If you suspect that your symptoms may be related to contact dermatitis (an allergic reaction to a product), a patch test can help identify specific allergens.

- Modify Hygiene Practices: Instead of frequent washing, consider using a gentle, unscented cleanser and limit washing to once a day. After washing, ensure the area is dried thoroughly, as moisture can contribute to fungal infections.

- Topical Treatments: If you continue to experience symptoms, a dermatologist may recommend alternative treatments, such as antifungal creams or mild corticosteroids, depending on the underlying cause of your symptoms.

- Monitor Symptoms: Keep a diary of your symptoms, noting any changes in response to different treatments or hygiene practices. This information can be valuable for your healthcare provider in determining the best course of action.

In summary, while Antis Cream is effective for herpes, its efficacy for other conditions is limited. Your symptoms may stem from various causes, and a thorough evaluation by a specialist is crucial for appropriate diagnosis and treatment.

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