Herpes and HPV: Symptoms, Diagnosis, and Care

Herpes, genital warts?

About a month ago, I engaged in risky sexual behavior.
During foreplay and oral sex, I did not use a condom, but I did use one during intercourse.
Later, I noticed a rash on my glans that itched.
About a week later, I sought medical attention, and the doctor suspected herpes, prescribing oral medication (Acyclovir) and a topical ointment (Neomycin ointment).
After a week of treatment, the rash turned into a red area resembling a wound, and I occasionally noticed a white-green discharge (not from the urethra).
During a follow-up visit two weeks later, the doctor prescribed the same medications again.
However, two days later, I suddenly noticed two flesh-colored, blister-like bumps in the corona area, one above and one below the glans (which are slightly itchy).
I am worried that these might be another type of herpes or genital warts.
I also began to feel symptoms of frequent urination and anal itching, which may be psychological.
I underwent relevant tests two weeks apart; the first test showed type 1 herpes, while the second test results were all normal.
1.
I would like to know if this indicates improvement if it is herpes, as I read online that it usually resolves in about two weeks.
2.
Are the bumps in the corona area herpes or genital warts? Is there a way to differentiate between them?
3.
My foreskin completely covers the glans.
How should I care for it properly? The discharge tends to remain trapped under the foreskin, making it moist.
4.
Should I undergo further testing? Is it possible that there is an infection that has not been detected? The doctor suspected herpes but was not entirely sure.
I am afraid it might worsen, and I do not want to tell my family.
Searching for information online has only made me more anxious and pessimistic.

Hkho, 30~39 year old female. Ask Date: 2021/12/09

Dr. Chen Jiansheng reply Urology

Please seek medical attention for examination and treatment as soon as possible.

Reply Date: 2021/12/09

More Info

Understanding the concerns surrounding sexually transmitted infections (STIs) like herpes and human papillomavirus (HPV) is crucial for maintaining sexual health. Based on your description, it seems you are experiencing symptoms that could be associated with herpes, and you have concerns about potential HPV infection as well.

Herpes Symptoms and Diagnosis
Herpes simplex virus (HSV) can manifest as painful blisters or sores in the genital area, and it is common for individuals to experience itching, redness, and discomfort. The fact that you have been prescribed antiviral medication suggests that your healthcare provider suspects a herpes infection. Typically, HSV-1 is associated with oral herpes, while HSV-2 is more commonly linked to genital herpes. However, both types can infect either area.

1. Improvement of Symptoms: If you are noticing a reduction in the severity of your symptoms, such as less redness and itching, it may indicate that the antiviral treatment is effective. Generally, herpes lesions can take about 1 to 2 weeks to heal, depending on the individual and the promptness of treatment.

2. Identification of Lesions: The lesions you describe in the glans and the surrounding area could be herpes, but they could also represent other conditions, such as genital warts (caused by HPV). Distinguishing between these requires a clinical examination. Herpes lesions are typically painful and fluid-filled, while warts are usually painless and may appear as small, flesh-colored bumps.

3. Care for the Glans: Proper hygiene is essential. If your foreskin covers the glans, ensure that you clean the area gently with mild soap and water. Avoid using harsh soaps or irritants that could exacerbate any existing irritation. After washing, make sure to dry the area thoroughly to prevent moisture buildup, which can lead to further irritation or infection.

4. Further Testing: Given your symptoms and the initial diagnosis of herpes, it may be prudent to follow up with your healthcare provider. If the lesions persist or worsen, or if you develop new symptoms, further testing may be warranted. This could include a swab of the lesions for viral culture or PCR testing, which can provide more definitive results. Additionally, if there is a concern about HPV, a specific HPV test can be conducted to identify the presence of high-risk strains.

HPV Considerations
While your primary concern seems to be herpes, it’s important to be aware of HPV, especially since certain strains can lead to genital warts or increase the risk of cervical cancer in women. If you have had unprotected sexual contact, it is wise to discuss HPV testing with your healthcare provider.
- HPV Vaccination: If you are eligible, consider getting vaccinated against HPV, which can protect against the most common cancer-causing strains. The vaccine is most effective when administered before the onset of sexual activity.

Emotional and Psychological Impact
It’s understandable to feel anxious about your health, especially when dealing with STIs. The internet can often exacerbate fears with misinformation. It’s crucial to communicate openly with your healthcare provider about your concerns and to seek support from trusted friends or family members. Mental health is just as important as physical health, and addressing anxiety can lead to better overall well-being.

Conclusion
In summary, it is essential to follow up with your healthcare provider regarding your symptoms and any necessary tests. Proper hygiene and care of the genital area are important, and understanding the nature of your symptoms will help in managing your health. Remember, STIs are common, and seeking treatment and information is a proactive step towards maintaining your sexual health.

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