Could It Be Herpes? Symptoms After Unprotected Sex - Urology

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I'm not sure if it's herpes?


About 10 days ago, I had unprotected sexual intercourse.
As a result, 7 days ago (which is three days after the intercourse), I noticed a wound near the base of my scrotum that looks like a popped pimple.
I went to see a doctor, but the doctor said that since I have been applying medication on my own, it is difficult to determine whether it is herpes.
So I would like to ask, if it is herpes, can it present as just one lesion like mine?

jay, 40~49 year old female. Ask Date: 2022/09/29

Dr. Du Shixi reply Urology


Hello: It is mostly small, multiple lesions that have ruptured into a single wound.
The likelihood of a single lesion is lower.
Wishing you good health.

Reply Date: 2022/09/29

More Info


When it comes to the possibility of herpes following unprotected sexual activity, it’s important to understand the nature of the virus and its symptoms. Herpes simplex virus (HSV) can manifest in various ways, and while it is often characterized by clusters of blisters or sores, it is not uncommon for an initial outbreak to present as a single sore or lesion, particularly in the early stages of infection.


Understanding Herpes Symptoms
Herpes can be caused by two types of viruses: HSV-1 and HSV-2. HSV-1 is typically associated with oral herpes (cold sores), while HSV-2 is more commonly linked to genital herpes. However, both types can infect either area. After exposure to the virus, symptoms may appear within 2 to 12 days, but many individuals may remain asymptomatic or experience very mild symptoms that go unnoticed.

The sore you described near the base of your penis could potentially be a herpes lesion, especially if it resembles a pimple that has ruptured. Herpes sores often begin as small red bumps that can develop into painful blisters filled with fluid. After a few days, these blisters may burst, leading to open sores that can crust over and heal.

Single Lesion vs. Multiple Lesions
It is indeed possible for herpes to present as a single lesion, especially during the first outbreak. Some individuals may experience only one sore, while others might have multiple sores. The severity and number of lesions can vary significantly from person to person. Factors such as the individual's immune response and the specific strain of the virus can influence the presentation of symptoms.


Diagnosis and Next Steps
Since you have already consulted a physician, it’s crucial to follow their advice regarding treatment and further evaluation. If the doctor was unable to definitively diagnose the sore as herpes, they may recommend a viral culture or a polymerase chain reaction (PCR) test, which can provide a more accurate diagnosis. Blood tests for HSV antibodies can also be useful, particularly if the sores have healed or if you are experiencing recurrent symptoms.


Managing Anxiety and Seeking Help
It’s understandable to feel anxious about the possibility of a sexually transmitted infection (STI) after unprotected sex. If you are experiencing ongoing symptoms or if new lesions appear, it is advisable to return to your healthcare provider for further evaluation. They can provide guidance on managing symptoms and discuss treatment options if herpes is confirmed.

In the meantime, practicing safe sex is essential to prevent the transmission of STIs. Using condoms can significantly reduce the risk of herpes and other STIs, although it is important to note that they do not provide complete protection, as herpes can be transmitted through skin-to-skin contact in areas not covered by the condom.


Conclusion
In summary, while it is possible for your single sore to be a herpes lesion, only a healthcare professional can provide a definitive diagnosis. If you have concerns about your sexual health, do not hesitate to seek medical advice. Early diagnosis and treatment can help manage symptoms and reduce the risk of transmission to partners. Remember, open communication with sexual partners about STIs and safe sex practices is vital for maintaining sexual health.

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