and Treating Head of Penis Skin Lesions: Is It Herpes? - Urology

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Glans penis abrasion?


Hello, Doctor.
I have recently experienced a peeling of the glans.
I visited Chung Hsing United Hospital yesterday, and the doctor mentioned it might be herpes.
I would like to ask if this condition could indeed be herpes, as the peeling area seems to be getting larger.
Currently, I am applying herpes ointment, Acyclovir cream, for treatment.
Should I be concerned that it might not be herpes, and do I need to return for further medical evaluation? Thank you!

Jay, 20~29 year old female. Ask Date: 2023/11/25

Dr. Du Shixi reply Urology


Hello: This facility is unable to provide a diagnosis.
Herpes requires ongoing care and management, as a weakened immune system may lead to recurrence.
Additionally, due to the presence of broken skin, it is important to maintain cleanliness and dryness.
If there is a recurrence, please return for a follow-up.
If there has been any unsafe sexual behavior, please inform your physician.
Wishing you good health.

Reply Date: 2023/11/25

More Info


When it comes to skin lesions on the head of the penis, it is essential to approach the situation with caution and a thorough understanding of potential causes. Based on your description, it seems that you have been experiencing peeling skin on the glans (the head of the penis), and a healthcare professional has suggested that it might be herpes. You are currently using a topical medication, Acyclovir cream, to treat the condition.

Herpes simplex virus (HSV) infections can manifest as painful blisters or sores on the genital area, including the glans. These lesions typically start as small, fluid-filled blisters that can rupture and crust over, often accompanied by itching, burning, or pain. However, not all skin lesions in the genital area are caused by herpes. Other conditions, such as contact dermatitis, fungal infections, or even psoriasis, can also lead to similar symptoms.

Given that you mentioned the peeling skin has increased in size, it is crucial to monitor the situation closely. If the lesions are not improving with the use of Acyclovir or if they are worsening, it would be advisable to return to your healthcare provider for further evaluation. A dermatologist or urologist can perform a physical examination and may recommend additional tests, such as a viral culture or a blood test, to confirm whether it is indeed a herpes infection or another condition.

In the meantime, here are some general recommendations for managing skin lesions in the genital area:
1. Avoid Irritants: Refrain from using harsh soaps, lotions, or other products that may irritate the area. Stick to gentle, fragrance-free products.

2. Keep the Area Clean and Dry: Maintain good hygiene by washing the area gently with mild soap and water. After washing, pat the area dry with a clean towel.

3. Avoid Sexual Activity: If you suspect a herpes outbreak, it is best to avoid sexual contact until the lesions have healed to prevent transmission to partners.

4. Follow Medication Instructions: Continue using the prescribed Acyclovir cream as directed by your healthcare provider. If you notice any side effects or if the condition does not improve, consult your doctor.

5. Monitor Symptoms: Keep track of any changes in the lesions, such as increased pain, swelling, or discharge. If you experience systemic symptoms like fever or swollen lymph nodes, seek medical attention promptly.

6. Consider Stress Management: Stress can trigger herpes outbreaks in some individuals. Engaging in stress-reducing activities such as exercise, meditation, or hobbies may help.

In conclusion, while herpes is a possibility for the lesions you are experiencing, it is essential to have a definitive diagnosis from a healthcare professional. If the condition persists or worsens, do not hesitate to seek further medical advice. Early intervention can lead to better management of the condition and prevent complications.

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