Brother
Hello, Doctor.
I am a twenty-year-old male and have not engaged in any sexual relations, but recently I discovered small bumps on my foreskin.
I was very anxious and went to a private urology clinic, where the doctor diagnosed me with herpes and prescribed oral medication and a topical treatment.
However, the oral medication costs seven hundred dollars a day, and the doctor said I would need it for a week to recover.
I cannot afford that much money, so I only bought one day's worth.
I would like to ask if I really have herpes or if it could be another condition.
Also, can I go to a public hospital and use my health insurance card? How much would that cost? I really cannot bear the expense of seven hundred dollars a day.
I have been using the medication provided, but there hasn't been much improvement.
The bumps do not hurt or cause any discomfort.
Please help me, Doctor.
I'm really worried.
Wang, 20~29 year old female. Ask Date: 2004/06/02
Dr. Chen Xiuyi reply Urology
Hello: General herpes typically presents with vesicles that later develop into ulcers.
It is best to confirm the diagnosis before administering medication.
If the diagnosis of herpes is accurate, it generally cannot be completely cured and often recurs.
Oral medications or topical treatments can only shorten the duration of the outbreak.
Typically, these oral and topical medications are not covered by health insurance and must be paid out of pocket.
Sincerely, Dr.
Chen Hsiu-Yi, Director of the Urology Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2004/06/02
More Info
It sounds like you are experiencing a concerning skin issue, particularly with the bumps on your foreskin. Given your age and the fact that you have not engaged in sexual activity, it’s understandable to feel anxious about this situation. The diagnosis of herpes that you received from the urologist may not be the only possibility, as there are various conditions that can cause similar symptoms.
Firstly, it is important to clarify that herpes typically presents with painful blisters or sores, which can be accompanied by itching or burning sensations. If the bumps you are experiencing do not hurt or itch, it could be indicative of another condition, such as pearly penile papules, which are harmless and common in many males. Other possibilities include folliculitis, which is inflammation of hair follicles, or even a benign cyst.
Regarding the treatment prescribed by your doctor, it is crucial to follow their recommendations, as they are based on their clinical assessment. However, if the cost of the medication is prohibitive, you should definitely consider seeking care at a public hospital or clinic where you can use your health insurance. In many countries, public healthcare systems provide services at a lower cost, and you may be able to receive a more affordable treatment plan. It’s advisable to call ahead and inquire about the costs associated with a consultation and any necessary treatments.
In the meantime, here are some general tips for managing skin bumps and maintaining genital hygiene:
1. Keep the Area Clean and Dry: Gently wash the area with mild soap and water. Avoid using harsh soaps or products that may irritate the skin.
2. Avoid Irritation: Wear loose-fitting underwear and clothing to minimize friction and irritation in the area.
3. Do Not Pick or Squeeze: Avoid picking at the bumps, as this can lead to infection or scarring.
4. Monitor Symptoms: Keep an eye on the bumps. If they change in appearance, become painful, or if you develop additional symptoms (such as fever or swollen lymph nodes), seek medical attention promptly.
5. Consider a Second Opinion: If you are uncertain about the diagnosis or treatment plan, it may be beneficial to seek a second opinion from another healthcare provider.
6. Educate Yourself: Understanding your condition can help alleviate anxiety. Research reputable medical sources or consult with a healthcare professional about your symptoms.
In conclusion, while it’s essential to take your symptoms seriously, it’s equally important to seek affordable healthcare options and not to panic. Many skin conditions are treatable, and with the right approach, you can find relief. If you are still concerned about the diagnosis of herpes or if the bumps persist, do not hesitate to seek further medical advice. Your health and peace of mind are paramount.
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