Could It Be Herpes? Urological Concerns and Symptoms - Urology

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Could this be herpes?


In the area of the penis, specifically above the wound on the foreskin, there are about 7 to 8 small bumps that are quite close together, resembling acne or similar to blisters.
However, they should not be blisters because when I squeeze them, they do not burst.
Only 1 or 2 of them are about 0.7 mm in size, while the others are much smaller.
They do not hurt or itch when touched.
I visited a urologist yesterday, and he said that they are not very obvious, so he couldn't determine what they are (it seemed he wasn't very clear about it either).
He prescribed me a cream for burns and scalds.
When I asked him if it could be herpes, he said it is not.
I would like to ask if there is a possibility of contracting herpes even though I have "never engaged in any sexual activity" (for example, by touching the herpes virus in a public restroom and then transferring it to my penis)? Additionally, what symptoms are associated with herpes? Also, will masturbation cause those bumps to enlarge? To be honest, I am extremely worried about this, and I can't concentrate on anything else.

Xiao Wei, 20~29 year old female. Ask Date: 2004/08/19

Dr. Liu Jianting reply Urology


Basically, herpes is mostly transmitted through sexual contact.
If it were herpes, there would be ulcers and pain, so your situation doesn't seem to resemble herpes.
It might be follicular hyperplasia instead! Just keep observing, and don't hesitate to reach out if needed.

Reply Date: 2004/08/19

More Info


Based on your description, it seems you are experiencing a range of urological symptoms that are understandably causing you concern. Let's address your questions and provide some clarity on the potential conditions you may be facing.

1. Could it be herpes? Herpes simplex virus (HSV) typically presents with painful blisters or sores in the genital area. However, since you mentioned that the lesions you are observing do not hurt, itch, or burst when squeezed, they may not be typical herpes lesions. It's important to note that herpes can sometimes present asymptomatically or with very mild symptoms, but the classic presentation usually involves pain and discomfort.
2. Transmission of herpes without sexual contact: While herpes is primarily transmitted through direct skin-to-skin contact, it is theoretically possible to contract the virus through indirect contact, such as touching contaminated surfaces. However, this is quite rare. The most common transmission route is through intimate contact with an infected individual. Since you mentioned that you have never engaged in sexual activity, the likelihood of contracting herpes in this manner is low, but not impossible.

3. Symptoms of herpes: In addition to the blisters or sores, herpes can cause flu-like symptoms, including fever, swollen lymph nodes, and general malaise, especially during the initial outbreak. Recurrent outbreaks may occur, but they are often milder and shorter in duration.

4. Impact of masturbation on your condition: Masturbation itself is unlikely to exacerbate the lesions you are describing. However, if there is any irritation or inflammation present, vigorous activity could potentially lead to discomfort. It is advisable to be gentle and avoid any actions that cause pain or discomfort.

5. Other potential conditions: The lesions you describe could be related to a variety of conditions, including folliculitis (inflammation of hair follicles), pearly penile papules (normal anatomical variations), or even a benign cyst. Given that your urologist was unable to provide a definitive diagnosis, it may be beneficial to seek a second opinion or request further diagnostic testing, such as a viral culture or a biopsy, if the lesions persist or worsen.

6. When to seek further medical attention: If you notice any changes in the lesions, such as increased size, pain, or the development of new symptoms (like fever or systemic symptoms), it is crucial to return to your healthcare provider for a more thorough evaluation.
In conclusion, while herpes is a possibility, the characteristics of your lesions suggest that they may not be typical of herpes. It is essential to maintain open communication with your healthcare provider and consider follow-up evaluations to ensure that you receive an accurate diagnosis and appropriate treatment. Remember to practice safe hygiene and avoid any activities that may irritate the affected area until you have a clearer understanding of your condition.

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