Urological Concerns: HSV-1 and Skin Issues Explained - Urology

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Hello! Thank you for your detailed inquiry regarding your urological concerns, particularly in relation to HSV-1 and the skin issues you've been experiencing. Let's break down your questions and concerns systematically.


Understanding Your HSV-1 Test Results
Firstly, regarding your HSV-1 test results, it is important to understand that a positive IgG result indicates that you have been exposed to the virus at some point in your life. This does not necessarily mean that you are currently experiencing an active infection. The IgG antibodies can remain in your system for a long time, often for years, after the initial infection. Since you mentioned that other tests for sexually transmitted infections (STIs) like HSV-2, syphilis, and HIV came back negative, it suggests that you do not have an active infection from those viruses.


Skin Symptoms and Diagnosis
Now, concerning the skin symptoms you described, such as the water-filled blister on the right side of your glans and the itching around the corona, it is understandable to be concerned. The fact that a dermatologist diagnosed it as a possible allergic reaction and prescribed medication that improved the itching is a positive sign. However, the persistence of the blister raises questions.

1. Is it a genital wart (condyloma acuminatum)?
- Genital warts are typically caused by human papillomavirus (HPV) and would usually present as small, flesh-colored or gray growths. They can sometimes be mistaken for other skin lesions, but they often have a different appearance than the blisters associated with herpes.

2. Could it be herpes?
- Given your positive HSV-1 status, it is possible that the blister could be related to a herpes outbreak, especially if it is painful or itchy. However, herpes lesions usually present as clusters of small, painful blisters that eventually crust over. If the blister you have does not fit this description, it may not be herpes.

3. Other possibilities:
- Other conditions such as folliculitis, contact dermatitis, or even a fungal infection could also cause similar symptoms.

Recommendations
1. Follow-Up with a Specialist:
- Since the blister has not resolved and you are still experiencing symptoms, it would be advisable to follow up with a urologist or a dermatologist who specializes in sexually transmitted infections. They may perform a swab test of the blister to determine if it is indeed caused by HSV-1 or another pathogen.

2. Avoid Irritants:
- You mentioned using an antibacterial body wash. While maintaining hygiene is important, using harsh soaps can sometimes irritate sensitive skin. Consider using a mild, unscented soap for the genital area.

3. Monitor Symptoms:
- Keep an eye on the blister and any other symptoms. If it changes in size, color, or if you develop additional symptoms such as fever or systemic illness, seek medical attention promptly.

4. Consider Safe Practices:
- Since you have a history of HSV-1, it’s wise to practice safe sex, even with a partner who has tested negative for HSV-2. This includes using condoms, as they can help reduce the risk of transmission, even if you are asymptomatic.


Conclusion
In summary, while your HSV-1 test indicates a past infection, the current skin symptoms warrant further investigation to rule out other conditions. It is crucial to consult with a healthcare provider who can provide a thorough examination and appropriate testing. Remember, maintaining open communication with your partner about STIs and practicing safe sex are key components in managing your sexual health. If you have any more questions or need further clarification, feel free to ask!