Inflammation and Potential Self-Transmission of Herpes in Urology

Inflammation

Hello doctor, I would like to ask, if I soak my penis in a cup with 10cc of povidone-iodine (due to redness), but I feel a stinging sensation in a certain area of the foreskin, does this indicate that there is a wound there (since applying povidone-iodine on a wound usually causes pain)?
1.
If there is a wound, could it be due to inflammation causing it to break? During the inflammatory period, I have never washed vigorously (only very gently).

2.
I have carefully examined and cannot see any wounds, but the stinging area has a small bump about 1mm that feels like swelling (similar to a blister).
Touching it also causes stinging, but it seems intact without any fluid leakage (I heard that herpes can cause this).
If it is a blister (herpes), will soaking it in povidone-iodine cause pain? (I have type 1 herpes).

3.
Now it has healed, and I cannot find that bump; the surface does not show any obvious scabbing.

4.
I have not engaged in sexual intercourse, at most I have only masturbated, but it seems there is a possibility of self-infection to my genitals, so I would like to ask how one can self-infect?
Let me explain my situation:
1.
When I shower, I often wash my face with water, so water frequently runs over my penis.

2.
I have a habit of sucking my fingers and biting my nails, and I do not trim my nails often (I only wash my hands after returning home).

3.
The corners of my mouth often have white spots after showering in winter, so I frequently use my fingers to rub them off without washing my hands.
However, the right corner of my mouth may have had a previous outbreak of type 1 herpes long ago, which I do not remember, and there has been pigmentation.

4.
Sometimes, I have a swollen bump in the middle of my lower lip that breaks and scabs over, which has happened three or four times.
I still wash my face with water while showering and have rinsed over my penis.

Given these circumstances, if I masturbate, is it possible to transmit type 1 herpes? Otherwise, I am puzzled about how the infection could have reached my genitals.

Xiao Hua, 30~39 year old female. Ask Date: 2009/05/08

Dr. Liu Jianting reply Urology

Basically, there shouldn't be any major issues.
If you are concerned, please visit a hospital and consult with a urologist for a thorough examination and discussion.

Reply Date: 2009/05/08

More Info

When it comes to understanding inflammation and the potential for self-transmission of herpes in urology, it's important to consider several factors regarding your symptoms and behaviors.
Firstly, the sensation of pain or discomfort when applying a topical antiseptic like povidone-iodine (commonly known as Betadine) to an area that appears red could indeed indicate the presence of a wound or irritation. If there is a localized area that feels painful, especially if it resembles a blister or water-filled bump, it may suggest inflammation or a minor injury. Inflammation can occur for various reasons, including friction, irritation from hygiene practices, or even a mild infection.
1. Presence of a Wound: If you are experiencing pain upon application of the antiseptic, it could be due to an underlying wound or irritation. The skin in that area may be sensitive, especially if it is inflamed. If you have not noticed any visible breaks in the skin, it is still possible that there is a microscopic injury or irritation that is causing the pain.
2. Inflammation and Self-Injury: Inflammation can indeed lead to the breakdown of skin integrity, resulting in small wounds. However, if you have been gentle in your washing practices, it is less likely that you have caused significant injury. The presence of a small bump that is painful to touch could be a sign of a localized inflammatory response, possibly due to a blocked gland or a minor infection.

3. Herpes Transmission: Regarding the concern about self-transmission of herpes, it is indeed possible to transmit the virus from one part of your body to another, especially if you have active lesions or sores. The herpes simplex virus (HSV) can be present in saliva and can be transmitted to the genital area through contact. If you have a history of oral herpes (HSV-1), it is possible to transmit the virus to your genital area, particularly if you are engaging in behaviors that involve touching your mouth and then your genitals without proper hand hygiene.

4. Preventive Measures: To minimize the risk of self-transmission, it is crucial to maintain good hygiene practices. Wash your hands thoroughly before touching your face or genital area, especially if you have been biting your nails or touching other potentially contaminated surfaces. Avoid touching any sores or blisters, and refrain from sexual activity until you are certain that there are no active lesions.

5. Consultation with a Healthcare Provider: Given your symptoms and concerns, it would be wise to consult a healthcare provider. They can perform a physical examination, possibly conduct tests to determine if there is an active herpes infection or another underlying condition, and provide guidance on appropriate treatment options.
In summary, while the pain you are experiencing could be due to inflammation or a minor injury, it is essential to consider the possibility of herpes transmission, especially if you have a history of oral herpes. Maintaining good hygiene and consulting with a healthcare professional will be key steps in addressing your concerns and ensuring your health.

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