Herpes Symptoms: What to Expect After Oral Contact

After herpes lesions appear, what symptoms can occur? Will there be large blisters? I have a cholesteatoma?

I previously engaged in oral sex with my girlfriend and experienced some strain; I'm not sure if there are any wounds, but neither of us has HIV.
A day later, I started to feel itching on my penis, so I went to see a doctor.
He suggested that if I was worried, I could get a blood test and also prescribed medication for me.
I was previously diagnosed with a cholesteatoma, but it's hard to tell if the white bump is a cholesteatoma since the blood vessels are nearby, making it difficult to distinguish.
I would like to know if herpes always causes pain or if there are other symptoms? I'm very concerned because I am certain that neither of us has any STDs.
Could the itching be due to seasonal changes or other reasons?

Liu, 10~19 year old female. Ask Date: 2015/07/22

Dr. Fu Shizhang reply Urology

Based on the description, it is possible.
It is recommended to visit the outpatient clinic for a blood test.

Reply Date: 2015/07/22

More Info

When it comes to understanding herpes symptoms, especially following oral contact, it's essential to recognize that herpes simplex virus (HSV) can manifest in various ways, and not all symptoms are immediately apparent. After engaging in oral sexual activity, you may experience a range of symptoms, including itching, burning, or pain in the genital area, which can sometimes be mistaken for other conditions.

In your case, the itching sensation you described on your penis could be attributed to several factors. While herpes is a possibility, it is not the only explanation for your symptoms. Other conditions, such as irritation from friction during sexual activity, allergic reactions to lubricants or condoms, or even a yeast infection, could also cause similar symptoms. Additionally, seasonal changes can lead to dry skin or other dermatological issues that might result in itching.

Herpes typically presents with more specific symptoms, which can include:
1. Blisters or sores: These are often painful and can appear as small, fluid-filled blisters that eventually break open and crust over. However, not everyone with herpes will develop visible sores.

2. Itching or burning: This can occur before the appearance of blisters and is often one of the first signs of an outbreak.

3. Pain during urination: If sores are present near the urethra, urination may become painful.

4. Flu-like symptoms: Some individuals may experience fever, swollen lymph nodes, or general malaise during an initial outbreak.

It's important to note that herpes can be asymptomatic, meaning that individuals can carry the virus without showing any signs or symptoms. This asymptomatic shedding can still pose a risk of transmission to sexual partners.

Given your concerns about the possibility of herpes and your previous diagnosis of a cholesteatoma (which is unrelated to herpes), it would be prudent to follow up with your healthcare provider. They may recommend a blood test to check for HSV antibodies, which can help determine if you have been exposed to the virus. Additionally, if you notice any new sores or blisters, it is crucial to seek medical attention promptly, as a healthcare professional can provide a more accurate diagnosis and appropriate treatment.

In the meantime, practicing good hygiene, avoiding irritants, and using barrier protection during sexual activity can help reduce the risk of irritation and potential transmission of sexually transmitted infections (STIs). If your symptoms persist or worsen, do not hesitate to return to your doctor for further evaluation and management.

In summary, while herpes can cause itching and discomfort, it is not the only potential cause of your symptoms. A thorough evaluation by a healthcare professional is essential to determine the underlying issue and to provide you with the appropriate care and peace of mind.

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