 Urology
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Welcome to the Urology Forum! This forum is for questions and support regarding urology issues such as: Benign Prostate Disease, Curvature (Penis), Cystisis, Kidney Stones, Pediatric Urology, Prostate, Sexual Dysfunction, Urinary Tract Infections, Urological Cancers.
Herpes or folliculitis
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jg6666 3/18/2003
| . | After reading many Q & A's I have some additional questions. First I have had unprotected sex with a woman who has gential herpes and has been on medication for it. We did not have sex when she had any flare-ups. I have a new girlfriend and we have had unprotected sex. After the first time, we did did not sleep together for a few weeks. On that second occasion she bled a bit after and she has subsequently as well - she has gone to her Gyn for tests. The gyn said her cervix was a little friable. Could she have a friable cervix from having a lot of sex - probably not your specialty but I'll through that out there. I have recently noticed a small red bump on the shaft of my penis towards the pubic area. It is red, shiny, and had a hair in the middle which I plucked. It does not look like a water blister but it is shiny - I think much of the skin in this area appears shiny when stretched. You can still see where the folloicle was and it does look a bit like a volcano. The imflamed portion is not perfectly round - if the hair was still in the bump the inflamed portion lookes like it did not inflame as much on the side where the hair was growing (meaning the direction the hair was lying/growing. I have had this bump about a week with not much change. There are a few other bumps but none like this one. I did pluck a few other hairs in the general vicinity and they have produced bumps but not as large. Is it common to just have one hair follicle inflamed like this. We did have vigorous sex and there would have been a lot of friction in this area. I have never had any symptoms of herpes. I am also worried that I may have infected my girlfriend - she has no symtoms of herpes but just bled a bit after sex. I am concerned because herpes can be so asymtomatic. Also, if it was folliculitis does that generally come back to the same areas - would the same follicle tend to get inflamed more than once. Thanks and I have scheduled an appointment with my doc. | Forum-M.D.-KYP 3/18/2003
| jg6666 | Hello - thanks for asking your question.
Please understand my limitations over the internet as I have neither met nor examined you. It is also impossible to diagnose without seeing the lesion myself. This information is for patient education only. Please see your personal physician for further evaluation.
Followup with your personal physician is essential.
Folliculitis is a possibility. The lesions of folliculitis are often multiple and measure 5 mm or less in diameter. They are erythematous (inflamed) and may have a central pustule at the peak of the raised lesion. Lesions usually cluster in groups and often are itchy.
There are many causes of folliculitis, including bacterial, fungal, viral (i.e herpes or molluscum), or syphillis. The treatment would depend on the cause (i.e. antibiotics vs antivirals vs antifungals). It is possible that areas of foliculitis are more prone to future infections.
Another consideration may be molluscum. Molluscum causes a chronic localized infection characterized by firm, dome shaped papules with an umbilicated center. The lesions may appear anywhere on the body except the palms and soles. They are single or multiple 2 to 5 mm papules with a shiny surface and a central indentation or umbilication. Skin lesions due to cryptococcosis or histoplasmosis may clinically resemble molluscum lesions.
The infection is usually self-limited and spontaneously resolves after a few months in immunocompetent patients.
You may also want to consider genital warts. Lesions are flesh- to gray-colored and have either a smooth or jagged surface and may vary in size from less than a millimeter in diameter to several centimeters when lesions coalesce.
Without seeing the lesion, I cannot be sure what it is.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
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det0x 8/5/2003 C2
| . | Hello. I have a similiar problem. I have had a bump on my testicle for 4 days now. It appears like a volcano. I normally get ingrown hairs on my thighs which get infected often. Normally I squeeze the puss out and remove the hair. It then heals within a few days. I have squeezed the bump on my testicle, and clear fluid came out. I put peroxide on the bump in order to clean and promote healing. It bubbled white like an infection in the opening. Unlike the ingrown hairs on my thighs/legs, this one itches. I cannot locate a hair to remove although sometimes it's hard to when the area is inflammed. I have a scheduled appointment with my dermatologist.
I do not believe it is herpes because of the singular bump, the way it looks, and the lack of pain. From what I read and from the pictures I see, herpes starts as a sack of clear fluid. Almost like a blister from a bad burn. This was nothing like that. I also do not believe that it is HPV because of the way it looks and because when I squeeze it, clear fluid comes out. I've had warts on my fingers before when I was a young boy. This does not compare.
It itches! Bad sometimes. It's been 4 days, but my appointment with my dermatologist isn't for another week. Do you have any advice on how I should treat this in the meantime? I have been keeping it clean and I actually put a bandaid on it when I slept in order to keep dirt out.
I believe I have an infected hair folicle.
Thanks for your advice!
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Lulumegs 9/11/2003 C3
| anyone, doctor |
I have gone to a doctor several times for a couple of dry patches on the outside of my vagina. I work out a lot so the gyno said that it was irritated from the sweat and all that good stuff. I was told to keep the area dry and to apply powder to the area and use hydrocortizone cream. All of those help, but they still come back after a time. I went to the gyno today and he took a Herpes test just to cover all bases. I am scared out of my mind. He said that it didn't look like classic symptoms, but it could be a subtle sign of the Herpes virus. I told him that I had been with the same guy for 2 years and he showed no sign of anything. He said that some people never show signs. Now all I can do is sit and wonder about the results. I am so scared. Here I've been seen like four times for the same thing, and now the Herpes test. It is one thing to have a different STD, but Herpes never goes away. Any advice? Seeing a new guy, do I say anything now or wait for results? Anything would help. Thanks |
d_dawg0069 11/10/2003 C4
| . | I dont know what this is or anything..but I cut myself shaving the other day...and recently I have had done it with another person in the past week.. I am wondering if this is an infected hair or just a bum from where i May have cut myself shaving or herpes or something..its a soft hard bumps somewhat and it hurts somewhat when I touch it but not much... I think it just might be where I have cut myself but I am not for sure |
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