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Isolated red spots in pubic area

I am a healthy This morning I noticed two isolated (approx 1in apart) red spots in my pubic region to the left of the penis (not near the base). One spot is slightly raised, reddish and it is only one spot approx 3mm in diameter, no nearby spots resembling it in any way except for localized redness. The other is raised, red, approx 1.5mm in diameter, and resembles a pimple or skin tag except for the unusual uniform redness and a slight indentation at the top. Upon further inspection, I found approx 3 other spots that are about 1.5mm in diameter that are ever so slightly raised (barely noticeable unless closely inspected) with a red ring around a mostly flesh-toned and flat top. All these spots are isolated and relatively far (1.5in to 3in from one another) from one another. I visited an immediate care facility today and was told by the NP that the first spot described resembled HSV. The spot has occasional itching but no associated pain. I have experienced no flu-like symptoms and no swollen glands nearby. The associated smaller spots are located far from the others. The lack of clustering leads me to believe that this isn't an HSV outbreak. I received both a blood test and a swab culture while at the clinic and am currently awaiting results.

Sexual History: I have been sexually inactive for the past 3 months while my girlfriend was away for school. To the best of my knowledge, we have been exclusive and she received a clear screening for STI's 4 months ago. I visited her over the weekend and my first sexual contact in 3 months was 5 days ago. She claims that she has had no contact except for me. The spacing, unusual timing, and unusual appearance of these abnormalities lead me to believe that this is not HSV, although the tests will tell. I have slept in "foreign" beds for the past few days (hotel, her place, friend's house) while away. I have also used a "foreign" bar of soap, if that information is helpful at all. Is this description at all concurrent with an HSV2 outbreak?
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Avatar universal
Hi,

Like i said in my previous post the chances that this is herpes are minimal. Apply calamine lotion at the site of the lesions and see if it helps. You could take some oral antihistamine medications like cetrizine or loratadine. You need to maintain a good personal hygiene .

Anti-itch drugs, often antihistamine, may reduce the itch during a flare up of eczema, and the reduced scratching in turn reduces damage and irritation to the skin.

For mild-moderate eczema a weak steroid may be used (e.g. hydrocortisone or desonide), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide).

A visit to your doctor will help confirm the diagnosis.

Let us know if you need any other information.

Regards.
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Avatar universal
Just got back the culture swab results from what the NP was sure was HSV. He was so sure, he gave me a valcyclovir prescription. Anyway, the results were negative, still waiting for bloodwork, but considering I've never had any symptoms that resemble herpes, I feel like I'm in the clear. The bumps are going away now, I have no clue what it was, but it clearly isn't something that enjoys sticking around.
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Avatar universal
Hi,

This could be dermatitis, molluscum or even folliculitis.

MC can affect any area of the skin but is most common on the body, arms, and legs. It is spread through direct contact or shared items such as clothing or towels.

In adults, molluscum infections are often sexually transmitted and usually affect the genitals, lower abdomen, buttocks, and inner thighs. In rare cases, infections are also found on the lips, mouth, and eyelids.

The virus can spread through contact with contaminated objects, such as towels, clothing, or toys.

In people with normal immune systems, the disorder usually goes away on its own over a period of months to years.

Individual lesions may be removed surgically, by scraping, de-coring, freezing, or through needle electrosurgery. Surgical removal of individual lesions may result in scarring. Medications, such as those used to remove warts, may be helpful in removal of lesions, but can cause blistering that leads to temporary skin discoloration.

Avoid direct contact with the skin lesions. Do not share towels with other people.

Avoiding sex can also prevent molluscum virus and other STDs. You can also avoid STDs by having a monogamous sexual relationship with a partner known to be disease-free.

Male and female condoms cannot fully protect you, as the virus can be on areas not covered by the condom.

Individuals who are predisposed to folliculitis should be extremely careful about personal hygiene. Application of antiseptic washes may help prevent recurrences. A topical antibiotic cream, mupirocin (Bactroban®), has been effective at reducing bacterial colonization in the nostrils. It is applied twice daily for a week and is repeated every 6 months.


Apply calamine lotion at the site of the lesions and see if it helps. You could take some oral antihistamine medications like cetrizine or loratadine. You need to maintain a good personal hygiene .

Anti-itch drugs, often antihistamine, may reduce the itch during a flare up of eczema, and the reduced scratching in turn reduces damage and irritation to the skin.

For mild-moderate eczema a weak steroid may be used (e.g. hydrocortisone or desonide), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide).

A visit to your doctor will help confirm the diagnosis.

Let us know if you need any other information.

Regards.
Helpful - 0
Avatar universal
Wow, I clearly don't' just have dermatological problems, I'm a healthy 22 year old male. Forgot that part.
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