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STDs  (Expert Forum)
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Is it an STD? Herpes or something else?
Answered by
Edward W Hook, MD - HIV Prevention, stds
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Is it an STD? Herpes or something else?

by MrOctober703, Nov 04, 2009 09:18AM
Tags: Herpes, stds
Hello,

I had sex in the past always wearing a condom, only once I have had unprotected oral sex (2 years back).
I don't know when my condition started.

I went to India and consulted my family doctor, he asked for urine culture and prescribed me herperax(acyclovir)ointment.Which I didn't notice at that time.
He said clean your penis by pulling the foreskin and use soap and then use the ointment. I did so for a  few times.

after a year I noticed the name of the cream and was shocked to know the cream is used for herpes.
Sometimes, I masturbate and I might see a rash on the head.

recently I started checking the web for information, my condition is also like yeast infection (balantis) by looking at the images on the internet.

My penis smells like fish.

I don't know how long I have been having this problem






by Edward W Hook, MD, Nov 04, 2009 10:25AM
Welcome to the Forum.  I am sorry but I am not sure what your question is.  If it has to do with the smell you detect when you pull back your foreskin, then this could certainly be related to the bacteria that are found in that area and the hygienic measures (soap and water, followed by drying) are the right way to address this.  What you may have could indeed be balanitis.

As for herpes, there is nothing in your post to suggest you have herpes and the sexual exposures that you report put you at low risk for herpes. Furthermore, anti-herpes creams have little benefit for balanitis.  I suspect you do not need to use the cream.  You may wish to get a type-specific blood test for herpes such as a herpes select if you are concerned about HSV but as of this time, I see no reason for concern.  EWH
Member Comments (4)

by Annabelle17, Nov 04, 2009 10:38AM
I'd say to go to the doctor again.

by MrOctober703, Nov 04, 2009 10:46AM
To: Edward W Hook, MD
doctor, thanks for your quick response. my only worry was that of using the Herperax (acyclovir) cream. is it used in other treatment other than herpes? If wanted to go for consulting what doctor should I visit? Internal Medicine or Urologist?

I appreciate your support.

by Edward W Hook, MD, Nov 04, 2009 06:27PM
The acycolvir is active only for HSV.

I would see and internist or genitourinary medicine doctor.  EWH
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