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Herpes Question

Hi Docotor… I am not sure if this is the right place to post but I have posted in both the Herpes and STD medical forums and just feel that the doctors there just dance around the issue rather than give insight into your issue.  

I’ll keep it short and sweet and hopefully you will be able to shed some light on my issue… I have been positive for genital herpes type 1 (confirmed by multiple tests)  for almost a year now.  I had one awful primary outbreak at the beginning and two small ones since.   Other than that I am outbreak free.  My outbreaks are not typical bc I do not break out on my genitals, instead I break out in either my right or left groin, and they tend to be clustered red bumps instead of blisters.  Anyway, my issue is not the actual sores…IT IS THE OTHER SYMPTOMS I EXPERIENCE WHEN I DO NOT HAVE AN OUTBREAK:

Since contracting HSV I have had this tingling sensation on my scrotum everyday.  It is not constant…it comes and goes periodically throughout the day, but it is definitely happening (not psychological either) and it has been every day for almost a year, and I never felt it prior to being HSV positive.  This is all confusing to me because it is happening on an area where I do not break out so I do not think it is prodrome as it is happening everyday, and I never break out on my scrotum.  

Do you have any explanation as to why I am having this sensation, and what I can do to mediate it?  

Thank you for your time.
2 Responses
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563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
Thanks for posting your query.

I can understand your concern for the tingling sensation in the scrotum.
Given your history, first of all HSV 1 can be responsible for the tingling sensations. During the first outbreak the initial sign can be a tingling sensation in or around the site of infection. Since you are getting the outbreak in the groin region, the area around it can also be effected. During a recurrent episode there is a tingling feeling in the skin in or around the primary site and is known as prodrome.  These sensory feelings often indicate that the virus is active and traveling through the nerve ganglia to the skin infection site.

Apart from this, it can be due to parasthesia skin which is due to dysfunctioning of neurons and can occur due to nerve irritation also. It can be due to diabetes, hypothyroidism, peripheral vascular disease, vitamin B12 deficiency, neurological causes or malnutrition.

Get your blood sugar, vitamin B 12 and thyroid hormones levels evaluated. Animal protein is the richest source of vitamin B 12 and if you are a vegetarian then you may be having vitamin B 12 deficiency. You can take some vit B12 for some days and see if the symptoms improve.

If the symptoms persist then get an evaluation done from a physician and also get nerve conduction velocity tests done to rule out any nerve irritation.

Hope that this information helps and hope that you will get better soon.

Wishing you good health.








Helpful - 1
Avatar universal
Hi Doctor.  Thank you for your quick reply.  It was very helpful.  I feel I can rule out a lot of those disorders other than parasthesia.  Like I said I do not think it is prodrome bc it is not in the areas where I break out, and haven't suffered an outbreak in a while and this feeling is everyday.  I will schedule an appointment with a urologist in person, but in the mean time is there anything I can do to mediate parasthesia?  Also is this a condition that will dissipate by  itself over time or is it something I am stuck with?  Thanks again.
Helpful - 0

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