Genital herpes is normally caused by HSV type 2, although type 1 can uncommonly lead to genital herpes as well. A culture of any genital sore would be a more accurate test.
If the antifungal cream is not effective, you can consider dermatitis - which can be treated with a steroid cream.
I would also evaluate the prostate or consider a cystoscopy if the symptoms continue.
These options can be discussed with your personal physician or urologist.
Followup with your personal physician is essential.
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.
Kevin, M.D.
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