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HELP! Genital Herpes?

I am a healthy 19 year old sexually active male with a serious concern of herpes (who always wears condoms). About 3 weeks ago (july 2nd) i noticed a red sore on the right side of my penis. This sore is thick and round and is surrounded by hair follicles, its size is approx 1 cm wide. A couple days after this, i consulted with my doctor who visually examined the sore and concluded that it did not look of anything herpes like. I went foward with blood testing for HIV, Hepititis, a culture swab/chlamydia test, and VDRL test which all came out negative. My doctor prescribed me fucidin cream on july 14th, but this did not help at all so i discontinued use. I went to another MD at a walk in clinic who also visually examined the sore, and said it looked like a genital ulcer. After closer examination, i noticed white cluster dots in the middle of the shaft, which i am sure have always been there but now there seems to be more, specifically one large dot. I went back to my doctor today, and was referred to a dermatologist who would conclude any suspicions. My symptoms include headaches sometimes, burning sensation during urination and soft testes sometimes. If anyone can help me out here i would greatly appreciate because it has been boggling my mind all the time, and depressing me.
19 Responses
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Avatar universal
It was a CYST!!!!! Thanks for all the support, especially Grace, your the best!
Helpful - 0
101028 tn?1419603004
You need to see a dermatologist.  Whatever it is it isn't herpes.

grace
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Avatar universal
Hey im on vacation, just an update on my condition. The lesion is still present, still raised, irritable, and somewhat painful when chaffed. When i pinch this sore, white pus secretes from it, and after a day it seems to regenerate and grow larger. Its the size of a small green pea, cut in half raised and its colour is reddish pink, with a scabbed crater center. As for the the fungal cream, it didnt seem to work. I have taken a type specific herpes igg blood test HSV-2 which has returned NEGATIVE. My last possible exposure was MAY 10, 2008 and i took the test on JULY 30, 2008, results returned 2 days later.The test is 95% positive at this point, as mentioned by the practitioner. The results are releiving, but i still dont understand why this hasnt gone away, and what can i do to make it go away. I'am applying Vitamin E oil and Fucidin Antibiotic Cream 2%. Any insightful inquiries would be greatly appreciated. Thanks in Advance.
Helpful - 0
101028 tn?1419603004
Sounds like irritation or fungal at this point.  Put the cream on the rash on both sides for now. When you can - go bottomless to get cool, drying air down yonder.  If you live somewhere where it's hot and humid that's prime conditions for yeast.

At this point it's way too late for a lesion culture and typing but this doesn't sound herpetic. If you need the peace of mind - follow up with a blood test.

grace
Helpful - 0
Avatar universal
I don't know where to get a specific herpes igg blood test, i thought with the blood testing i had taken that it was indicative. But my MD said that seeing a dermatologist would confirm this suspicion. Im not quite sure why there are white cluster dots all over the shaft of my penis, there are 8-10 small white clusters that are not raised and do not itch or irritate....i do not know what there are. also there is a another rash forming on the opposite side of the initial sore, which is a bit raised and red (no pain or rawness feeling) it may be developing? im not sure, any insight?
Helpful - 0
101028 tn?1419603004
You were last given a cream that has antifungal medication in it to help if it's fungal in nature and also steroids to help if it's just an area of irritation.  If that's working then it could be from either medication in it being effective.    No reason to suspect it's herpes when several practioners have seen it and didn't think herpes.  Continue to use this medication as directed. If it's not better in a good week or it comes back within a month after it's been fully gone from treatment then see your provider for further work up.  

You didn't mention having any herpes testing done. If you are really concerned about herpes - get a type specific herpes igg blood test 4 months after the last time you had had sex even if it was protected. Condoms don't reduce the risk 100%.

grace
Helpful - 0
Avatar universal
After applying the anti-fungal cream for 2 days, the sore has significantly decreased in size. Its become smaller and seems to be drying out or "dying"....there is a white scab in the middle. Could a fungal infection be what i was suffering from..?
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
Oh then that's accurate - no worries about syphilis.

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Avatar universal
It was 3 months ago man
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207091 tn?1337709493
COMMUNITY LEADER
Sorry - I just saw that you had the VDRL.  How long after your last possible exposure (the last time you had sex or oral sex) did you have that done?

Aj
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
Did you have a syphilis test?

Other than that, I have no idea.

Aj
Helpful - 0
Avatar universal
The sore has decreased in size by only a 1mm or so. This is after 2 application of the cream, and it has turned into a sore crater with a tiny dot in the middle. It still feels raw and is painful when i touch it. Any insight as to what is happening after such a long and continuing 23 day period???
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
Staph is a bacterial infection, and might need more than a topical cream, although I would expect you would have had some improvement if it was staph - hard to say.

Aj

Helpful - 0
Avatar universal
I was prescribed on July 14th Fucidin, an antibiotic ointment which did not seem to do anything so i stopped taking it. What is staph?
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
It needs to be cultured.  If its bacterial in nature, you need an antibiotic, not an antifungal.

It sounds like it could be staph.

Aj
Helpful - 0
Avatar universal
Well, the ulcer/lesion started out as a raw red bump and over time i constantly looked at it every time i urinated and very often picked at it. Its pretty big, and when i try to pop it, sometimes it either secretes a clear liquid or somtimes a white puss, either dry or wet. Its red when i don't have an erection but when i do have one it becomes white coloured. Its also painful and irritating. Its been 22 days and it doesnt seem like its going away! I went to my MD and he inspected once again today, and prescribed me Hyderm + Ratio- Nystatin, an anti-fungal cream. I have an appointment with a dermatologist on the 19th of august, but im traveling for two weeks very soon. I want this to disappear and i have given it time, but pickin at it may have prolonged the process. Although even when i do not pick at it (5 days), it remains the same equivalent size. Can anyone please give me guidance as to what this may be? You have all been very supportive, and i appreciate the mental and emotional value of this amazing website.
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Avatar universal
It doesn't sound like herpes. the ulcer thing had me concerned but when a Dr says it looks like an ulcer and doesn't know that it is a ulcer, I question why he doesn't know for sure if it IS an ulcer. The length of time it has been there, it isn't herpes!! What exactly did this look like when you first noticed it and how has this evolved since noticing it?
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Avatar universal
Thank you for your quick response!
Helpful - 0
492652 tn?1252945408
If you still have the sore, it is not herpes.  Herpes lesions always heal within 1-2 weeks and symptoms completely go away until the next outbreak.  In the future, if you ever get a suspicious sore, I would recommend getting a viral culture done - it is the most accurate herpes testing, but can only be done when a genital ulcer is present (also, the sooner the better -- once sores start to heal, there is a greater chance of a false negative).  My advice would be to see the dermatologist to figure out what is going on.  
Good luck,
Em
Helpful - 0
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