herpes??

[bluelephant1]

Hi,
I received short unprotected oral from CSW eight days ago. Yesterday I noticed red patched on my glans. i thought it may be yeast infection since I had problems with it in the past. Today I took 300mg fluconazole plus used canesten cream. i think it got tiny bit better, but it is not healing as fast as I would expect it so I am concerned it may be herpes.
If it was herpes how soon would blisters appear? I do have these red patches on my glans for over 24 hours now. It is not itchy or painful and I do not have any other symptoms at the moment.
My other tip is that it is balanitis. Quick search on interned told me that it can be connected to infections like chlamydia or ghonorrea. Would this be typical symptom if there were no other symptoms of these infections?

[Edward W Hook, MD]

Welcome to our Forum.  Before answering your question, I took a minute to look at the response you received from the HSV Community site and agree with the comments that they made.  Newly acquired herpes typically appears 4-14 day as after exposure but when it does, most typically the lesions are discrete and have clusters of small blister-like lesions.  The fact that your lesions have not evolved to blisters or ulcers again makes this unlikely.  What you describe does sound like it could be a fungal infection and in some cases fungal infections may take a few days to begin to improve.  On the other hand, HSV lesions can be quite varied in their appearance.  If your lesions have not yet begun to improve, getting a PCR test for HSV is reasonable although I think the probability that this is HSV is low.  

Balanitis is rarely associated with chlamydia or gonorrhea.  From what you describe, as well as the fact that gonorrhea is rare and chlamydia rarer still following oral sex, I would not worry that these lesions were gonorrhea or chlamydial infection.  EWH

[Edward W Hook, MD]

Thank you.  I'm pleased I could help.  EWH

[bluelephant1]

It proved to be a yeast infection. Lesions cleared within two days after starting treatment.
Thank you for your prompt attention to my inquiry. This is a great forum and you are doing an excellent job doctor. It is very easy to find lots of scary info on the web so it is great there is a place where you can get accurate and unbiased advice.