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Dr. Andrew Rynne

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Is the irritating sore on penis herpes or syphilis?

Answered by
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Dr. S. Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 2762 Questions

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Posted on Thu, 14 Aug 2014 in Sexually Transmitted Diseases
Question: I am afraid I have an std such as herpes or syphilis. I woke up this morning and noticed a small sore on my penis. It is irritating to the touch. I attached photos. What do you think this could be?
doctor
Answered by Dr. S. Murugan 3 hours later
Brief Answer:
Lesions looks like GenitalHerpes simplex infection

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
This time the pictures sent by you reveals multiple grouped lesions on a erythematous base over genitals and more localized. This is likely to be due to Herpes lesions. It is definitely not fit with Syphilis. Herpes type 1 infection on genitals, is more common with oral sex,as I told you earlier. You had protected vaginal sex. So HIV/Syphilis are unlikely.
Nothing to worry. Herpes easily treatable, not a life threatening one. Recurrence is the nuisance. Otherwise nothing to bother about.
DR S.,Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. S. Murugan 6 minutes later
These photos i took are from today. I have had unprotected sex within the last year. I thought herpes came more in the form of a cluster of blisters? This one was not in a group. Just a single sore. I dont remember seeing a blister. I just woke up abd saw this cut on the penis and it does not look normal
doctor
Answered by Dr. S. Murugan 37 minutes later
Brief Answer:
More likely to be Herpes simplex infection

Detailed Answer:
Hi,
Welcome once again.

Blisters might be missed to be seen.
I am able to see there are multiple tiny spots ( grouped ulcers) over an inflamed area.It is no doubt to be a Herpes simplex lesions as I have seen lot of cases without blisters in my 30 Years of STD practice.
Consult your Dermatologist. He will give appropriate anti-viral drugs. Get well soon.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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im not sure if i have herpes or a yeast infection i have had a dry throat for almost 5 weeks now, i often almost constantly have weak calves and sometimes my forearms also feel weak. i also get back, neck and chest (pecks) pain. at this stage i have no blisters or sores anywhere though i have had a small cluster of tiny white dots on my lips for almost this whole time. i also get an ichty anus and have mild constipation. it doesn t hurt when i urinate though my penis does sometimes randomly itch and sting. im scared and i cant find a defining factor on the internet because both have similar symptoms. i have had blood test for herpes but i know that was pointless because that was only two weeks after possible expossure.

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Dear Dr. Srinivasan

Name - Nitin

Age - 36

I have had recurring problem of red spots (isloated) on my penis head for 3-4 years. I have consulted many docs with varied diagnosis.

I was single then and made to believe it was fungal, it comes on its own and have been getting treated accordingly by a dermatologist.

Recently i got married and again recurringly had red infection on my penis. Along with this, my wife also developed infecion and was put under Gynea treatment, again for fungal infection and Fas Kit prescribed to both along with aplication of fungal infection creams. For the reason not transfering infection bw me and wife, we have stopped having intercourse (unprotected) however my wife was ok but I kept developing these red spots/ infection.

However on repeated occurances we consulted a different dermatologist and he suggested Herpes but blood test reports ruled out. However he insisted that indeed it is Herpes and sometimes the medical reports do not show the same. I was put on Famtrax 250 for 1 week along with application of topical anti-biotic(fusidic acid cream). The red spots kept going and coming but doc clamed it is Herpes geting cured and that takes time to cure as in past i have been exposed to steriod in form of anti-fungal creams. Post a week of Famtrax, i was put on antialergic and anti-biotic cream for a week.

the red spots have gone but now there is recurring white spots (small pimple types) which come and go. On showing to doc, he said its miliaria of penis and common and due to non drying of the area. I was asked to take urine test (culture and routine) and culture cam normal. Routine test pointed to some epidrmal cells (UT infection, I have mild recurring burning sensationtoo) and doc asked me to take Disodium Hydrogen Citrate (Alkasol) for a week. I am currently on Alkasol and Antialergic.

But the white spots are coming and going everyday still. I am not sure if im cured yet but doc says im fully cured but the white spots can be ignored and i can have unprotected sex with my wife.

Problem is i want to start a family soon but am confused due to various diagnosis. I do not want to pass on to my wife and abstain from sex.

Please suggest cure for white spots.

i wll be very greatful.



Kind regards

Nitin

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