What causes tingling and crawling sensation in genital region?
Take a tablet of cetrizine for symptomatic relief and B complex vitamin
Hello. Thank you for writing to us
I am Dr.Kakkar (Dermatologist and Venereologist). I have gone through your query and I have noted your concern.
Certainly these symptoms don't appear to be related to your last sexual contact. Neither do they seem to be part of a prodrome (of an impending outbreak of genital herpes) because a prodrome does'nt last for 2 months without any history of sores of genital herpes.
As far as STD screening is concerned, I would suggest a repeat screening for all STDs including Hiv, Hsv, Syphilis since your full panel screen was about 3 weeks after your last risky sexual encounter and therefore it cannot be taken as reliable/ conclusive.
Hiv screening (with a 4 th generation screening test) is considered reliable if it is done at or more than 4 weeks after sexual contact. Other STDs like Hsv and syphilis should also be tested again at 4 weeks and again retested at 12 weeks for them to be reliably ruled out.
For these non-specific symptoms I woud suggest symptomatic treatment with an Oral antihistamine e.g cetrizine 10 mg once daily for a few days along with a B-complex multivitamin supplement
I don't think you need to take doxycycline hyclate for these symptoms
I am of the view that you should not take Doxycycline hyclate because your symptoms are not at all suggestive of STD, however, you should go ahead with STD screening/ testing as advised because your earlier screening test after your last sexual encounter was a bit too soon to be conclusive.
In the meantine, you may take only vitamin supplements, the B- complex formulation that you have is Ok. Cetrizine is only for symptomatic relief from itching and crawling sensation.
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