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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sensitive skin around glans, black spots near penile orifice, mucousy pus on underside glans. Tested positive for HSV1. Hetrosexual. Advice

Hi. 5 days ago, I had 2 pus (clear) filled blisters on the glans of my penis that I drained. The pus was the consistency and color of water. Since then, the skin around my glans has been extremely sensitive and some black spots have been appearing near the penile orifice. There's a mucousy pus that forms on the underside of the glans which I clean every few hours with soap and water. I was recently tested (twice) for STDs and came back negative for Gonorrhea, Chlymadia, HIV, HSV2, but positive for HSV1. Fyi, I'm a 44yo heterosexual male and haven't had any sexual relations in over a month. I did get a massage where I was nude, so could I have contracted it from the towel?!? Can you please tell me what I may have and how to take care of it immediately? I'm extremely concerned.
Fri, 30 Aug 2013
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General & Family Physician 's  Response
Hello,
Welcome to Healthcaremagic.

I had gone through your concern and understand your query.

I suspect you may have Herpes simplex virus infection.

There is not much difference between HSV1 And HSV2.
The only difference is site of preference. HSV 1 usually associated with Orofacial herpes infection. HSV 2 is associated with Genital Infections.
But HSV 1 can enter the mucosa in genital and cause blisters and HSV 2 can enter in the mucosa in face.
HSV1 and HSV2 are very similar under microscope. It is very difficult to differentiate.

As for as HSV is concerned, New infection is not necessary for HSV Blisters.
Because HSV usually persist after first infection in nerve cells and ganglia.
HSVs can be reactivated by illnesses such as colds and influenza, eczema, emotional and physical stress, gastric upset, fatigue or injury, by menstruation and possibly exposure to bright sunlight.

HSVs establish lifelong infection and it cannot be eradicated from the body.
However Antivirals like Acyclovir can be used to reduce the severity and reduce the recurrence rates.
In addition to antivirals, You need to follow some
Keep the genitals and blisters clean and dry
Wear loose and cotton clothes
Wash hands regularly.Keeping your immune system at its full capacity is important for maintaining an outbreak-free lifestyle with herpes.
If you have pain and itching , you can take pain killers like tylenol and anti histamines like cetirizine

It is very common genital disease. As it may relapse at any times, we cannot predict when it will recur. So understand the disease and coping up with Herpes is essential.
Try Relaxing activities like yoga and meditation.
DO exercise regularly.
Eat healthy foods.


Hope this helps.
If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards,
Dr.Manjeth
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Sensitive skin around glans, black spots near penile orifice, mucousy pus on underside glans. Tested positive for HSV1. Hetrosexual. Advice

Hello, Welcome to Healthcaremagic. I had gone through your concern and understand your query. I suspect you may have Herpes simplex virus infection. There is not much difference between HSV1 And HSV2. The only difference is site of preference. HSV 1 usually associated with Orofacial herpes infection. HSV 2 is associated with Genital Infections. But HSV 1 can enter the mucosa in genital and cause blisters and HSV 2 can enter in the mucosa in face. HSV1 and HSV2 are very similar under microscope. It is very difficult to differentiate. As for as HSV is concerned, New infection is not necessary for HSV Blisters. Because HSV usually persist after first infection in nerve cells and ganglia. HSVs can be reactivated by illnesses such as colds and influenza, eczema, emotional and physical stress, gastric upset, fatigue or injury, by menstruation and possibly exposure to bright sunlight. HSVs establish lifelong infection and it cannot be eradicated from the body. However Antivirals like Acyclovir can be used to reduce the severity and reduce the recurrence rates. In addition to antivirals, You need to follow some Keep the genitals and blisters clean and dry Wear loose and cotton clothes Wash hands regularly.Keeping your immune system at its full capacity is important for maintaining an outbreak-free lifestyle with herpes. If you have pain and itching , you can take pain killers like tylenol and anti histamines like cetirizine It is very common genital disease. As it may relapse at any times, we cannot predict when it will recur. So understand the disease and coping up with Herpes is essential. Try Relaxing activities like yoga and meditation. DO exercise regularly. Eat healthy foods. Hope this helps. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Regards, Dr.Manjeth