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Suggest Treatment For Swollen And Painful Labia Majora
Female patient 50 denies ever having HSV 1/2 had a non-descript abrassion on the right labia majora that became swollen but never erythemic or herpetic lesions; post cunnilingus two days in a row, previously being abstinent for ten years. Her GYN treated her for a UTI with urinalysis only, no C&S, and treated her for yeast inf without clear indication nor vaginal discharge. He has now changed Bactrim DS to Macrobid. A swab came back HSV1. Valcyclovir was started. Her partner, 55, had 1 HSV lesion at age 18. Is he the likely cause of both the UTI and saliva transmission of HSV1?
Tue, 6 Nov 2018
Hello,
Most probably it will be due to local inflammation.
As a first line management, you can apply low potency steroid creams like Betamethasone for symptomatic relief. If the lesion persists, it is better to consult a dermatologist and get evaluated.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Shinas Hussain,
General & Family Physician
Most probably it will be due to local inflammation.
As a first line management, you can apply low potency steroid creams like Betamethasone for symptomatic relief. If the lesion persists, it is better to consult a dermatologist and get evaluated.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Shinas Hussain,
General & Family Physician
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