[Question #4090] Is this Herpes?

32 months ago

Hello, Unfortunately, I received unprotected oral sex 7 days ago for no longer than 1 minute.. about 24 hours afterwards, (at least I noticed it after 24 hours, could’ve started sooner) I noticed several very small bumps on the head of my penis. It looks pretty much exactly like the pictures I’ve seen of balanitis. About 3-4 days afterwards, I started getting an ache/burning sensation on the right side of my penis, radiating to my right testicles and down my right leg. This ache was steady over the next 2 days. I looked up the symptoms of genital herpes and although i see no bumps or sores yet, I noticed that what I'm feeling is listed is a very early herpes symptom before sores appear. As you can probably guess, the stress and anxiety has been absolutely crushing me and it has affected me greatly, and reading the internet and seeing the same symptoms made it much worse. As of today, the pain in my leg is gone, but there is still a slight dull pain on the right side of my penis shaft. I still have not yet seen anything that looks like a sore anywhere on my genitals.

The only issue the balanitis is causing, other than being unsightly, is some slight itching. I have no pain on the head of my penis, and there is no pain when urinating. I’ve been using Lotrimin to treat it over the past 3 days.  If it doesn’t clear up, I will make an appt with my doctor.

My question is do you think this could be herpes? And of not, what else could it be?

 

Thank you.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
32 months ago
From your description, I don't think this sounds like herpes, no. 
Is it improving with Lortrimin?  Balanitis is most often caused by a fungus or yeast and will respond to Lotrimin but sometimes it could be bacterial.  Yes, I think you are on the right track with your plan - use the Lotrimin twice a day for a week and if no improvement make an appointment with your clinician.  The herpes risk with oral sex is HSV 1, the virus that is responsible for most cold sores.   If you have ever had a cold sore, you would be extremely unlikely to acquire this genitally subsequently.

Terri
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31 months ago
I really appreciate your input.  The lotrimin seemed to work, as the balanitis has cleared up. Its been a little over 3 weeks and although i still have no sores, but there is still a very dull ache on my penis shaft that still comes and goes, and I'm not sure what it could be. No other symptoms have been observed. Again thank you for answering my questions.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
31 months ago
I'm so pleased to hear that your symptoms are clearing up. The medicine would not help herpes to clear up so I'm thinking that we can likely rule out new herpes acquired at this situation. Thanks for letting me know how you are doing

Terri.
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