[Question #4309] HSV or Something else?

30 months ago
I received oral from someone whom I know has cold sores on her lips from time to time, but during oral none seemed to be present. 10-12 days later I realized what seemed to be a raised hair follicle on my scrotum, so I pulled out the hair out of it. It looked big so I started panicking and began trying to pop and pick at it, and bit of clear liquid came out. Afterwards it became red with a white centre. It kind of felt/looks like when you burn your skin. The very next day I went to my sexual health clinic and got seen by a doctor. She turned her light on it, touched it with rubber gloves on, and then felt my groins(I’m assuming for lymph nodes). Right away she said it’s not herpes. She said it doesn’t resemble a herpes and isn’t a ulcer, which I was a bit confused about. A couple of days later and the spot has gotten smaller, the skin became drier, kinda scabby, but the whitish area is still there. I don’t know if it got deeper which would classify it as an ulcer now. Should I trust my doctors visual examination? I mean she does work for a sexual health clinic?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
30 months ago
I'm glad that you went to a sexual health clinic because those professionals definitely know what herpes looks like. Have you ever in your life had a cold sore on your lip? If yes, then it is extremely unlikely that you would ever get this virus on your genitals as well.   Was any swab testing done of the area? 
I think for now, you should believe this experienced clinician.  If you continue to worry, you could get a second opinion but it seems that it might be a little late for that, in terms of lesion healing, is that correct?

Terri
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30 months ago
I’ve never had a cold sore on my lip that I can remember. The doctor did no swab test, which I’m assuming is an indicator of her confidence that it’s not hsv. Yes, it’s pretty much healed. Should I just trust her visual examination and move on. I feel I have no choice. Also how likely would it be for an outbreak of a single sore to occur on my scrotum? Could it be foliculitis or something else?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
30 months ago
It would be unusual for herpes to be a single sore on the scrotum.   It could definitely be something else and actually sounds like something entirely different to me. 
You can believe her visual examination and if you are unable to let this go, you could get an antibody test.

Terri
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