[Question #4452] Question #4436 Followup

29 months ago
Dr. Handsfield,

Just a follow up. I noticed what looks like a small whitehead pimple on a red base on my inner right thigh today (same leg that had the follucitis on the knee). Normally thats exactly what I would assume it is ( just a normal whitehead pimple), but given my concern from my exposure I figured I would at least ask you about it. Is this even how herpes would act? I was under the impression that if a first time breakout would occur it would normally be within 2-10 days after exposure and would be more towards the genital/penis area. I'm sure its probably just a pimple but I did book an appointment to see a dermatologist tomorrow. 

Also In an effort to resume normalcy I masturbated yesterday for the first time since my exposure several weeks ago. After I was done I had a crazy burning sensation on my penis head that hurt and burned for pretty much the entire day. It felt better the next day ( today ) Any idea what that could be about? I'm assuming that is not how std related symptoms would be? Since I tested negative for chladedia and gonnoreha I guess that just leaves herpes for the burning pain, but there are no sores or spots on my penis that I can tell. None on the exposed skin where the condom did not cover either. Does this concern you enough for me to add Herpes to my list of things to be tested for?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
29 months ago
Good afternoon, I answer the herpes questions on our expert board.  Thank you for your question.
No, herpes does not look like a pimple on the thigh.  Pimples generally have a pus colored substance inside and herpes lesions on the thigh would 1) normally be in groups 2) contain clear fluid in their blister state, 3) are quite tender/painful and 4) would be a recurrence site, not a site of the body with a new infection.  And yes, the timing for a first outbreak is 2-10 ater exposure. 

I don't think that any of this really warrants herpes testing, no, including the pain that felt after masturbation.  That is NOT a sign that herpes would present. 

What did the dermatologist say?

Terri Warren
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29 months ago
Terri, 

Thank You. That makes me feel better. My dermatologist appointment is tomorrow. I will post what he says after examination. Would the burning and pain after masturbation be from any other std that you know of? I’m assuming that it could be from the vigorous rubbing she did on the penis head but i have no clue. That was almost a month ago. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
29 months ago
I wouldn't expect something that happened a month ago to continue to have symptoms for you now, in terms of masturbating you.  No.  Sure, post what your derm says, I would be interested.

Terri
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29 months ago
The dermatologist was not concerned at all after examination. The Whitehead part already went away and it seems to be started to fade. He said it was probably follucitis like the one on the side of my knee that Dr.Handsfield correctly diagnosed. He also gave me some cream to apply to my genital area to see if that helped with the burning. Everything still burns in my boxer area and now my thighs but so far it’s all been good news. I can’t see my doctor for a few weeks but once I can I will hopefully have some more answers. Perusing this forum I have noticed a trend where people (especially) the nervous ones experience  “burning” feeling even with negative test results. It seems like an anxiety thing.  Do you see that a lot of this “symptom”?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
29 months ago
oh yes, most definitely.  I would say that 95% of the people who experiencing burning and tingling as their main or only symptoms, eventually tested negative by accurate tests for HSV. 
I'm so glad the dermatologist had good news for you.  Perhaps now you can put this worry to rest?  I sure hope so!

Terri
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