[Question #7114] question about herpes symptoms

7 months ago
 In 2016, I had a bunch biopsy done on my penile area which diagnosed me with genital lichen planus. They had ruled out hsv back then.

I keep getting occasional flareups of Lichen Planus which I treat with prescribed corticosteroids topical ointment.

In August of last year (2019), I had a potential exposure. I visited a massage parlor with friends and ended up receiving condom protected oral sex  and condom protected sexual intercourse with a female who worked at massage parlor.


I did not have any symptoms post that. In Jan of this year (4 months later), I tested for all STDs: syphillis, hepatitis B/C. hiv, chlymadia/gonnorhea.
I was negative on all of the above. Life moved on.

In April of this year (7+ months after the massage parlor visit mentioned above), I had a flare up of Lichen Planus which I treated with the topical corticosteroid and the irritation cleared. I then showed the area to multiple dermatalogists and urologist to make sure nothing was missed and it was the genital LP which I keep getting occasionally. And they did not have any suspicion of anything other genital LP.

One unique symptom which has never happened before is that this time round, I had burning sensation on the penile glan area since May and it happens every day pretty much, sometimes in a day its more and some other times it is less. It has been like this for 3+ months now more or less. 


Questions:

1. Could this be herpes symptoms? I dont have any ulceration but my glans skin gets red and notice some non-fluid filled pimples occasionally?

2. If this is herpes, how common is it for the glans to have the burning sensation nonstop for like 3+ months now?

3. When I eat sugar or drink alcohol I notice increased irritation on the area and increased burning sensation. Would this be something associated with herpes?

I am otherwise very healthy and do not have an underlying health condition.
7 months ago
Also note that I am otherwise in a monogamous relationship and this August incident was the only incident between 2016 (when HSV was ruled out and I was diagnosed with genital lichen planus) that I had with someone of unknown status. I want to get to the root cause of the burning sensation and want to be symptom free.
7 months ago
Also, I have not had sex since the August incident mentioned, so that was the only incident in question for the context of this question.
7 months ago
punch** biopsy
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
7 months ago
I understand that you are really curious about whether you have HSV or not.  Have you done an antibody test to try to sort that out yet? If you've not had sex with anyone since August, the results of an antibody test would likely be accurate now.  Also, the contact you initially had very little risk at all. Sugar and alcohol do not make herpes worse.   If the biopsy said that you have lichen planus, then I see no reason why that wouldn't be correct.  Also, herpes would not cause a symptom for three straight months. 

Terri
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7 months ago
Thanks for confirming that this is unlikely HSV. Yes, I will hold on igg testing since I hear it can give false positives. If I do notice visible rash I will work with my dermatologist to get a PCR swab test.

In the meanwhile, I will continue to assume there is no HSV here and the burning is likely a remnant inflammation from LP.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
7 months ago
That sounds like a reasonable plan.  If you do decide to do the IgG test and get a low positive, we can get you a herpes western blot to rule out any false-positive results.

Terri
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