[Question #7443] Possible Herpes

4 months ago
Hello,
6 days ago today, I had unprotected sex both orally and vaginally with a female I know who claims to be tested regularly. 
A few days following, I pulled back my foreskin in the shower and noticed a white gooey substance. I cleaned it off and when I get out out the shower wiped my glands roughly with a towel.
Yesterday I noticed a few red dots on the top of my glands, and today I began to see more. They do not appear to be raised or filled with any type of fluid. 
Does this sound like the beginning of a primary herpes outbreak? 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
The white substance is more likely yeast.  That is normal for some women to have in the vagina - very common - but can be an irritant particularly for uncircumcised men.  And the red dots also fit with that diagnosis.  It sounds nothing at all like herpes to me.  You can buy antifungal medicine over the counter and if it is bothering you, you could apply that and see if it reduces the dots. 

Terri
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4 months ago
Hi. Thank you for the response. The redness still persists. 
It has been quite a few days now. I keep my area clean and shower daily, being sure to pull back the skin and wash with soap and water. I tried to apply lotrimin which didn’t seem to really help. I also have  KETOCONAZOLE 2% CREAM, would that be something that could help?
I have not had any more of the thick white buildup discussed prior. I just have a few questions, if you wouldn’t mind addressing. 
1-Is this something I could transmit, especially if I receive oral sex?
2-Is this something that could possibly clear up on its own and if so, about how long does it take? 
3-What would be the best over the counter cream I can use? 
4-Should I avoid soaps and just use water?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
Both Lotrimin and ketaconazole creams are to treat yeast infection - the Ketoconazole may be more effective for you.
1-Is this something I could transmit, especially if I receive oral sex?
well, I don't think it would really cause problems with receiving oral sex but perhaps it could be transmitted via unprotected intercourse.

2-Is this something that could possibly clear up on its own and if so, about how long does it take?
It might clear up on it's own, but with men who still have a foreskin, it's more difficult because the yeast likes where it's warm and dark and moist.

3-What would be the best over the counter cream I can use?
Lotrimin is sold over the counter

4-Should I avoid soaps and just use water?
No, no need to avoid soap.

Terri
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