Question : I am male 42, I never had sexual contact outside my wife. On 20th march I went to a bar in banglore, there I met a girl whose hiv or std status is unknown, i kissed her in her cheek and and she kissed me in my cheek, and I left nothing more happened , now I have tiny lesions in groin area painful and burning the lesions are sudden ,I didn't see any bumps or blisters, do I have chance of getting genital herpes.
Brief Answer:
Please answer few questions..
Detailed Answer:
Hi XXXXX,
You gave history of contact with outsider girl,you had contact only in the form of kiss..right? And you did not do sexual intercourse. Still, I would like to ask few questions... Please answer..
1) You might have taken hot drink..so, are you sure for not having sex?
2) Are you sure for not having extramerital sex?
3) The rash you described in groin area,which is burning painful tiny lesions, is it for the first time or had in past.?
4) Can you describe the rash you have..is it vesicular or erosions or ulcerative?
5) Is the rash is in localised area or in spread to other parts and in both side in groin areas.? Clarify the exact area..upper thigh, scrotum or perineum..
6)Is there lesion on genital ?
7) Do you have any other disease ?
8) Do you take any medicine for any other disease?
If possible, please post the photograph of the affected part, so that I can help you in better way.
Thanks.
Dr.Ilyas Patel MD
1) You might have taken hot drink..so, are you sure for not having sex?
I have taken beer and no sex
2) Are you sure for not having extramerital sex?
yes
3) The rash you described in groin area,which is burning painful tiny lesions, is it for the first time or had in past.?
had in the past but not in this place but between thighs joints
4) Can you describe the rash you have..is it vesicular or erosions or ulcerative?
ulcerative
5) Is the rash is in localised area or in spread to other parts and in both side in groin areas.? Clarify the exact area..upper thigh, scrotum or perineum..
in between thigh and the pubic area
6)Is there lesion on genital ?
No
7) Do you have any other disease ?
Sinus before one week taken levofloxacin 5 days
8) Do you take any medicine for any other disease?
Taken amoxycillin, glavunulate and levofloxacin
I have uploaded the image too for you view
Brief Answer:
You seem to have ulcer following infection.
Detailed Answer:
Hi XXXXX,
Welcome back.
Thanks for answers and uploading the photo. After going through answers and seeing photo, I feel that you have soft tissue infection followed by ulcerative lesion.
It is not herpes progenitalis or any other sexually transmitted disease. It may be caused by bacteria like staphylococci. It may be due to perspiration and poor hygiene. You do not worry. It will take few days to few weeks to be cured.
I advise you to take Sitz bath in dettol containing water... To sit in dettol containing water tub for few minutes.
Take antibiotic like cefixime 200 mg daily for 1 to 2 weeks along with antiinflammatory drugs like nimesulide with paracetamol tab.
Apply antibiotic cream like sisomycine twice a day.
I think, you may be alright in few days. Still, any query..you are welcome.
Wishing you early recovery.
Thanks.
Dr.Ilyas Patel MD
Thanks doctor I am relieved. But due to my agony I went for a HSV IgM test yesterday,not yet received the results? will that confirm that I am not infected. Thanks a lot for your advice
Brief Answer:
Let me know the result of HSV 1 & 2 IgM
Detailed Answer:
XXXXXX,
I am glad knowing that you felt better. But, you complete the suggested treatment to get relief.
Let me know the result of HSV 1&2 IgM, then, I might advise you...ok
Thanks.
Dr. Ilyas Patel MD
Dear Doctor
Yesterday I got the results of my HSV I and II IgM antibody test and it was NEGATIVE, Will it confirm that I am free from Herpes and Should I go for a VDRL test, is it necessary?. I am happy to inform that My lesions between the pubic and thigh area got healed without any treatment. Kindly advise me?
Brief Answer:
You are free of herpes.
Detailed Answer:
Hi,
Very nice.. Your lesion is healed without any treatment..that means you have good immunity.
You got negative result means you are free of herpes progenitalis.
Now take care of hygiene. Avoid extramerital sexual relationship.
No other investigations are needed.
Be happy and free of worries.
Thanks...wishing you good health.
Dr.Ilyas Patel MD
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Can I Get Genital Herpes Inspite Of Having Intercourse?
Brief Answer:
Please answer few questions..
Detailed Answer:
Hi XXXXX,
You gave history of contact with outsider girl,you had contact only in the form of kiss..right? And you did not do sexual intercourse. Still, I would like to ask few questions... Please answer..
1) You might have taken hot drink..so, are you sure for not having sex?
2) Are you sure for not having extramerital sex?
3) The rash you described in groin area,which is burning painful tiny lesions, is it for the first time or had in past.?
4) Can you describe the rash you have..is it vesicular or erosions or ulcerative?
5) Is the rash is in localised area or in spread to other parts and in both side in groin areas.? Clarify the exact area..upper thigh, scrotum or perineum..
6)Is there lesion on genital ?
7) Do you have any other disease ?
8) Do you take any medicine for any other disease?
If possible, please post the photograph of the affected part, so that I can help you in better way.
Thanks.
Dr.Ilyas Patel MD