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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen And Painful Labia Majora

Female patient 50 denies ever having HSV 1/2 had a non-descript abrassion on the right labia majora that became swollen but never erythemic or herpetic lesions; post cunnilingus two days in a row, previously being abstinent for ten years. Her GYN treated her for a UTI with urinalysis only, no C&S, and treated her for yeast inf without clear indication nor vaginal discharge. He has now changed Bactrim DS to Macrobid. A swab came back HSV1. Valcyclovir was started. Her partner, 55, had 1 HSV lesion at age 18. Is he the likely cause of both the UTI and saliva transmission of HSV1?
posted on Sat, 20 Jun 2015
Twitter Sat, 3 Nov 2018 Answered on
Twitter Tue, 6 Nov 2018 Last reviewed on
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General Surgeon,  's  Response
Hello,

Most probably it will be due to local inflammation.

As a first line management, you can apply low potency steroid creams like Betamethasone for symptomatic relief. If the lesion persists, it is better to consult a dermatologist and get evaluated.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shinas Hussain,
General & Family Physician
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Suggest Treatment For Swollen And Painful Labia Majora

Hello, Most probably it will be due to local inflammation. As a first line management, you can apply low potency steroid creams like Betamethasone for symptomatic relief. If the lesion persists, it is better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician