[25M] With recurrent genital blisters and history of chlamydia

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Genital Herpes: Despite your negative test results, genital herpes remains a possibility. Herpes simplex virus (HSV) can cause recurrent, small, fluid-filled blisters that are painful and itchy. These blisters can break open and form sores. Sometimes, initial tests can miss the infection, especially if it was done during a period without active symptoms.

  • Treatment: Antiviral medications like acyclovir, valacyclovir, or famciclovir can help manage outbreaks and reduce the frequency of recurrences. Your doctor may recommend a daily suppressive therapy if outbreaks are frequent.

• Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can result in small, fluid-filled bumps that are itchy and painful.

  • Treatment: Good hygiene, topical antibiotics, or antifungal creams can help. Avoiding tight clothing and ensuring the area is clean and dry can also prevent recurrences.

• Contact Dermatitis: This is a skin reaction to an irritant or allergen, which can cause fluid-filled blisters. Given that you sometimes notice the bumps after intercourse or when you feel you haven't cleaned the area properly, this could be a contributing factor.

  • Treatment: Identifying and avoiding the irritant or allergen is key. Topical corticosteroids can help reduce inflammation and itching.

• Sexually Transmitted Infections (STIs): Other STIs, such as syphilis, can cause sores or blisters on the genitals. Given your history of chlamydia, it's important to consider other STIs as well.

  • Treatment: Specific antibiotics or antiviral medications are used depending on the STI. Regular screening and informing sexual partners are crucial steps.

What you can do

1. Consult a Healthcare Provider: It's important to see a doctor for a formal diagnosis and appropriate treatment. They may recommend additional tests, including a repeat herpes test or other STI screenings.
2. Maintain Good Hygiene: Keep the genital area clean and dry. Avoid using harsh soaps or products that could irritate the skin.
3. Avoid Triggers: If you notice that certain activities or products trigger your symptoms, try to avoid them. This includes ensuring proper cleaning after intercourse.
4. Use MDandMe: You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your healthcare provider. This can help in identifying patterns and triggers.
5. Inform Sexual Partners: It's important to inform your sexual partners about your symptoms and encourage them to get tested. This helps in preventing the spread of potential infections.

What you should look out for

• Worsening Symptoms: If the bumps become more frequent, severe, or do not heal within a week, seek medical attention.
• Systemic Symptoms: If you develop a fever, body aches, or swollen lymph nodes, see a doctor promptly.
• New Symptoms: If you notice any new symptoms such as unusual discharge, blood in your urine, or significant pain, consult a healthcare provider.

Remember, while I can provide information and suggestions, it's essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.