[37M] Experiencing recurrent penile sores

Patient Description

A 37-year-old male reports having recurrent sores on the penis for approximately one year. These sores, which are itchy at onset and progress to a painful burning sensation, typically last about a week and recur roughly monthly. The sores appear on the shaft and head of the penis and crust over as they heal. The patient has not experienced fever, difficulty urinating, or flu-like symptoms in association with the sores. Sexual history in relation to the sores is uncertain. The patient's medical history is otherwise unremarkable, with no known allergies, chronic illnesses, or medication use aside from Tylenol for pain management.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely diagnosis is:

  • Genital Herpes: This is a sexually transmitted infection caused by the herpes simplex virus. It can cause small, painful sores on the genitals, which can be itchy at first and then become painful. The sores typically last about a week and then heal over. Recurrences are common, especially in the first year of infection.
    • The standard treatment for genital herpes is antiviral medication, which can help to shorten the duration of outbreaks and make them less severe. It can also reduce the frequency of recurrences.

Other possibilities include:

  • Syphilis: This is another sexually transmitted infection that can cause sores on the genitals. However, the sores of syphilis are typically painless and do not itch.

    • Treatment for syphilis typically involves antibiotics.
  • Genital Warts (HPV): This is a sexually transmitted infection that can cause small, flesh-colored or gray swellings in your genital area. However, genital warts are typically not painful or itchy.

    • Treatment for genital warts can involve topical medications or surgical removal.

What you can do

  1. Seek medical attention: It's important to see a healthcare provider for a formal diagnosis and treatment. They may perform a physical examination and order tests to confirm the diagnosis.

  2. Practice safe sex: Until you have a diagnosis, it's important to avoid sexual contact to prevent potentially spreading an infection to others.

  3. Maintain good hygiene: Keep the area clean and dry, and avoid touching the sores as much as possible to prevent further irritation and potential spread of the infection.

What you should look out for

  • If the sores become more painful, larger, or spread to other areas
  • If you develop other symptoms such as fever, swollen lymph nodes, or flu-like symptoms
  • If the sores do not improve after a week or two

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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People Also Ask


What are the common symptoms of genital herpes?

Common symptoms of genital herpes include small, painful sores or blisters on the genitals, itching or tingling sensations before the sores appear, and sometimes flu-like symptoms such as fever and swollen lymph nodes. The sores typically crust over and heal within a week.


How is genital herpes diagnosed?

Genital herpes is diagnosed through a physical examination by a healthcare provider and confirmed with laboratory tests. These tests may include a viral culture or polymerase chain reaction (PCR) test from a sample taken from the sore, or a blood test to detect antibodies to the herpes simplex virus.


What are the treatment options for genital herpes?

Treatment for genital herpes typically involves antiviral medications such as acyclovir, valacyclovir, or famciclovir. These medications can help reduce the severity and duration of outbreaks, decrease the frequency of recurrences, and lower the risk of transmission to others.


Can genital herpes be prevented or managed to reduce outbreaks?

While there is no cure for genital herpes, outbreaks can be managed and reduced through antiviral medications, stress management, and maintaining a healthy lifestyle. Using condoms during sexual activity can also help prevent transmission. It's important to avoid sexual contact during an outbreak to reduce the risk of spreading the virus.


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