
What Causes Painful Sores And Ulcers While Treating Herpes?

Question: Dr i had genitalulcer 3 wks exp, also had herpes sore at11 wks and 2 verytiny mouth sore at 14wks, i tested 7, 10,14 wks 4th gen, hivandstd, whatcouldcause that
Brief Answer:
Genial herpes and syphilis can cause this.
Detailed Answer:
Hi
Thank you for asking HCM.
I have gone through your query. Genital herpes can gives sores and ulcers which will be painful. Syphilis can give painless ulcer like appearance. As you have done HIV 4th gen test at 14 weeks you are almost safe from HIV.
Syphilis tests can give false negatives. So i recommend taking doxycycline for 1 week to be on safe side.
Hope this may help you. Let me know if anything not clear.
Thanks.
Genial herpes and syphilis can cause this.
Detailed Answer:
Hi
Thank you for asking HCM.
I have gone through your query. Genital herpes can gives sores and ulcers which will be painful. Syphilis can give painless ulcer like appearance. As you have done HIV 4th gen test at 14 weeks you are almost safe from HIV.
Syphilis tests can give false negatives. So i recommend taking doxycycline for 1 week to be on safe side.
Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by :
Dr. Prasad


But i tested for syphilis at 14 weeks post exposure too dr, is it still possible it was false neg for syphilis?
Brief Answer:
After 14 weeks false negatives are rare.
Detailed Answer:
Hi
Thank you for your follow up query. False negatives are rare after 14 weeks. False negatives are more common before 6 weeks. Anyhow it is better to go for a week therapy with doxycycline to be on safe side.
Let me know if anything not clear. I am happy to help you.
Thanks.
After 14 weeks false negatives are rare.
Detailed Answer:
Hi
Thank you for your follow up query. False negatives are rare after 14 weeks. False negatives are more common before 6 weeks. Anyhow it is better to go for a week therapy with doxycycline to be on safe side.
Let me know if anything not clear. I am happy to help you.
Thanks.
Above answer was peer-reviewed by :
Dr. Prasad


Although i think it wasnt really a ulcer maybe it was just a cut at the side of the penis head that i had done when i did m.b, then after 2 weeks when i did m.b and let the semen dry up, didnt change underwear the next day i found it kinda red and raw i put neosporin cream and went away
Brief Answer:
Ulcer like lesion in syphilis also disappear by its own.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Ulcer like lesion in syphilis also disappear by its own. But the bacteria can be still present and it may reactivate as secondary syphilis. This secondary infection can be within 1 year or after that.
So my recommendation is have a week doxycycline therapy. Avoid soaps and irritants to wash the genital area. You can use saline or warm water for this.
Hope this may help you. Let me know if anything not clear.
Thanks.
Ulcer like lesion in syphilis also disappear by its own.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Ulcer like lesion in syphilis also disappear by its own. But the bacteria can be still present and it may reactivate as secondary syphilis. This secondary infection can be within 1 year or after that.
So my recommendation is have a week doxycycline therapy. Avoid soaps and irritants to wash the genital area. You can use saline or warm water for this.
Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj


But it was painful dr, is it still syphilis?
Brief Answer:
Lesion of syphilis are typically painless.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Primary lesions of syphilis are typically painless. If painful then syphilis is most unlikely and it can be from herpes or eczema. Herpes usually doesn't need any specific treatment. Only symptomatic treatment is enough.
Let me know if anything not clear. I am happy o help you.
Thanks.
Lesion of syphilis are typically painless.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Primary lesions of syphilis are typically painless. If painful then syphilis is most unlikely and it can be from herpes or eczema. Herpes usually doesn't need any specific treatment. Only symptomatic treatment is enough.
Let me know if anything not clear. I am happy o help you.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj


I do have a history of eczema but i didnt have it down there
Brief Answer:
Then it can be possibly eczema.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Then it can be possibly eczema. Aloe vera gel or corticosteroid creams like hydrocortisone will be helpful for this.
Let me know if anything not clear.
Thanks.
Then it can be possibly eczema.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Then it can be possibly eczema. Aloe vera gel or corticosteroid creams like hydrocortisone will be helpful for this.
Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj


Ok thank you dr
Brief Answer:
You are welcome.
Detailed Answer:
You are welcome.
Let me know if you have any further queries.
I am happy to help you.
Thanks.
You are welcome.
Detailed Answer:
You are welcome.
Let me know if you have any further queries.
I am happy to help you.
Thanks.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj

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