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What Causes Painful Ulcers At Herpes Outbreak Site After An Hysterectomy?
Question: I am a 50 year-old female, I underwent a total abdominal hysterectomy 10 months ago. I also contracted HSV-1 genital herpes from my husband during oral sex (he had a cold sore) 22 years ago. I had a classic primary outbreak upon initial infection, and outbreaks have been few and far between over the years. However, when they happen, they always seem to happen in the exact same spot in the soft tissue above the clitoris. After becoming sexually active again, following my XXXXXXX I have developed a tear/ulceration/fissure in the area where my herpes outbreaks always seemed to occur. It is VERY painful and is not healing. I do not think this is a herpes outbreak, I think it is a fissure. Can you look at the photo provided and offer your opinion? I am not on any type of HRT or any meds following XXXXXXX It is too painful to have sex until this area heals. Then when we do have sex again, the cycle starts all over.
Brief Answer:
Chancroid should be ruled out.
Detailed Answer:
Hello,
Thanks for writing to us. I have reviewed attach image.
In my opinion, it is mostly suggestive of CHANCROID (bacterial infection) which is quite painful, shallow ulcer type, typically found on the labia or near the clitoris.
Do one STD profile and proceed clinical examination for regional Lymph Nodes by your doctor to confirm the diagnosis. Culture or biopsy of the ulcer may be required.
TREATMENT: 1) Single dose Azithromycin (1 gm) is most commonly used to treat the condition. Healing of ulcer may take 7-10 days. Follow-up examination is required after 7 days.
2) Some patients may need Ciprofloxacin 500 mg twice daily for 7 days to complete cure. Painkiller is optional. Procure complete prescription from your doctor.
Maintain genital hygiene properly. Keep the area dry. Practice protected sex with condom.
Hope, I have answered your query. Wish your good health and take care.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Regards,
Chancroid should be ruled out.
Detailed Answer:
Hello,
Thanks for writing to us. I have reviewed attach image.
In my opinion, it is mostly suggestive of CHANCROID (bacterial infection) which is quite painful, shallow ulcer type, typically found on the labia or near the clitoris.
Do one STD profile and proceed clinical examination for regional Lymph Nodes by your doctor to confirm the diagnosis. Culture or biopsy of the ulcer may be required.
TREATMENT: 1) Single dose Azithromycin (1 gm) is most commonly used to treat the condition. Healing of ulcer may take 7-10 days. Follow-up examination is required after 7 days.
2) Some patients may need Ciprofloxacin 500 mg twice daily for 7 days to complete cure. Painkiller is optional. Procure complete prescription from your doctor.
Maintain genital hygiene properly. Keep the area dry. Practice protected sex with condom.
Hope, I have answered your query. Wish your good health and take care.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
In reading about Chancroid, it appears this type of STI is uncommon in the United States. What else could it be? In your opinion, could this be Lichen Sclerosus?
Brief Answer:
Need to undergo biopsy or culture of affected area.
Detailed Answer:
Hello,
Thanks for additional input and query.
It could be Lichen sclerosus or chancroid (though not common) as per clinical features and appearance. However, one biopsy or culture of the affected area should be done to confirm the diagnosis.
It also needs careful clinical examination including lymph nodes. Do one STD profile also. All these things are needed to pinpoint a diagnosis.
Kindly, consult with your physician or venereologist for proper management of the case. It would be more worthwhile.
Hope, it helps for your information. Good luck and take care.
Regards,
Need to undergo biopsy or culture of affected area.
Detailed Answer:
Hello,
Thanks for additional input and query.
It could be Lichen sclerosus or chancroid (though not common) as per clinical features and appearance. However, one biopsy or culture of the affected area should be done to confirm the diagnosis.
It also needs careful clinical examination including lymph nodes. Do one STD profile also. All these things are needed to pinpoint a diagnosis.
Kindly, consult with your physician or venereologist for proper management of the case. It would be more worthwhile.
Hope, it helps for your information. Good luck and take care.
Regards,
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Naveen Kumar
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