Brief Answer:
Pictures requested

Detailed Answer:
Hello,

Thank you for posting on HCM.

I can understand your concern regarding the skin lesions over penis but its difficult to point specific diagnosis in absence of clinical examination.

Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way. Also I would require you to describe in brief the associated symptoms you are having with the lesions.

You can upload the pictures on the right hand of the query page or can also mail pictures to YYYY@YYYY with subject titled ' ATTN Dr Hardik Pitroda'.

Thanks
Dr Hardik Pitroda

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Brief Answer:
Oral acyclovir

Detailed Answer:
Hello again,

It seems from the pictures and history that you are having Herpes Progenitalis, a viral infection caused by Human simplex virus and it leads to multiple blisters and tiny ulcers over genitals.

I would suggest you to consult your dermatologist for proper management.

I would also advise certain investigations like HSV I and II Ig G and Ig M, VDRL and HIV antibody test as a part of protocol. Ideally your partner should also be tested in similar way.

In my patients of herpes progenitalis, I suggest oral acyclovir 400mg three times a day for 7-10 days.
Apply acyclovir ointment thrice a day for a week or so.

Herpes progenitais is notorious for recurrence and every recurrence should be actively treated with the above regimen.

If there are more than 6 recurrences in a year, I would suggest daily suppressive regimen where oral Acyclovir is taken in dose of 400mg twice a day for one year.

Whenever there are active lesions its advised to avoid any sexual activity or if so you do indulge then make sure you use barrier contraceptive like condoms.

Let me know if you require any further assistance from my side.
Thanks
Dr Hardik Pitroda

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