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Genital Pimples vs Herpes - An Overview

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Genital pimples and herpes look alike in appearance and initial assessment, making it even more significant to diagnose at an early stage. Learn more below.

Written by

Dr. Arjun Singh

Medically reviewed by

Dr. Ramesh Mohanlal Maheshwari

Published At January 5, 2024
Reviewed AtJanuary 5, 2024

Introduction

Pimples are caused due to the trapping of oil and bacteria in hair follicles under the skin. They can appear anywhere, including the genital area. Herpes is a sexually transmitted infection or disease (STI or STD), and the causative agent is herpes simplex virus. Herpes leads to infections of genital sores that go away within days or weeks. Sometimes, these genital sores can be confused with pimples. Pimples and sores may be red, oozing, and go away without any medication within a few days. However, herpes sores usually become larger and redder and can turn into painful blisters bursting and take several weeks to heal. Herpes outbreaks can also include flu-like symptoms.

What Is the Difference Between Genital Herpes and Pimples?

Herpes and pimples can appear on the face or in the genital area. Pimples can appear anywhere, including on or around the mouth, and are also more obvious. When it occurs in the genital area, anal area, or inner thighs, determining the cause may be more difficult. Herpes outbreaks and pimples can:

  • Appear in clusters in the groin, around the lining, inside the thighs, or around the anus or buttocks.

  • Appears as ulcers and feels painful or uncomfortable.

  • Fluid leaks from the affected area.

  • It takes several weeks to heal.

What Are the Symptoms of Genital Herpes and Pimples?

Many people just have asymptomatic infections.

  1. Symptoms of Genital Herpes: Clear, red, spongy, painful, fluid-filled blisters may occur around the genitals, thighs, or mouth.

  • Headache.

  • General pain.

  • Swollen lymph nodes.

  • Pain or tingling just before the ulcer appears.

  • Fever of 38 degrees Celsius or higher.

Not everyone will have all of the symptoms. Recurrent infections often have milder symptoms than the initial outbreak. It takes two to four weeks for genital herpes sores to heal completely.

  • Symptoms of Pimples: Pimples can form singly or in clusters, making them difficult to distinguish from genital herpes. However, pimples are usually smaller, rounder, and harder than herpes. Pimples are sores filled with white pus that appear when pores become clogged. It may bleed if scratched, picked at, or otherwise irritated.

What Are the Causes of Pimples and Genital Herpes?

Pimples and genital herpes may appear in the same way, but they have completely different causes.

  • Pimples: The cause is clogged pores, and it does not spread through sexual intercourse. Most pimples do not require treatment and will only reappear if there is a new cause of irritation.

  • Genital Herpes: The main cause is sexual intercourse, including vaginal, anal, or oral sex. Herpes blisters form in response to viral infections and are painful. They are spread mainly through sexual contact with wound fluids, other body fluids, or the saliva of an infected person. Herpes blisters will disappear on their own after a few weeks and may or may not reappear depending on the reactivation of the virus in the body. Genital herpes can also be diagnosed with a swab test, in which some fluid from the sore is tested in a laboratory to determine whether it is caused by the herpes simplex virus. Some herpes tests can be performed in the doctor's office and provide results the same day, while others can take several days or a week to get results.

What Are the Treatment Options for Pimples and Herpes?

  • Herpes: Although herpes is not curable and it is difficult to prevent outbreaks, genital herpes can be controlled with oral or topical antiviral medications. Treatment can reduce the number of spread of disease, shorten the duration, and help relieve discomfort and pain. Medication will reduce the transmission of the virus that causes herpes. Common antiviral medications that treat genital herpes include Famciclovir, Valacyclovir, and Acyclovir. Avoid having sex with anyone until the antiviral treatment is completed and the genital herpes sores have healed. Do not try to squeeze the herpes sore. This will not make them go away any faster but may increase the risk of further infection and make it easier to spread to others. It can also make the pain and discomfort worse. Take pain relievers to relieve pain, while some topical creams or ointments may reduce discomfort.

  • Pimples: Pimples can easily be dealt with at home. But take care of some points:

  1. Do not squeeze pimples. This increases healing time and may increase the risk of infection. It can also lead to scarring.

  2. Apply a warm, clean cloth to the pimple for 20 minutes, three to four times a day, to help the pimple heal on its own. Use antibacterial soap once a day to keep the area clean.

  3. The doctor or healthcare professional may also prescribe an antibiotic cream to treat pimples. Use an anti-pimple cleanser, such as salicylic acid, to treat pimples.

Avoiding sex is not mandatory in the presence of pimples. They are not contagious and cannot be transmitted to others.

How to Prevent Pimples and Herpes?

It is not always possible to prevent herpes or pimples. There are some things to know in order to reduce the risk of transmitting or getting genital herpes.

  • Herpes

The viruses that cause herpes are very common and widespread. Both HSV-1 and HSV-2 can cause genital lesions. The only way to completely avoid HSV-2 or genital herpes is to abstain from sex. To reduce the risk of genital herpes, practice safe sex, including:

  1. Avoid having sex or kissing someone who has herpes on the mouth, genitals, or elsewhere.

  2. Always wear a condom and other appropriate protection for all forms of sexual intercourse.

  3. Be sure to have honest conversations with any and all partners about medical history, including genital herpes.

  • Pimple

Pimples are difficult to prevent because they can be triggered by many factors. Any hair follicle has the potential to develop pimples. However, certain steps can be taken to minimize the risk of frequent breakouts:

  1. Bathe or shower regularly.

  2. In case of oily skin, use a gentle pimple cleanser or shower gel.

  3. Dry the area completely before getting dressed.

  4. Avoid tight underwear or clothing, which can trap heat, dirt, and oil and cause friction.

What Are the Risk Factors Associated With Pimples and Herpes?

Complications or extreme risks associated with pimples are rare. Herpes simplex outbreaks usually resolve on their own with or without medical treatment but can lead to increased complications in some people. Risk factors for complications of genital herpes include:

  • A weak immune response because of HIV, AIDS, or cancer treatment.

  • Risk of transmission to the fetus during vaginal birth from the mother.

Conclusion

Genital pimples occur when genital hair follicles become clogged with sebum, an oil secreted by the skin to keep it supple. Herpes blisters are likely to occur with tingling, itching, blistering, and flu-like symptoms.

Genital pimples and herpes sores may appear for a few days and then disappear. However, if genital warts become larger and redder, the person should get tested for STIs to rule out herpes. Having herpes may seem embarrassing, but the infection is treatable and can be mild. It is important to get treatment as soon as possible to prevent future outbreaks.

Genital pimples can be uncomfortable, but most are harmless and cease away without any treatment or medication.

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Dr. Ramesh Mohanlal Maheshwari
Dr. Ramesh Mohanlal Maheshwari

Sexology

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