Q. I got three blisters under my foreskin after unprotected sex. What to do?

Answered by Dr. Rakesh Kumar Bahunuthula and medically reviewed by iCliniq medical review team.

 

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Image: I got three blisters under my foreskin after unprotected sex.  What to do?

Hello doctor,

I had unprotected sex two weeks ago. From the last two days, I am having pain and irritation while urinating. I took four tablets of Azithromycin 250 mg, three days ago. Then I took Doxycycline 100 mg, a day back. I do not have pain during urination now. But, I have three blisters or red dots under my foreskin, and it pains when I touch. I am applying Candid cream on it from two days. I am attaching a picture of these spots.


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Dr. Rakesh Kumar Bahunuthula
MBBS., MD DVL., DNB DVL., FELLOWSHIP DERMATOPATHOLOGY
Cosmetology, Dermatology, HIV/AIDS Specialist, Venereology

Hi,

Welcome to icliniq.com.

I have seen the attached picture (attachment removed to protect patient identity).

  • Your clinical lesions are in favor of genital herpes. This is a viral infection, which is sexually transmitted. Candid B (Clotrimazole and Beclomethasone) is an antifungal with steroid, and it should be avoided, as steroids are not indicated during infections.
  • I suggest you try taking the following medicines. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.
  1. Tablet Acivir (Acyclovir) 400 mg, three times a day after food for a week.
  2. Tablet Levocet (Levocetirizine) 5 mg, once daily after dinner for a week.
  3. Tablet Dolo (Paracetamol) 650 mg, twice daily after food for five days.
  4. Bactafuz cream (Fusidic acid) for local application, twice daily for a week.
  • I suggest you do the following tests:
  1. HIV (human immunodeficiency virus) by ELISA (enzyme-linked immunosorbent assay).
  2. HBsAg (hepatitis B surface antigen).
  3. Anti-HCV (hepatitis C virus).
  4. VDRL (venereal disease research laboratory).
  5. HSV (herpes simplex virus) for IgM (immunoglobulin M).

For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist


 

Hello doctor,

I have got Acyclovir 400 mg tablet. Is herpes completely curable? What should I do to prevent this in future? Should I take all the three tablets or only Acivir is enough? What should be my diet until I am cured? If I take just the tablets, will the blister go away from my penis? Can I apply Bactafuz cream directly on the red dots? What if I do not get Bactafuz? Can you please recommend an alternative medicine?

 

Dr. Rakesh Kumar Bahunuthula
MBBS., MD DVL., DNB DVL., FELLOWSHIP DERMATOPATHOLOGY
Cosmetology, Dermatology, HIV/AIDS Specialist, Venereology

Hi,

Welcome back to icliniq.com.

  • I suggest taking Acyclovir thrice daily for a week. Dolo and Levocetirizine are for pain, itching, and redness, and it is advisable that you use them accordingly for a quicker relief. You can use any other Fusidic acid cream. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.
  • Apart from taking plenty of water, there are no dietary changes advised. Herpes can have recurrences, but the use of treatment now will cure the present episode.
  • To prevent this in future, you need to use adequate protection during intercourse.

For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

 
 
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