My perineum burns when I pee, and I have a swollen lymph node in my groin. What is it?

Question

Hi doctor,

I am a 21-year-old female, and my perineum is burning when I urinate. It does not hurt to urinate but stings or burns my perineum and the skin around it. My anus is also sore. It does not hurt when I defecate, but when I wipe, it feels like sandpaper. I wince in pain, then hop in the shower and clean myself that way. I have been with the same partner for five years and just got a PAP smear last month. I have not engaged in any sexual activity for the past two weeks because I thought it would be painful. I also have a swollen lymph node on the left side of my groin. About two years ago, I had a swollen lymph node, but I do not remember the cause. Also, currently, I am taking allergy medications and vitamin supplements. Can you please help me?

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern. History of the perineal symptoms along with swollen lymph nodes increases the possibility of genital herpes. Many people have herpes viruses in their bodies, and anyone sexually active can become infected. Also, the virus may remain inactive for months or years before causing an outbreak of genital herpes. It is usually transmitted by people who do not know that the virus has infected them. Women are most susceptible to infection because of their sensitive mucous membranes. Common triggers include constant emotional stress, common colds, physical exertion, skin injuries, and menstruation. Diagnosis can be confirmed by examining skin samples and by the presence of herpes antibodies. Treatment includes antivirals like Acyclovir, which helps to reduce the severity and duration of outbreaks. Other possibilities include anal abscess and yeast infection. I hope this helps.