HomeAnswersDermatologygenital wartsCan herpes infection present without blisters?

I masturbate using a fabric and it caused small rashes in pubis. Can this be herpes?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 7, 2020
Reviewed AtJanuary 3, 2024

Patient's Query

Hello doctor,

I have small rashes in pubic area. I masturbate with a fabric usually so thinking this might have irritated it in small scales. I used Neosporin on it and it healed. I just heard people can get herpes with mild symptoms or be asymptomatic. The itchiness at first is what worried me. No blisters or lesions just white scaly flat skin. Please suggest.

Hi,

Welcome to icliniq.com.

Scaly itchy rash in your pubic area is fungal infection exacerbated by irritation due to fabric. You have to be gentle with yourself and use ample lubrication like oil and it should not be irritating. As it is going on since 1 year as I can make out from the history you have given and it responded to Neosporin, there may be a secondary bacterial infection. As you worry about herpes, herpes simplex do cause lesions in genital area but lesions are different. They occur recurrently like every month or every two or three months in susceptible individuals. The lesions in you are not suggestive of herpes simplex. They are like blisters. Even if you may be infected with herpes simplex if you do not have lesions, you need not worry you will never have. You are actually immune to herpes but still can transmit to others. For the present lesion, I advise you not to irritate the area, do not use infective things over the area and keep it clean and dry. Do not use any harsh soaps or solutions which may irritate. For fungal infection I advise you tablet Terbinafine 250 mg BD for two weeks with meals. For itching, tablet Loratadine 10 mg OD for 10 days or when itches, Terbinafine cream twice daily for two weeks, Mometasone cream once daily for five days, Mupirocin ointment twice daily for five days. Review after two weeks.

The Probable causes

The probable cause is fungus.

Investigations to be done

Do Koh scrapping.

Differential diagnosis

The differential diagnosis is Herpes genitalis.

Probable diagnosis

The probable diagnosis is Tinea cruris.

Treatment plan

Take Antifungal and general measures.

Preventive measures

Avoid irritants. Use moisturizers, be gentle.

Patient's Query

Thank you doctor,

Do you know anyways I can prevent it from happening again? Since I was a teen I get rashes in my pubic area and pimples. I am a clean person. But I do wear tight fit underwear and exercise a lot. I also have sensitive skin because I am red haired and fair skinned.

Hi,

Welcome back to icliniq.com.

You can prevent itchy red rash by avoiding wetness so keeping it dry. Tight undergarments do allow moister from sweat to collect and promote fungal growth. Exercise also does so. Take a bath after sweating ceases and wear clothes after proper drying only. Airy clothes prevent moisture. Hair should also be trimmed. Scratching also allows the fungus to grow. Take the treatment I advised and tab Loratadine when itches.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Subhash Kashyap
Dr. Subhash Kashyap

Dermatology

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