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Q. Can swelling in perianal area due to G-string mean herpes?

Answered by
Dr. Vedprakash Verma
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on May 17, 2019

Hello doctor,

A week back, I wore a G-string that was a little snug and I accidentally fell asleep in it. The next day, I noticed that my perineum and anal area were sore so that night I got a mirror and looked and noticed that there was a straight swollen line from my anus to my vagina opening right where the string sits. So I did a sitz bath and applied Neosporin and Destin and the pain stopped. This morning I checked on it and it is still swollen but no more pain unless I poke it with ny nail. Is it herpes?

Dr. Vedprakash Verma

General Medicine Internal Medicine


Welcome to

I have seen your images (attachment removed to protect patient identity), looks like perianal area is swollen secondary to explained injury. It will take a little time to heal completely. Kindly follow the following instructions:

1. Lignocaine gel for local application over perianal area before and after defecation.

2. Continue sitz bath for 4 to 6 minutes a day.

3. Tablet Combiflam 400 mg BID for three days.

4. Drink plenty of water.

5. Keep hygiene over perianal area.

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Thank you doctor,

So, it does not look like herpes? Because now it looks extremely swollen from me poking it I guess.

Dr. Vedprakash Verma

General Medicine Internal Medicine


Welcome back to

It does not look like anal herpes. Generally herpes present as a particular dermatome area, around anus but it is swelling in only one localised area. Second thing herpes has persistent itching, and burning like sensation, if you had recently unprotected intercourse, might be it can be simple fungal infection. You can use Canesten S ointment for local application. Do not worry, use above medication.

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