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What causes painful vulval lesions?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I recently developed painful vulvar lesions and they have been increasing over the past three days.

Please help.

Answered by Dr. Shanza Ikram

Education:

FCPS

Professional Bio:

Dr. Shanza Ikram is a highly experienced Dermatologist specializing in the diagnosis and treatment of skin, hair, and nail disorders. She is skilled in both medical and cosmetic dermatology, offering advanced treatments for conditions like acne, eczema, pigmentation, and aging concerns. With her patient-focused approach, Dr. Ikram provides personalized care to promote healthy and radiant skin.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have gone through your case.

I have examined all the pictures (attachment removed to protect the patient's identity) and most likely these are herpes simplex virus infections. Now herpes on the vulva and vagina is most likely sexually transmitted. You need to go through all STI (sexually transmitted infections) profiles. Get your following tests done immediately.

  1. PCR (polymerase chain reaction) for herpes simplex type 2.
  2. VDRL (venereal disease research laboratory) and TPHA (treponema pallidum hemagglutination)

  3. HBsAg (hepatitis B surface antigen).

  4. Anti-HCV (hepatitis C virus).

  5. HIV (human immunodeficiency virus) antibody.

Meanwhile, apply Acyclovir ointment two to three times a day. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent. But there is no harm in taking these medications as well because there is a likely chance that you may have both. Moreover, there is a chance that your partner is having an inactive carrier stage and then transmitted to you. You both need investigation. No condoms do not cause such sores.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

If it is indeed genital herpes; then will taking an antiviral like Acyclovir help at all?

Answered by Dr. Shanza Ikram

Education:

FCPS

Professional Bio:

Dr. Shanza Ikram is a highly experienced Dermatologist specializing in the diagnosis and treatment of skin, hair, and nail disorders. She is skilled in both medical and cosmetic dermatology, offering advanced treatments for conditions like acne, eczema, pigmentation, and aging concerns. With her patient-focused approach, Dr. Ikram provides personalized care to promote healthy and radiant skin.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Yes, it will help. Take tablet Acyclovir 400 mg three times a day for seven to 10 days. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 15, 2024
Reviewed At August 15, 2024

Education:

FCPS

Professional Bio:

Dr. Shanza Ikram is a highly experienced Dermatologist specializing in the diagnosis and treatment of skin, hair, and nail disorders. She is skilled in both medical and cosmetic dermatology, offering advanced treatments for conditions like acne, eczema, pigmentation, and aging concerns. With her patient-focused approach, Dr. Ikram provides personalized care to promote healthy and radiant skin.

This doctor is not available for online consultations on the platform anymore.

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

Education:

FCPS

Professional Bio:

Dr. Shanza Ikram is a highly experienced Dermatologist specializing in the diagnosis and treatment of skin, hair, and nail disorders. She is skilled in both medical and cosmetic dermatology, offering advanced treatments for conditions like acne, eczema, pigmentation, and aging concerns. With her patient-focused approach, Dr. Ikram provides personalized care to promote healthy and radiant skin.

This doctor is not available for online consultations on the platform anymore.

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