Dr. Dhepe Snehal Madhav
Venereology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Is it possible to get herpes on the penis from masturbation? I have a small white mark on the head of my penis and I get cold sores on my lips after two days.
I am currently on Phenytoin, Clonazepam for epilepsy, Tamsulosin and Dutasteride for enlarged prostate.
Hi,
Welcome to icliniq.com.
Attach a picture of the lesion for details.
Do you have papules, vesicles, or crust? Pain in lesion? Burning, tingling, or ulcer? Is it a primary episode or recurrent? Any lesion on the vermilion border of lips? Or genital lesions?
Patient's Query
Hi doctor,
Thank you for the reply.
While I do have some of the problems. Above my recurrent cold sores, it is the white mark on my penis that concerns me a lot. It does not irritate, tingle or burn and, if it is herpes, I must have got it from saliva or touching my cold sore then masturbating two days before there were any signs of the cold sore. Is this possible and does it look like herpes on the attached photo?
Hi,
Welcome back to icliniq.com.
The picture is blurry (attachment removed to protect patient identity).
Is there itching on the white spot? Any history of balanitis? Any lab tests performed for herpes?
Patient's Query
Thank you doctor,
No history of balanitis, no itching and I have not had a test. Is it possible to get herpes on the penis from masturbating two days before the cold sore shows?
Hello,
Welcome back to icliniq.com.
Herpes is not caused by masturbation. So it is not the cause. You can get an injury or traumatic lesions from excess rubbing, scratching, or harsh handling.
When herpes (viral infection) occurs it begins with itching sensation, papule, burning, vesicles, pain, tingling sensation, and crust formation. Usually the lesion heals within 10 to 14 days.
If the lesion is due to injury use Fucidin cream twice daily for seven days. Take tablet Zifi (Cefixime) 200 mg twice daily for five days. If herpes (confirmed by lab investigation) HSV1 or HSV2 take tablet Acyclovir 400 mg three times in a day at four hour interval for five days.
Maintain proper genital hygiene. Avoid excess scratching and rubbing of lesion. It can cause secondary bacterial infection. Wash your genital after sexual intercourse. Use neutral non-soap cleanser to clean genitals. Use warm water. Retract the foreskin and clean glans daily.
Are you a diabetic?
Patient's Query
Hello doctor,
Thank you for your prompt reply.
I am not diabetic. I have not had any of the symptoms you describe for herpes and have not had intercourse since March due to the lockdown. Do I take it that it is more likely to be damaged from masturbation than herpes?
Hi,
Welcome back to icliniq.com.
Yes, it is trauma or injury from rough handling (masturbation). Apply Fucidin cream twice daily for seven days. Avoid rough handling.
Patient's Query
Thank you doctor,
You have put my mind at rest.
Hi,
Welcome back to icliniq.com.
You are welcome. Keep in touch for further doubts.
Patient's Query
Hi doctor,
Thank you again for your time; I greatly appreciate it.
When I masturbated, I used my saliva as lubricant. Could I have got herpes through this, or do you still think it is due to rough handling? Bearing in mind, the masturbation occurred on Sunday morning, and the cold sore did not start to show until Tuesday.
Hi,
Welcome back to icliniq.com.
Is there a history of herpes simplex 1? Any reports or past episodes?
You should get tested for HSV1 and HSV2 to clear any doubts.
Patient's Query
Hi doctor,
Thank you for the reply.
Yes, I have had cold sores on my upper lip since I met my current girlfriend 15 years ago.
Hi,
Welcome back to icliniq.com.
Then it is possible to get an infection. Have you undergone lab investigation for herpes? What are the results?
If reactive, then I suggest you take tablet Acyclovir 400 mg thrice daily (at 10 am, 2 pm, 6 pm) for five days. Apply Fucidin cream twice daily for seven days (on lesions).
I hope this has helped you. Please feel free to reach me again, in case of further queries.
Thank you.
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