What causes painful vulval lesions?
Patient's Query
Hello doctor,
I recently developed painful vulvar lesions and they have been increasing over the past three days.
Please help.
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.
- PCR (polymerase chain reaction) for herpes simplex type 2.
-
VDRL (venereal disease research laboratory) and TPHA (treponema pallidum hemagglutination)
-
HBsAg (hepatitis B surface antigen).
-
Anti-HCV (hepatitis C virus).
-
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?
Same symptoms don't mean you have the same problem. Consult a doctor now!
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