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STDs & Related Infections
Question #15484
45 days ago
163

What could this even be please? - #15484

Uche Bernard

Firstly, if one had blisters from since February around the 16th (first) and has had over 25+ blisters in 9 months with each blister healing in like 4-5 days in between, painless, doesn’t itch or burn and did a test in July for herpes 1 & 2 with HSV1 - 1.12 and HSV2 - 1.15 index value, HIV negative, Hepatitis B and C negative, active gym goer, syphilis negative too just decide to put it out there too, what could the problem be

Herpes contact dermatitis skin issue blisters
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See painless blisters on penis can range from simple fordyce granules to molluscum contagiousum Even there can be chances of syphilis or herpes As per your clinical history neither they are herpes not syphilis However as per details provided, I think they are fordyce granules which are physiological painless growth But for confirmation i request you to please get following tests done Dermascopy Naat Herpes PCR Vdrl CBC FTA-AB Please share the result with gynaecologist or sexologist in person for better clarity Also donot take any medication without consulting the concerned physician Hopefully you recover soon Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
44 days ago
5

Hello uche bernard By going through your history and evaluation of your health status I must say that Given your symptoms and test results, the most common cause of recurring blisters in this area is genital herpes (HSV-1 or HSV-2). Your IgG index values are just above the cutoff, which can mean a very early or mild infection, or sometimes a false positive. However, the pattern—recurrent, short-lived blisters with symptom-free intervals—fits herpes best, even if they’re painless and not classic but There can be other possibilities too like - - Friction blisters: If you’re very active at the gym, repeated friction could cause blisters, but usually these are not so regular or persistent.

Precautions and suggestions - - See a dermatologist or urologist:They can examine the blisters when they appear and may do a swab test for HSV, which is more accurate than blood tests. - Keep track of triggers:Note if gym activity, sweating, or anything else seems to bring on blisters. - General care:Keep the area clean and dry, avoid friction, and use protection during sexual activity.

You will get fine soon

Thank you

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Blisters that persist over several months and have consistent patterns like those you described can be puzzling, especially when standard tests have ruled out common viral infections like herpes and others like syphilis, HIV, Hepatitis B and C. Given the ongoing nature, the negative test results, and the symptoms you’ve shared – painless and without itching or burning – here are a few potential considerations. It’s possible that you might be dealing with a condition unrelated to infectious causes, such as a dermatological issue like dyshidrotic eczema or a form of dermatitis, which don’t always itch or cause pain but do lead to blister formation. Autoimmune blistering disorders could also be considered, though these are usually accompanied by more severe symptoms, and a biopsy might be needed to investigate further. A contact allergy or sensitivity could also be causing recurrent blistering, especially if related to materials in gym equipment or clothing. Seguential allergic testing or an assessment by a dermatologist might provide insights if an external allergen is involved.

Another possibility is a mild immune-related issue. While your gym activities are commendable, intense physical exertion can sometimes uncover or aggravate underlying conditions. Repeated blister formation warrants a thorough evaluation beyond standard tests. Subtle factors including minor changes in lifestyle, stress, diet, or even exposure to new environments can contribute to unrecognized triggers.

Next steps should include monitoring for any new accompanying symptoms, documenting any activities or environmental changes correlate with blister occurrence, and consulting with a dermatologist or primary care physician who might recommend additional specialized tests. If nothing has changed in your routine, then a detailed examination, potential biopsy, or referral to a specialist in dermatological or immunological conditions might be necessary. This will ensure that a small but possibly significant factor isn’t overlooked and you receive an accurate diagnosis and appropriate treatment tailored to your situation.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello,

🛑Your HSV-1 (1.12) and HSV-2 (1.15) results fall in the low-positive range, and your symptoms DONT MATCH typical herpes — herpes blisters usually hurt or itch, last longer, and don’t recur 25+ times in 9 months.

Painless blisters that heal in 4–5 days are more likely caused by non-STD conditions such as friction blisters from the gym, dyshidrotic eczema, folliculitis, or contact reactions

Please do HSV WESTERN BLOT TEST . or INHIBITION ASSAY

Your symptoms do not fit herpes,

Please consult a dermatologist in person when you have active blister.

I hope this helps Thank you

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