Hello doctor, I have small rashes in pubic area. I masturbate with a fabric usually so thinking this might have irritated it in small scales. I used Neosporin on it and it healed. I just heard people can get herpes with mild symptoms or be asymptomatic. The itchiness at first is what worried me. No blisters or lesions just white scaly flat skin. Please suggest.
Hi. Scaly itchy rash in your pubic area is fungal infection exacerbated by irritation due to fabric. You have to be gentle with yourself and use ample lubrication like oil and it should not be irritating. As it is going on since 1 year as I can make out from the history you have given and it responded to Neosporin, there may be a secondary bacterial infection. As you worry about herpes, herpes simplex do cause lesions in genital area but lesions are different. They occur recurrently like every month or every two or three months in susceptible individuals. The lesions in you are not suggestive of herpes simplex. They are like blisters. Even if you may be infected with herpes simplex if you do not have lesions, you need not worry you will never have. You are actually immune to herpes but still can transmit to others. For the present lesion, I advise you not to irritate the area, do not use infective things over the area and keep it clean and dry. Do not use any harsh soaps or solutions which may irritate. For fungal infection I advise you tablet Terbinafine 250 mg BD for two weeks with meals. For itching, tablet Loratadine 10 mg OD for 10 days or when itches, Terbinafine cream twice daily for two weeks, Mometasone cream once daily for five days, Mupirocin ointment twice daily for five days. Review after 2 weeks. Fungus. Koh scrapping. Herpes genitalis. Tinea cruris. Antifungal and general measures. Avoid irritants. Use moisturizers, be gentle.