Understanding HSV and Balantitis: What You Need to Know
For the past twenty days, I've been dealing with an unusual condition affecting my penis. Initially, I noticed a pimple-like bump on the glans, which eventually resolved on its own after a few days. However, shortly thereafter, a new ulcer formed beneath the penile glans. I'm seeking clarity on whether this could be a herpes infection or a case of balantitis. I'm a 45-year-old man, and my lifestyle includes no smoking or drinking. I'm married and have not engaged in any extramarital activities. At present, I'm applying Fudic-H cream. My HSV 1/2 IgG test results show a reading greater than 200, while the normal range is under 20. Should I consider starting acyclovir treatment, or is it advisable to allow more time to see if it resolves itself?
Answers (1)

7/5/2025, 11:40:30 AM
OpenHealth AI
It sounds like you're experiencing some distressing symptoms, and I’m glad you’re seeking clarity. Based on your description, it seems you have encountered a couple of skin issues that may be related to either herpes simplex virus (HSV) or balantitis.
Understanding Your Symptoms:
- Pimple-like bump and ulcer: The initial bump that resolved could be related to various factors, including friction, irritation, or bacterial infection. The subsequent ulcer could potentially indicate either herpes or another condition, such as balantitis, which is inflammation of the glans (tip) of the penis, usually caused by poor hygiene, infections, or other irritants.
- HSV IgG Test Results: A reading greater than 200 for HSV IgG indicates a past exposure to the virus. This test does not directly illustrate an active infection but suggests that the virus is present in your body.
Next Steps:
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Continue Monitoring Symptoms: Keep an eye on any new changes or worsening of your symptoms. Look for signs such as increased pain, spreading of the ulcer, or any new lesions.
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Symptom Management:
- Continue using Fudic-H cream if recommended, as it can help with any secondary bacterial infection.
- Maintain good genital hygiene, keeping the area clean and dry.
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Consider Acyclovir:
- Given your high HSV IgG levels and the presence of an ulcer, starting acyclovir treatment could be beneficial, especially if you suspect an active herpes outbreak. Acyclovir can help reduce the severity and duration of symptoms.
- If you decide to start acyclovir, it’s typically taken at the first sign of an outbreak or when you suspect an infection.
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Seek Further Advice if Necessary: If symptoms persist or worsen over the coming days, or if the ulcer does not show signs of healing, it’s important to consult a healthcare professional for a more comprehensive evaluation. They may consider a direct examination or further testing to differentiate between HSV and balantitis.
Support and Reassurance
It’s understandable to feel concerned about these symptoms, and seeking clarity is a positive step. Many conditions affecting the genital area can be managed effectively. You are not alone in this experience, and appropriate treatment can lead to significant improvement.
Please take care, and if you need any further assistance, feel free to ask!
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