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Treatment for recurring outbreak of GENITAL HERPES.

Resolved Question:

I think I have a recurring outbreak of (what I now believe to be) genital herpes on my buttock. I thought this was some form of a cyst but after looking online and the fact that it is repeating in the same area I think otherwise. It is about the size of a quarter in diameter.

I have not had relations in years,,,I am divorced and single. I am embarrassed and would rather not go to a doctor.

Can I use Abreva to address this? What other recommendations do you suggest, please.

Thank you.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 22 Doctors Online

Thanks for your query at
Can you please upload some pictures so that I can help you.

Patient replied :

I do not feel as though the question was answered - or addressed.

I cannot post photos as the rash is on the rear of my body. Nothing was mentioned abour using Abreva or other treatments for genital herpes. Nothing was mentioned at all. I do not smoke, drink, have allergies, surgery or HBP or diabetes.
this shows up in the very same spot...this is the 3rd time in about a 12 month period. Please answer directly about the Abreva or other helpful ideas.

Thank you

Thank you for your follow up.
Yes with the history that you have provided it does seem like herpes ( HSV-2 ).
In herpes infections typically there will be a rash between the scrotum and anus, with/without a clustering of sores. They are extremely painful. The rash can even appear in the inner region of thighs or on the glans.
Since you got it for the third time in last one year, it mostly is herpes.
Abreva can't be used for herpes involving the genital region. They are useful in cases os fever blister but not rash in the buttocks or genital region.
You can start Acyclovir therapy ( 200 mg ) and this helps in reducing the number of outbreaks in the future, as well as reduces the rash. Also, herpes outbreaks can't be predicted. They can arise any time due to other concurrent infections or in periods of stress. So in the future the moment you see an outbreak has occurred, you need to start Acyclovir therapy right away as treatment initiated within 24 hours reduces the severity as well as leads to faster healing.
Hope this was helpful,

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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