7:28 am - 04/01/2011

UPDATE: Can Genital Herpes Symptoms be cuts instead of blisters?

EDIT: I decided to edit this than make a new post.

I engaged in sex last night -- please don't ask, i was slightly drunk. we used a condom and didn't even finish -- but I remembered this morning about the cuts. Since I don't know what it really is, I feel really irresponsible. my cuts have gotten bigger as well. one of them is at least 3/4 an inch and the other smaller cuts...some of them are new. I'm really freaked out :(

The other question I have is that I put that YI prescription cream my gyno recommended a few weeks ago on the cuts. The cream is Nystatin and Triamcinolone Acetonide ointment. Do you think this will help my cuts? Finally, it says external use only. Some of my cuts have widened out due to the sex so you think this is a good idea or no?

**************************

Okay, I have to make this quick because I have to run to work.

Since my rape last year, my vagina has been totally different. it hurts at random, bumps, sometimes cuts. It's worse when I'm stressed out. These things go away about every 2 weeks, and I have no pain for a week, but then it just comes back. Today, I have like 3 or 4 cuts down there, and it's really painful. My gyno told me I do have hpv, and precancerous cells (i'm removing them), maybe it's genital warts? But I feel like if they were, i wouldn't have cuts.

Now, she said it could be genital herpes. But then I got tested for an IgM I/II and she said it couldn't be. I don't believe her. the guy on the on-call emergency line said it could still be herpes but I'd need an IgG or whatever.

So, I'm hoping to get that test soon but in the meantime to keep my sanity, can herpes symptoms be cuts and not blisters???

How do I handle having these cuts? I can't clean myself down there or rub my eyes or touch my face out of fear I may be spreading herpes to the rest of my body. I wash my hands ,but idk if that's enough.

Please help.
rowmyboat 1st-Apr-2011 11:36 am (UTC)
It could be. Get into the doctor when you've got them, and they can get a swab directly from the cut.

It could also be, say, a low-grade yeast infection, which would make your skin a little fragile and prone to tearing.
paraxeni 1st-Apr-2011 12:38 pm (UTC)
That's what I was thinking. It sounds like untreated yeast, which stress can exacerbate.
rainbowrawsugar 1st-Apr-2011 12:48 pm (UTC)
Cuts? Like they actually look like cuts?
If they do, I'm gonna say no. Herpes manifests itself as little white sores, that resemble blisters, and are extremely painful. Other symptoms to look out for with an active herpes outbreak is swollen lymph nodes in your hips just under your hip bones (so swollen you can see them while laying down/standing up, and they are hot and sore to the touch), fever, chills, vomiting/diarreah, and other general flu-like symptoms. If you have those other symptoms or have had them then it's a possibility and I would get to a GYN ASAP and have them swab the wounds. Also, make sure that you have them test for the type if it turns out positive.

Likely things that it could be are a bacterial infection which can set off the whole PH Balance in your vagina and cause things like odor, itching, burning and if you scratch yourself in your sleep or wipe hard it can cause these cuts to happen and will make even existing painful.
Second is a bad yeast infection, but I'm willing to put my money on the BI.
sandi1743 1st-Apr-2011 09:36 pm (UTC)
actually herpes has a number of presentations - the "classic" that everyone thinks of are the sores but it CAN present as "cuts" (usually called fissuring in medical terms) or it can also present as ulcerations (both painful and not). Some people present with discharge issues or thoughts that they have a UTI.
The culture typing has to be done as soon as the sores show up - after that the chance of have a good read on the culture test decreases.
To the OP - first off i am sorry that you have been though so much! If they tested you for the IgM then the test cannot be trusted. you need and IgG or a western blot 9both type specific). the IgM was discontinued by many blood testing companies due to its high rate of false -ive and +ives.
*hugs*
chchchanges2 2nd-Apr-2011 02:00 pm (UTC)
i was considering what you said last night about it possibly being herpes, but since i have these pains and cuts, it's never scabbed over or anything, which i hear is what herpes does. if this is an outbreak, it's never healed in 3 months. does herpes ever do that?
sandi1743 3rd-Apr-2011 02:00 pm (UTC)
yes. re-occurring outbreaks do occur with some people. some people scab others do not. also with women as our genitals tend to stay much more moist, scabs do not always form.
talia81 HSV-2 or YI or both22nd-Apr-2014 10:56 am (UTC)
It's sounds like my classic out break. I get them not to often except when I'm stressed out real bad. I used to think ok it's supposed to be a bump of some sort that's what people always told me. Wrong. I was raped almost 8 years ago and got this irritating disease. The outbreak I get is like long paper cuts and so when you pee it burns till you wipe dry. What happens once you wipe dry it then gets irritated and causes you to want to itch. I have only came up with one way to calm the sensation of itching by using a cooling wipe (monastate makes them) afterwards putting Vaseline on them. Doesn't completely take it away but does help.
archangelbeth 1st-Apr-2011 12:52 pm (UTC)
As said, it could be a YI, or herpes, yes, or even both, and swabbing is the only way to tell. A type-specific blood test for herpes might also be helpful, but remember that somewhere between 50 and 90 percent of everyone, depending on age bracket and country, has antibodies to HSV -- usually HSV-1, which is the usual cause of the common cold sore, which is what I have. (Anti-virals rock.)

If it is HSV, you should have antibodies by now. This means that unless your immune system is depressed by medicine or stress, it will tend to jump on any new virus particles and kill them before they make it to the spine to hide out. You are unlikely to spread the hypothetical infection by washing! It is still a good idea to wash your hands with soap between touching the possible HSV bumps and your mouth, inside of nose, and eyes, but the rest of your body is pretty okay if there are no open wounds. HSV of that nature hugely prefers mucous membranes, and would generally need blood contact to have any real chance of trying any other site without those damp areas.

You may wish to soothe the area by pouring water over yourself, such as when peeing, and stay well-hydrated so your urine is less concentrated and thus less likely to sting as badly in the cuts. You might want to get a prescription for acyclovir (or the generic of Valtrex, but if they can't get the Valtrex generic in, Valtrex itself is very very expensive) and just see if it helps. It is unlikely to cause harm. If you wanted to use plain, unsweetened yogurt on the area, that might help soothe a yeastie, and is equally unlikely to hurt if it is HSV after all.

If it does turn out to be HSV, please remember that it is, in the end, just a cold sore in a place society doesn't think logically about. I get oral cold sores! I used to get a huge one just in time for my drivers license photo, each time! They have tried to do chickenpox imitations from the corner of my mouth onto regular skin nearby, once. They are, in short, an unsightly and uncomfortable nuisance. But... They are only cold sores, too. When I take anti-virals, they go from outbreak to healing in a day. if I keep my lysine levels up, and my mmune system healthy (must take my vitamin D! Get your D tested?), they don't pop up much. Cold sores, wherever they show up, are treatable; I could take suppressive treatment for them, with daily antivirals, to really reduce the chance of being infectious, but my spouse is okay with just abstaining from mucous membrane contact during outbreaks and letting his probable antibodies take care of any asymptomatic shedding.

*offers hugs*
chchchanges2 1st-Apr-2011 05:07 pm (UTC)
My gyno said it was a yeast infetion more than likely but I don't believe her because even after I got the cream for it, the cuts and itching come back and I never heard of stress making yeast infectons worse. And my discharge is the same. Maybe I have these reactions due to my birth control? I got yeast infections before from using plan b. The pain did start the same time I started using monthly pills but I was raped be month before so I didn't think about it.

Still, of this is a yeast infection it's the worst and longest I have ever had. I am getting testes regardless. For some peace of mind...
paraxeni 1st-Apr-2011 06:55 pm (UTC)
Just because the cream alleviated the symptoms for a while that doesn't mean it killed it off. Your symptoms do sound like persistent yeast. You need a systemic treatment like fluconazole that can be prescribed by your doctor. Stress makes you much more susceptible to ALL infection. When you are anxious you release chemicals, stress hormones, that help prepare your body to either fight or run away from whatever is worrying you. Our bodies haven't really evolved past the days when we lived in caves, so if you're upset your body thinks 'TIGER!' or 'FIRE!' and releases those hormones. Now while those hormones are very useful in emergencies, if you're permanently anxious and constantly stressed and those chemicals are being pumped into your blood it depresses your immune system and makes you completely unable to resist infection. So yes, stress can make yeast infections worse by making you more likely to get one, less likely to be able to fight it off, and more likely for it to spread and worsen causing cuts and skin damage and soreness.
chchchanges2 1st-Apr-2011 07:25 pm (UTC)
Skin damage???
paraxeni 2nd-Apr-2011 08:51 am (UTC)
Nothing permanent! Stuff you do normally like wipe yourself after going to the toilet, washing, having sex or using tampons is normally fine because the membranes are kept moist and resistant to damage. If you get a bad enough yeast infection that goes untreated or resists treatment, normal actions can cause tiny tears and cuts and scrapes. You know how when leaves drop off plants they go from being shiny and plump to brittle and dry? It's a very similar sort of thing. It takes a little while to heal after a bad yeastie because it takes time for everything to rebalance. Hopefully you can get something like fluconazole that knocks the infection right out. Best of luck.
chchchanges2 1st-Apr-2011 08:04 pm (UTC)
I am going to try the cream out again. I was supposed to use it twice a day for ten days but I only used it for five because I felt better. Maybe it will go away because you are right. Herpes would not have outbreaksthat last this long right?
archangelbeth 1st-Apr-2011 09:13 pm (UTC)
If you only used the cream for half the time, you risk that you've given yourself resistant yeast. You may need to get a prescription version (if you didn't already), or use it for even longer than 10 days, to make sure any yeast is knocked out totally. Basically, with medicine... Never stop taking it just because you feel better, if you still have stuff left in the prescription. The way that it tends to work is to kill off the vast majority of the bad bacteria or fungus very quickly, but then it takes a longer time to smite the resistant bacteria or fungi. If you stop taking it when you have those resistant nasties around, before they, too, have succumbed... they will reproduce themselves and give you another infection that is now composed of stuff that sneers at whatever you used.

That which does not kill an infection risks making it stronger.

So definitely use the cream at least 10 days, and I'd suggest taking probiotics as well, either in pill form or in unsweetened yogurt form. If your vaginal pH is not acidic enough, the yeast will come back because it's easy for it to grow there; probiotics, in the form of lactobacilli, tend to make the vaginal pH more acid. (One of the few douches that it's pretty harmless to do is a vinegar-water solution, which can help. Boric acid may be another way to reacidify the vaginal ecosystem.)


Herpes outbreaks... Generally last a week or two, orally, for me (if I don't use the anti-virals). A chunk of that is "healing time" where it's gone to scab but I keep chewing on it because I do that. (Oops. >_> ) I have, however, had times when one would pop up just as another was nearly faded out -- that's when I said, "Heck with this!" and got a prescription for Valtrex. So I can't rule it out 100%, if only because I'm almost never 100% sure of anything. People have mistaken herpes for yeast. But that means that bad yeast could look like genital herpes, too, and if you have a test ruling out herpes, treating for yeast is the way to bet.

Good luck!
chchchanges2 1st-Apr-2011 05:11 pm (UTC)
Also I have only had chickenpox once when I was five and I have never had a cold sore. Does that mean I am immune maybe? Or a sign that I cant get herpes down there? Even when I have hpv?
queensugar 1st-Apr-2011 05:51 pm (UTC)
Chicken pox, to my understanding, isn't similar enough to HSV that the antibodies would offer you protection against genital HSV. I wouldn't suspect you were immune.

That said, it does sound more like a yeast infection to me -- the little cuts are fairly typical of an external yeastie, and a lot of VPers report a similar things. It may just have been that it wasn't treated fully the first time, or that your HBC is triggering a YI in you (it can in some people). It also seems like you're getting outbreaks too soon together to be likely to be HSV.

Can you ask your doctor to swab for yeast as well as HSV? That way you'll know for sure.

Hugs and good luck.
cheeseydreams 1st-Apr-2011 05:55 pm (UTC)
Chickenpox is a a different strain of human herpesvirus, so unfortunately having chicken pox does not make you immune to oral or genital herpes.

Edited at 2011-04-01 05:55 pm (UTC)
sandi1743 1st-Apr-2011 09:40 pm (UTC)
yes - they are all Herpesviridae Family members but chicken poxes or mono do not cross protect for herpes 1&2
septicidal 1st-Apr-2011 04:30 pm (UTC)
I've been having issues with cuts/small abrasions as a result of a stubborn yeast infection coupled with a poor reaction to hormonal birth control (according to my doctor, who has examined and tested me thoroughly).

One of the things that I have found VERY helpful is to use extra-strength diaper rash cream with zinc in it (the white, thick stuff - I have the generic version of Desitin Rapid Relief). The zinc forms a protective coating over the cuts so that when you urinate, the cuts are shielded from the urine and you don't get the horrible pain. The cream also contains vitamin E and other things to make it feel more soothing and help your skin feel better. At night, I've found it to be extremely helpful because it soothes any itching or pain I might be experiencing (and I get to fall asleep faster).

Since it sounds like this has been going on for a while, I would recommend asking your doctor what else it could be and if there are any other treatment options available to you. My doctor prescribed a prescription anti-fungal cream that also contained a steroid to try to get a particularly stubborn rash resolve itself, after oral medication failed to completely resolve the issue.

In the meantime, the diaper rash cream coupled with sitz baths may help you feel some relief. For sitz baths, you want to soak the affected area with hot water with dissolved epsom salts in it. I have occasionally found this to sting a bit when cuts have been very bad, but the baths ultimately speed healing as the use of very hot water increases circulation and the salts... I forget exactly what they do, but sitz baths are always the first suggestion the nice nurse at my doctor's office has when I call about this type of genital discomfort. Whatever is ultimately causing it, the use of sitz baths (provided you're doing them correctly, not burning yourself with super-hot water or something) and a gentle diaper rash cream can't really harm you or make the problem worse. If you have super-sensitive skin or have had irritation develop from products containing ingredients in the diaper rash cream, I would recommend testing the cream on a less sensitive area, like the inside of your wrist, to make sure you won't have a bad reaction to it. Since it's made for babies with VERY sensitive skin, it's very gentle and not likely to cause problems.
okamikaze 2nd-Apr-2011 03:44 am (UTC)
This sounds like a good idea!

Another alternative could also be plain vaseline to protect the cuts when you go to the bathroom. Definitely helped me when I had my first genital HSV-1 breakout and it hurt SO BAD every time I peed. D: It also helps keep moisture there and a little bit of a protective layer between your skin and clothes. Another thing that helps with soothing the area and moisturizing it is coconut oil! It's slightly antifungal and antibacterial, so it helps in the fight too!


becala 1st-Apr-2011 09:40 pm (UTC)
This really does sound like a YI to me- it sounds a lot like what I've had before, anyway. Definitely follow up with a swab when the lesions are active, but I'll just tell you a little bit about my history for comparison:

I basically had the same recurring/persistent yeast infection for years on end. I got my first one at age 14, and I didn't get free of the yeast for more than 2 months running until I was 24 years old, when I went on a one-month no-sugar/no-carb candida cleanse diet. Then I stayed free of yeast symptoms for 5 months, until I went to Ireland and began drinking beer almost daily. (I didn't drink almost at all before that trip.)

Since finding out I have a wheat intolerance and going gluten-free, I have only had one or two yeast infections, and they were treatable with over the counter creams, rather than diflucan and prescription cream. But to this day, if I go in and have a culture done, I test positive for a yeast infection, even though I am asymptomatic. Seriously, every time. When I go in for a pap or for any other pants-down appointment, even if I am feeling great down there, I have them do a culture just for curiosity, and it always says I have a yeast infection.

Anyway, I am weird and I'm not saying that you're the same. I'm just saying that yes, you can still have a yeast infection, even though you used the cream, even if you used it all the way through. You can also have a yeast infection even if you have no symptoms.

Edited at 2011-04-01 09:42 pm (UTC)
Lisa Smith Ugh17th-Apr-2013 06:45 am (UTC)
I am in the same boat I've had this yeast infection for about a year now and it's not going away....I'm scared it is in my blood and that freaks me out..I also have sores but they are only on the left side of my vagina lower closer to my anus.....they do not heal though!! Does herpes heal at all? I've had sex with one person ( a one night stand which I know is bad but oh well it happened) I went to the gyno she did a swab test that came back negative (false negative? is what I'm worrying about) also she said it didn't really look like herpes..it looked like the sores were caused by yeast.....she prescribed me triamcinoline nystatin cream which is a steriod and antifungal but it doesn't really help....except I did get one of these sores near my clitoris ( I put the cream on there and it went away overnight which is weird) I've read that herpes can affect the top of your clitoris and between your lower vulva and anus.....so that's where I'm having the small lesions...(the top ones heal though but tend to come back every 3 weeks) some look like thin small cuts and then some look round (near my lower left vulva)....they are not white and pussy though..just red and aggrivating...not that painful just very annoying....also I don't ever see blisters ( but is that period so short during herpes it is easily not seen?)


please help....I've been worrying about this for a couple months now .... I plan on going to the doctor soon but in the meantime need some solid advice...


can yeast only infect one spot or area? wouldn't it spread and cause lesions on the right side?

thank you
Amanda Peliti Re: Ugh5th-May-2014 04:01 am (UTC)
I have the same thing happening but I don't have insurance right now so haven't went to the doctor. Did you figure out what it could be?
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