What does it mean when blisters appear on a man's reproductive organ?

Written by Liu Gang
Dermatology
Updated on February 15, 2025
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Blisters in the male genital area are mostly genital herpes. This is caused by infection with the herpes simplex virus type 2 and is clinically a sexually transmitted disease. It is generally contracted through direct sexual contact. Once this disease occurs, it is generally not possible to completely eradicate it, and the virus will be carried for life. During an outbreak, antiviral medications can be used for treatment, such as taking oral acyclovir tablets and applying acyclovir ointment. Recovery generally takes about a week. However, recurrences can occur if immunity decreases or if one consumes spicy and irritating food. Some patients may trigger the disease with every sexual encounter, so it is essential to maintain proper dietary and lifestyle habits. (Use medication under the guidance of a doctor)

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Written by Luo Hong
Dermatology Department
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Is genital herpes serology accurate?

Serological testing for genital herpes in hospitals generally provides testing for type 1 and type 2 viruses, including IgM and IgG. Over 90% of genital herpes cases are primarily caused by type 2 virus, so the focus is typically on type 2 virus IgG and IgM. However, IgM represents an active infection, meaning a current infection stage. If IgM is negative and IgG is positive, it indicates a past infection. These results are generally accurate, but their timeliness is not as high as DNA's timeliness. Therefore, if possible, it is best to collect vesicle fluid on the first or second day of a herpes outbreak and use PCR to test the DNA for the most accurate results.

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Written by Luo Hong
Dermatology Department
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Can genital herpes in women heal by itself?

Genital herpes has an intermittent onset because herpes cannot be said to be cured and never recurs. The herpes virus congregates at the sacral nerve roots in the human body. Therefore, when immunity is low, the virus travels along the sacral nerve root to the surface of the skin, causing damage in spots, commonly known as a recurrence of herpes. Thus, genital herpes does not heal on its own; it is merely in a quiescent phase of an outbreak. Therefore, genital herpes is generally harder to treat in females than in males because the female body has a cavity, and herpes inside the cavity may not be visible.

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Written by Wang Zhi Guo
Dermatology
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Is genital herpes incurable forever?

Genital herpes is a common sexually transmitted disease characterized by its tendency to recur frequently. It often flares up when the body's resistance is low, during sleep deprivation, fatigue, or after drinking alcohol. Genital herpes is not incurable; it is generally treated with oral antiviral medications such as acyclovir, famciclovir, or valacyclovir. Topical applications, like acyclovir cream or penciclovir gel, can also be used. Recovery generally takes about a week. For those who suffer from frequent recurrences, oral immunomodulatory drugs such as thymopentin or pidotimod can be taken. Additionally, it’s important to exercise, avoid alcohol, and enhance the body's resistance to potentially achieve gradual recovery.

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Written by Xie Ming Feng
Dermatology
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How long is the incubation period for genital herpes?

The incubation period of genital herpes generally ranges from 2 to 14 days, with an average of 3 to 5 days, meaning that patients might not exhibit any symptoms during the incubation period. After this period, erythema can appear around the external genitalia, followed by the development of papules, vesicles, erosions, ulcers, and crusts, which may be accompanied by pain, burning sensations, and itching. The local lymph nodes may swell, and some patients may experience headaches, fever, and fatigue as systemic symptoms.

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Written by Xie Ming Feng
Dermatology
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Can genital herpes be completely cured?

Genital herpes is a chronic, recurrent, and difficult to cure sexually transmitted disease caused by the infection of the herpes simplex virus in the urogenital and perianal skin and mucous membranes. Currently, there is a lack of drugs in clinical practice that can kill the herpes simplex virus, and also a lack of methods to kill the virus, therefore genital herpes cannot be completely cured.