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Herpes on the glans usually manifests as genital herpes, which is mainly caused by herpes simplex virus type 2 infection. The typical symptoms are clusters of small blisters with pain or burning sensation. Genital herpes is a sexually transmitted disease and requires prompt medical diagnosis.

1. Early symptoms

In the early stage, local skin redness, slight itching or tingling on the glans can be seen, followed by transparent blisters ranging from the tip of a needle to the size of a rice grain, often distributed in clusters. The blister wall is thin and easily broken, and may be accompanied by enlarged inguinal lymph nodes. The virus is highly contagious at this time, so sexual contact should be avoided and the affected area should be kept clean and dry.

2. Performance during the progress period

After the blisters rupture, superficial erosion or ulcers form, with yellow exudate on the surface, and the surrounding skin continues to be red and swollen. Some patients will experience systemic symptoms such as pain on urination, fever, and headache. At this stage, antiviral drugs such as acyclovir cream and penciclovir ointment must be used as directed by the doctor, along with wet compresses of normal saline.

3. Recurrent attacks

About half of patients will relapse, with skin lesions mostly appearing at the original site and symptoms milder than the first time. Fatigue and reduced immunity may induce relapse. Long-term and repeated infections may cause pigmentation or scarring of the glans skin, and oral valacyclovir tablets are required for suppressive treatment.

4. Risk of complications

If not treated promptly, bacterial infection may result, resulting in purulent discharge and severe pain. People with HIV infection may develop large ulcers. Infection in pregnant women may be transmitted vertically to the fetus, causing neonatal herpes.

5. Differential diagnosis

It needs to be distinguished from balanitis, syphilitic chancre, fixed drug eruption and other diseases. Herpes ulcers have jagged edges and a moist base, while syphilis ulcers are hard and painless. Diagnosis can be confirmed by HSV antibody testing or viral culture.

After genital herpes is diagnosed, you should avoid scratching the skin lesions and wear loose cotton underwear to reduce friction. Sexual partners need to be examined and treated simultaneously, and unprotected sex is prohibited during treatment. Pay attention to strengthening immunity every day, ensuring adequate sleep, and properly supplementing vitamin B and zinc. In the acute stage, cold compresses can be used to relieve pain, but it is forbidden to use hormone ointments by yourself.