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Another question for my answered question: herpes, hpv, and now shingles confusion



                                         
Asked by Unregistered (Female0; HPV, shingles ) on Sun 10, Aug 2008 08:47pm :

Thank you for your quick response. Though I am only 20, I had herpes zoster (shingles) on my hip back in February. I was prescribed Valtrex and symptoms went away quickly. The pain I am experiencing in my genitals is veeery similar to the pain I had with shingles. However, I looked at a diagram of a nerve path adn saw that having shingles on my genitals would not follow the same nerve path as what was on my hip. So should I rule out shingles or is it possible to have reoccuring shingles in a different nerve path on my body months after my last outbreak? Thank you :) Ps also thought I should mention my blisters are not fluid filled so much as slightly raised, slightly darker pink, streaks (about the width of an eraser max and half an inch long. One is on the left side of my labia, the other is below my clitoral area) ----- I am experiencing symptoms of herpes (redness, pain when i touch the area, and now little lesions). is it possible that these are caused by my hpv warts and not herpes? ive read that hpv warts aren't painful but this is. also the area was painful a few weeks ago and the lesions didnt form till today whcih makes me think its not just my hpv Answer: Hi, HPV infection produces very different effects from that of HSV infection. If you have been exposed to HSV infection, do have yourself tested with a blood test to confirm presence of infection. You are right that the redness and pain could be due to the HSV infection, especially as it is associated with the lesions that are little, fluid-filled vesicles. If there is severe pain that is aggravated by simple touch, it points to an infection with HSV as it affects the nerves in a region. Another differential that needs to be ruled out is herpes zoster. This is not really herpes but is an activation of the varicella zoster virus (chicken pox) and can occur in individuals who have had chicken pox in the past. There is no cure for herpes infection, though there are treatment modalities that help manage the pain during periods of reactivation. Ensure that you maintain your immune system well with immunity boosting agents, such as vitamin C. Do keep us posted. regards,
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