Ever wondered how these pimples know the exact time to appear when your most-awaited occasion comes? Well, we still are figuring this out, but what if, instead of a face, they decide to appear on the genital area? Will we simply call them genital pimples or genital herpes?
When bumps appear in the genital area, it’s important to rule out infections and speak with a provider. A virtual doctor can help diagnose the infection and provide herpes medication online. In this blog, we will differentiate genital pimples from herpes by the location of their origin, appearance, color, and consistency of the fluid-filled pimple.
Genital Pimples
Genital pimples are similar to pimples that can occur on other parts of the body. Genital pimples can sometimes have a white or yellowish center, resembling a typical pimple. Genital pimples have no origin related to viral causes. It is mostly the colonization of bacteria along with dirt and oil.
Genital pimples can appear in the genital area, which includes the vulva, penis, scrotum, and around the anus. They are known to occur in pubic regions.
Genital Herpes
Herpes in the genital area is small and filled with crystal fluid. The blisters typically have a red base clustered at one specific site. When the blisters rupture, they can form shallow ulcers or open sores that may crust over as they heal. It gets transferred from the direct contact of fluids during sexual intercourse. According to a report in the World Health Organization (WHO) journal, more than 500 million people worldwide are suffering from genital herpes.
Genital herpes basically affects the anal area. In women, blisters can occur on the vulva, vagina, and cervix. They can appear mostly on the penis and scrotum in men.
Symptoms of genital pimples and herpes
Let’s distinguish the symptoms of genital pimples vs herpes. They both have distinct features and symptoms and need a proper medical evaluation to diagnose the actual cause by a medical practitioner. An estimated 3.7 billion people under age 50 (67%) globally have herpes simplex virus type 1 (HSV-1) infection, the main cause of oral herpes.
Let’s look into the presenting symptoms and stages of genital herpes.
Symptoms of Pimples
Genital pimples, also called folliculitis, can present with the following symptoms:
- Firm to the touch: The pimples are usually firm and can be felt underneath the skin.
- Whiteheads or pus-filled: Some genital pimples may have a white peak or whitehead at the center when filled with pus.
- Circular and reddish appearance: The pimples may have a circular shape and appear reddish due to inflammation.
- Possible pus discharge: When the pimples rupture or break open, they may ooze pus, which can be a thick white liquid.
- Singular or clustered: Genital pimples can occur individually or in clusters.
- May be associated with hair follicles: In some cases, genital pimples are related to hair follicles, and they can be linked to conditions like folliculitis or hair follicle infections.
- Typically not very painful: Genital pimples are usually not overly painful unless they are put under pressure or irritated.
- Common in areas with sweat glands and sebum production: These pimples are often found in regions with higher concentrations of sweat glands and increased sebum production, such as the genital and pubic areas.
Symptoms of Herpes
The symptoms of genital herpes can vary from person to person, and some individuals may have few to no symptoms at all. However, when symptoms do occur, they typically appear in two main stages:
Stage 1: Initial Outbreak
Within 2 to 14 days after initial exposure to the herpes simplex virus (HSV), mostly through sexual activity, flu-like symptoms may develop, including fever, headache, muscle aches, and swollen lymph nodes.
- Tingling, itching, or burning sensations can be felt in the genital area.
- Small or red, tiny, fluid-filled blisters may appear on or around the genitals.
- These blisters may pop up, forming painful ulcers.
Stage 2: Ongoing or Recurrent outbreak
Recurrent outbreaks have shorter half-lives.
You may experience tingling or itching in the genital area before the appearance of new blisters.
Clusters of small, fluid-filled blisters may reappear on or around the genitals or anus.
Causes of Genital Pimples
The first and main cause of genital pimples is the colonization of bacteria.
Propionibacterium acnes is the class of bacterium responsible for the maintenance of healthy skin and one of its taxonomic classification Cutibacterium acnes (C.acnes) play a major role in formation of the pimples.
The bacteria become the cause of the pimples when skin pores become clogged by dirt, dust, or oil. These bacteria multiply and divide to give a pus-like appearance to the clogged pore, resulting in pimple formation.
On popping a pimple, it might cause a stinging pain and will leak out just like herpes, but it’s better to avoid popping either a pimple or herpes to inhibit the spread of pus and viruses. Some genital bumps may be caused by ingrown hairs or bacterial infections. If you’re unsure whether it’s acne or something more serious, you can chat with a doctor for a diagnosis.
Causes of Genital Herpes
Herpes is a disease caused by the herpes simplex virus, a sexually transmitted virus. It exists in two different forms :
- HSV-1
- HSV-2
HSV-1 is not the cause of genital herpes, as it causes the infection of the mouth by close personal contact, including kissing an infected individual.
HSV-2 can spread through contact with an infected individual’s sexual fluids or by coming in contact with an infected herpes blister’s fluid. It is also termed a cold sore and presents itself in the form of clusters with a white, pointy, bulged head. It can also affect the mouth and surrounding areas in the case of oral sex.
Herpes vs. Pimples: Diagnosis
Diagnosing the difference between herpes and genital pimples requires a thorough evaluation by a healthcare provider. Here’s how it can be diagnosed.
Diagnosing Genital Pimples
Diagnosing genital pimples involves a physical examination by a healthcare provider.
Your healthcare providers may ask:
- About any recent changes in hygiene practices
- Exposure to potential irritants or allergens.
- Perform a visual inspection of the affected area to assess the appearance of the bumps or pimples.
If there is uncertainty about the diagnosis, additional tests, including blood tests/antibody tests, may be conducted as per the direction of the physician.
Diagnosing Genital Herpes
Diagnosing herpes also involves a combination of medical and physical examination. Your healthcare provider may provide a lab request or viral culture, polymerase chain reaction (PCR) test, or herpes serology (blood test).
Treatments
Genital pimples can often be managed with supportive care, such as warm compresses or gentle topical agents like benzoyl peroxide applied externally. Genital herpes, however, requires antiviral medication and cannot be treated with benzoyl peroxide or salicylic acid. While topical treatments may help, if the bump is painful or spreading, consider consulting a doctor for an online prescription. Acyclovir, famciclovir, and valacyclovir are antiviral medications that are usually prescribed by healthcare professionals for the treatment of genital herpes.
Lifestyle modifications, including good hygiene and protected intercourse, can also contribute to changes in the overall condition of herpes and pimples. As per the WHO, genital herpes is treatable but not curable. This clearly means that it can be medically improved, including the pain and its symptoms, but can not be totally cured. The probability of the disease presenting itself again is possible.
Consult a Doctor
It’s essential to get tested during an active outbreak in the case of genital herpes when the virus is more likely to be detectable. However, keep in mind that herpes can also be diagnosed through blood tests even when no active symptoms are present.
FAQs About Pimples and Herpes
There are two stages. First is the initial stage, where the outbreak happens along with tingling sensations. Later, they will develop into clusters.
Yes, they do if they are in their final stage. They don’t hurt when touched in their initial stage.
Bloody stool shouldn’t last more than a few days. If it persists, it’s good to get medical consultation from a professional healthcare individual or provider.
No, it can not as both have different origins of cause. A pimple is caused by the bacteria named Cutibacterium Acnes, and Herpes is caused by the Herpes simplex virus.
