instruction: hello doctor I have had an sad for 30 years but it occurs only on the surfaces for every four or five years and only under much stress I was able to photograph it this time but still cannot see a doctor for a couple of days I am afraid it will vanish again before I see a doctor the bumps are in clusters of three on my shaft it lasts for two or three days and then goes away
output: hi I have seen the photo attachment removed to protect patient identity it is herpes genitals is it associated with itching or burning sensation does your partner suffer from a similar problem how many episodes per year if you have recurrent episodes you should consider oral antiviral medication standard treatment for herpes genitals is tablet acyclovir 400 my three times a day for seven days after meal rantac 150 my before meal twice a day fusidic acid cream twice a day can be applied partner treatment is a must avoid sexual contact in case of recurrent episodes patient is given suppressive therapy for more than seven days with a low dose you said you have sad for 30 years means have you done sad profile before if not you should get it done in herpes genitals vehicles appear on the genital area commonly on the glans or shaft of the penis which burst even without touching leaving small clean looking ulcers which usually heal within seven days it is associated sometimes with itching or burning sensation