instruction: hello doctor I have small rashes in pubic area I masturbate with a fabric usually so thinking this might have irritated it in small scales I used neosporin on it and it healed I just heard people can get herpes with mild symptoms or be asymptomatic the itchiness at first is what worried me no blisters or lesions just white scaly flat skin please suggest
output: hi scaly itchy rash in your pubic area is fungal infection exacerbated by irritation due to fabric you have to be gentle with yourself and use ample lubrication like oil and it should not be irritating as it is going on since year as I can make out from the history you have given and it responded to neosporin there may be a secondary bacterial infection as you worry about herpes simplex do cause lesions in genital area but lesions are different they occur recurrently like every month or every two or three months in susceptible individuals the lesions in you are not suggestive of herpes simplex they are like blisters even if you may be infected with herpes simplex if you do not have lesions you need not worry you will never have you are actually immune to herpes but still can transmit to others for the present lesion I advise you not to irritate the area do not use invective things over the area and keep it clean and dry do not use any harsh soaps or solutions which may irritate for fungal infection I advise you tablet terbinafine 250 my be for two weeks with meals for itching tablet loratadine 10 my od for 10 days or when itches terbinafine cream twice daily for two weeks mometasone cream once daily for five days mupirocin ointment twice daily for five days review after weeks fungus oh scrapping herpes genitals tina cruris antifungal and general measures avoid irritant use moisturizer be gentle