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Apr 25, 2006

<b>Help, do I have genital herpes?</b><br>Dear Doctor,<br>I was treated for syphilis three years ago.

Dear Doctor,
I was treated for syphilis three years ago. The blood test after treatment was negative. However, I get painless but itchy sores around the scrotum, anal region and in the middle of my head. Could this be genital herpes?
Miti

Dear Miti,
One can get more than one sexually transmitted disease at the same time. One disease can be treated leaving the other. Genital herpes is caused by a virus similar to that which causes fever sores, but this one is sexually transmitted. It lives in nerves, coming out now and then with small blisters in the genital area. The blisters are itchy and burst to form small painful ulcers, which heal after a few days. Once infected, a person continues having on and off outbreaks and may appear in other places depending on sexual practices. A doctor needs to confirm the diagnosis to give you treatment. This does not take away the virus, but helps with symptoms. The sores on the head may not be herpes.


Dear Doctor,
I have had bacterial vaginosis for five years. I got treatment in 2003 and tried again last year, without success. Recently, I started getting pain during ovulation. I am worried it might affect my fertility. Help please!
Z


Can bacterial vaginosis affect my fertility?
Dear Z,
Bacterial Vaginosis (BV) is a vaginal infection caused by overgrowth of a bacteria that normally lives in our bodies. It is associated with sex but is not a sexually transmitted infection. Symptoms include a thin discharge, white or grey, a fishy smell and vaginal itching. It may cause problems during pregnancy but does not affect fertility. BV can be cured with antibiotics, but can return. You should see your doctor to confirm the diagnosis with an examination of the discharge. Return to the doctor if it does not clear. Also try other measures like: not taking antibiotics un-necessarily, using condoms during sex and not having multiple partners.

Dr Paul Semugoma
semugoma@hotmail.com
Write to Ask The Doctor,
Box 9815, Kampala

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