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Two years ago, a pink blotch appeared on my penis. In days, it began itching slightly and peeling. In weeks, a couple of other small, dry patches appeared without much itching and still no pain, swelling or puss. The affected areas healed but what looks like scar tissue/discoloration was left and remains with only occasional peeling. It probably wouldn't be noticeable to anyone else but me. I initially assumed it was something like eczema because for years, the skin on my neck sometimes gets red and itchy before peeling.

I then became aware that oral herpes could've been spread to my penis despite the fact that I've had HSV 1 on my mouth since childhood. An old girlfriend had performed oral sex on me around the time I noticed the blotch initially. Now I'm worried sick that I have HSV 1 on my penis.

If I test negative for HSV 2 and positive for HSV 1, how will I determine if the positive reading is coming from the HSV 1 I know I already have orally or if it's also genital?

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replied January 11th, 2014
Sexual Health - Men Answer A45676
Hi, and thanks for your query on eHealth forum!

Skin on the scrotum and penis can be fragile and peeling due to a number of causes. Dry skin is the commonest cause. Fungal and bacterial infection is another. It can even be due to eczema and dermatitis. Peeling can also be due to an allergic reaction to a soap, talcum powder, lotion, oil, condom, etc. So stop using these one by one to see if the skin improves. If genital swab is positive for HSV1 or 2 then you have genital herpes.
I suggest you consult a skin specialist to find the cause. The skin scrapings can be viewed under microscope, cultured etc to find the cause. Clinical examination is also helpful. Take care! Hope this helps. Take care!
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