What Is Gender Ulcer?

Genital Ulcer is a wound found in the genital area. In addition to these areas, ulcers can also appear in the rectum and surrounding skin. Ulcer is a painful and long time to heal. The injury can also arise again at a later time. Injuries to genital ulcers can start from a lump or rash that sometimes causes pain and secretes fluid.


Causes of Gender Ulcers
Genital ulcers are most often caused by sexually transmitted infections , including:

• Genital herpes
• Syphilis
• Granuloma inguinale
• Lymphogranuloma venereum
• Chancroid

In some cases, genital ulcers can also be caused by infections that are not transmitted through sexual contact. The process of transmission to infection, has not been fully understood. However, this condition more often affects people with weak immune systems.

Apart from infection, genital ulcers can be caused by:

• Inflammatory diseases, such as Crohn's disease, Behcet's syndrome, and Steven-Johnson syndrome .
• Injury
• Reaction to skin care products.
• Drug side effects, such as anti-inflammatory drugs and hydroxyurea .

Risk factors for genital ulcers
There are several factors that can increase the risk of genital ulcers. Among them:

• Uncircumcised men.
• Do not have healthy sexual relations, such as changing partners and not using condoms.

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Genital Ulcer Symptoms
These sores in the genital area can be accompanied by other symptoms, such as:

• Lumps or rashes around the ulcer
• Pain
• Itchy
• Fever
• Swollen glands in the groin area
• Ulcer secretes fluid
• Pain when urinating

Genital Ulcer Diagnosis
In diagnosing genital ulcers, the doctor needs to know the history of the disease and habits carried out by the patient, as well as conduct a physical examination in the patient especially to see the condition of the ulcer that occurs. Whereas to find out the cause, the following tests will be carried out:

• Taking ulcer fluid samples or blood tests. This examination is done to determine the cause of genital ulcers.
• Taking tissue samples of surrounding ulcers and skin tissue. This examination will be carried out by a dermatologist if there is no proven infection that causes ulcers.

Gender Ulcer Treatment
Handling of genital ulcers is based on the cause of the diagnosis. The following are some examples of treatment, if genital ulcers are caused by sexually transmitted infections:

• Genital herpes. Handling can be done with antiviral drugs . Examples are acyclovir , famciclovir , or valacyclovir . These drugs must be taken within 7-10 days. When undergoing treatment, patients are advised not to engage in sexual activity.  
• Syphilis. Prenatal treatment is done with penicillin antibiotics given by injection.
• Chancroid . Treatment can be done with ceftriaxone antibiotics given by injection, or antibiotics azithromycin , ciprofloxacin , or erythromycin taken.
• Lymphogranuloma venereum and inguinal granuloma . Genital ulcers due to this disease can be treated with antibiotics doxycyclin e or erythromycin . Giving antibiotics can be done for 21 days.

To relieve pain due to genital ulcers, patients can take painkillers. If pain when urinating is unbearable, the doctor can do a urine catheter.

If genital ulcers are caused by inflammation, the doctor will give anti-inflammatory drugs, such as methylprednisolone . This drug can be given in the form of ointments, tablets, or injections, depending on the severity of the inflammation.


Complications of genital ulcers
Complications can occur if genital ulcers are not treated. Complications include the emergence of other infections, inflammation becomes increasingly severe, scarring (permanent wounds), or adhesions around the genitals.

In pregnant women, genital ulcers due to infection can be transmitted to babies during labor. Whereas in patients with disease, can cause disorders of the nervous system and heart.


Sex Ulcer Prevention
Some efforts that can be made to prevent genital ulcers are:

• Have a healthy sexual relationship by not changing partners and using condoms.
• Periodically check for sexually transmitted infections, especially in people who are sexually active.

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