Could it be HSV 2

[Unsettledinla]

Good Morning, here are the specifics of the possible encounter:
I am female, on Oct. 11th engaged in kissing, oral and boob sex, male ejaculated on face and chest. On Oct. 15-16Th my armpits felt sore as I would have worked out strenuously, but I didn’t. On Oct. 17 th I had an upset stomach. No fever or chills were observed. Oct. 18 I noticed a raised red bump on my right side inside my cleavage area it lasted for at least 2 week, no itching burning or tingling noted. Bump went away. On Nov. 26 th I had diarrhea and sore armpits again, then Yesterday I I found 3 pin sized lesions on the inner side of my left breast in a line, almost like a scratch, that looked “wet”, I applied Benzalkonium Chloride to the lesions and they dried up but are still there. My medical history is HSV1 positive with a value of 32.70, HSV-2 negative value <0.91, blood sample taken on Nov. 18. ( side note: I take Valtrex once a day 1 gram for suppression of the HSV-1, due to frequent outbreaks, but within the past month have not been consistent with taking it) I also have plaque psoriasis, which I know is suppressing my immune system as well.

My question to you is :
1. Does the encounter I explained have the potential for transmission should my partner be positive for HSV-2 ( his status is unconfirmed, he just says he’s clean) as there was vigorous friction involved, but did not see any visible sores on him at the time either.
2. Can the symptoms I described be caused from an outbreak (assuming HSV-2 this would be a primary outbreak) or it’s a possible new plaque psoriasis formation.
3. Should I test again? And if so when?

Another side not I tested negative for all other STD’s on NOv. 18th, so that rules out a syphilis chancier.

Thanking you in advance.

[Terri Warren]

It would not be easy to get herpes on the chest, actually. The skin there is pretty thick and if there was a break in the skin, maybe, unlikely but maybe, but if the skin was intact, I really don’t think so. And you aren’t describing anything that really sounds like a herpes lesion to me. I’ve not seen any herpes lesion that looks pin sized.

So you were almost 6 weeks out from the encounter when you tested for HSV? I really don’t think you need to test again but if it can set your mind at rest, you can. It should be 16 weeks out from the last encounter that concerns you.

By the way, syphilis tests become positive between 9-90 days out. I don’t think this is syphilis either, but just wanted to get the timing clear for you and others that might read this.

I’m not sure about psoriasis in this case – just don’t have enough info about your situation or from my perspective, I don’t know much about that condition in general.

Terri

[Unsettledinla]

that Is correct about testing 6 weeks out, my concern is that with me being on suppressive medication for the HSV-1 that could/would mask or cause a False negative or seroconvert to occur later than normal, it was the IgG test that was done.
I have read on other sights that herpes lesions can present itself as a scratch like line and not your standard “cluster” of blisters.

The lesions are not on the base of my chest but on the inner topside Breast itself is that skin thick as well. Like where the breast would touch when pressed together.

[Terri Warren]

Yes, being on suppression will delay seroconversion some and if I thought this was a big risky situation, I would suggest that you stop the suppression but I really doubt that it is. If you would feel more certain, you could stop and retest at 16 weeks but it just seems so unlikely to me.

Thanks for clarifying the location, I understand and correct that is thick skin also. The nipple, because it is thin skin, can be vulnerable to HSV infection but the area you describe? Not so much

Terri

• This reply was modified 8 years, 2 months ago by Terri Warren.

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