March 11, 2019 at 9:39 pm #31657
I have read much of this forum and want to say thank you for your work.
Here is my situation:
November 17 2018 I had unprotected oral and vaginal intercourse with a partner I do not know very well. I ended up with quite a bit of tearing and irritation of foreskin and glans. I know her loosely through friends. She is a nurse and assured me she had tested negative at her most recent STD screening one month prior although I know HSV tests are not routine.
Somewhere within the 2-20 day window after a shower I felt tingling on my entire glans, upon examination my entire glans had dry flaky skin. I suspected this tingle came from air drying.
November 29th I get full STD panel except for HSV just to be cautious. No symptoms yet.
December 26th, 2018 wearing tight underwear I experience a prickling/hot sensation under my foreskin in a concentrated area on my glans. Upon examining there is an inflamed red patch of skin on left side of glans. Very small, no lesions, no raised patch. It clears within 1-2 days. I have a history of balanitis so I thought it was just irritation.
January 11 I am wearing tight underwear again and feel the same prickle/warm sensation in the same area. Again redness no lesions or raised skin.It clears within 1-2 days.
January 13th (8 weeks post encounter) I request HSV 1 and 2 IGG blood test and another full STD panel. All negative.
I will note I do experience very mild oral cold sores since 2014 and have been HSV IGG tested in the past. I assume I am in the 30% of missed HSV 1 infections.
February 19th (13 1/2 weeks post encounter) I have follow up HSV IGG. Negative for HSV 1 and 2. My doctor has assured me I am fine and this was likely candida.
I continue to feel the occasional tingle in my glans but no further symptoms.
I am terribly anxious over this and it is largely effecting my livelihood. work, health and wellbeing.
My question is, based on this information and history, do you think this sounds herpetic?
March 14, 2019 at 7:35 pm #31874
I actually agree that candida seems the most likely culprit here. I am assuming you still have a foreskin? Your history of balanitis suggests you’ve likely dealt with this before?
This sounds nothing like herpes to me, honestly, and your negative IgG tests suggests also that you are not infeccted. Your timing on that last test is really great.
March 14, 2019 at 9:36 pm #31877
Thank you for your response – it is very encouraging to get the opinion of an expert in the field.
I do still have a foreskin and have dealt with this before but this time felt a little different and my concern was that the same spot inflamed twice within a few weeks and a faint darker patch of skin has remained that looks like small veins if I look closely.I can’t remember if this off coloured patch was here before. Perhaps since there was a sexual encounter outside of my normal comfort zone I am letting my mind think too much into things.
This may be off topic but I have considered an adult circumcision to combat the fungal balanitis that seems to occur a few times per year. Do you have any opinions on this procedure?
Lastly, do you think there is any further testing required or cause for concern?
Thanks again and I wish you all the best,
March 19, 2019 at 8:30 am #32350
I have had patients who have had a circumcision as adults. They seem good with the decision and definitely have fewer fungal infection. It’s a major change and should be considered carefully.
I don’t believe that you need further testing at this time. However, if any lesions develop, please have them swab tested and THEN you could do antibody testing if still concerned.
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