March 18, 2019 at 4:37 pm #32066
I am 50 year old male who had a one night stand on a business trip without protection. It included heterosexual vaginal and anal (I was drunk). I never came but was erect.
Note there was no oral!
Issue is almost immediately felt sick with burning sensation in legs to my feet; hands and face.
I was also constantly fatigued and the testicles turned bright red and were tender to the touch.
At day 62 post exposure , after drinking, I felt pains in the penis and a bright red rash on the foreskin fold. The glans also had some discoloration red and the burning was worse. The clinic diagnosed on sight only as “herpetic rash” and gave me valtrex. 2 days later my urologist refuted that diagnosis but I took the full day 10 valtrex for hsv2 twice a day in addition to the urologist recommended antibiotic for “balanitis”.
Valtrex day 62-72 post exposure.
From day 62 onward I have not felt myself and the penis for a bit during the each day looks discolored and there is some albeit brief discomfort. After another night of drinking it got much worse and went to another clinic as penis glans was red and there was pain with new symptoms.
This was 91 days post exposure.
This time the STI specific clinic nurse and doctor said it was NOT herpes and said they would do a PCR NATT test by swabbing the red rash skin.
This was negative.
They suggested a type specific igg blood test after 12 weeks but both were dismissive as I had not had the classic symptoms (rash was not “sores” that did not “blister” and thus had no “fluid”) and no symptoms from their perspective until 62 days post exposure not a usual primary outbreak.
One week later at day 98 I took the Herpeselect Type Specific Antibody test – imunoglobin not elisa.
The result was positive 39.20 for hsv1 – no secret have had lip cold sores since I was 14. However like the PCR test. The result was <.91 negative for hsv2. Red rash which went away last Friday came back today and burning continues and base of penis is purple. Advice?
March 19, 2019 at 6:32 am #32336
Update Next morning burning stopped; purple line that comes and goes is now gone and penis glans is no longer red lasted for 24 ours like that and went away; the skin fold is still reddish but much lighter I was ready to get another PCR swab until I saw it
March 20, 2019 at 6:39 am #32448
Sorry burning started again in the afternoon; penis is red and warm but not painful
March 23, 2019 at 11:06 am #32687
This sounds absolutely nothing at all like herpes to me! Generalized redness as you describe is not a symptom of herpes, nor is a warm penis. If you want to know for sure if you have HSV 2 you can do the western blot but honestly, these symptoms are simply not consistent with a herpes infection (HSV 2) and you can trust the IgG with 92% certainty
March 23, 2019 at 4:38 pm #32700
Thank you for the response I probably did a poor job emphasizing that I have pain in the groin and burning there as well as constant podrome burning on the leg and some tingling in the penis I just never have had sores or blisters result (maybe because I have had cold sores since I was 14 and that has prevented just the blister part ?) For piece of mind I would like the WB test with your help I live in Chicago. Next week is 16 week mark. Can we get this started and do the video conference Let me know on the payment side Best Wishes for all your help.
March 23, 2019 at 5:51 pm #32703
Pain in the groin is not a symptom of herpes.
Of course we can. Sign up by going to the box on the home page of this website that says video conference. The cost is now $345 (UW raised their prices – I did not). This cost covers the consult with me and the cost of the test itself. Additional charges you will incur are the lab charge for blood draw and shipping to UW.
This is your final post on this subscription. If you have more questions, feel free to renew
- This reply was modified 2 years, 1 month ago by Terri Warren.
April 23, 2019 at 3:53 pm #34772
Just an update for others as the status is clearer.
The Western Blot at 17 weeks post high risk exposure (4 months 1 week) was the same as the IGG test.
HSV1 Positive (However have had cold sores for 30 plus years)
In and of itself this is great news.
I still have symptoms – tingling or actual pain on legs about 5 out of 7 days for a part of the day and occasional redness and bumps (but not “sores” or ‘open watery blisters’). When I get these bumps the penis and scrotum gets very warm and slightly burns.
Never had anything close to these symptoms prior to the high risk encounter.
When I get a PCR swab type specific test for the “bumps” it is negative for HSV1/HSV2/Shingles (they test for that via PCR).
So I would say I am happy that at 17 weeks I am HSV2 negative and have yet to have a “classic” outbreak.
I trust the Western Blot but am I one of the <1% who take longer then 4 months to show HSV2 antibodies (in those 17 weeks had antivirals for only about 12 of those days and not until 2 months post exposure); do not get sick and Blood work does not show I am at all immunocompromised ? Am I one of the rarer individuals to be infected with HSV1 genitally from a different person when I already had it orally for years and my immune system controlled it pretty well?
I will keep this open to let you know of any future test plans given those last 2 contingencies and the presence of bumps and a rash. I do appreciate Terri’s assistance with the WB and this forum. There is still such a gap in the HSV knowledge among doctors even in the Infectious Disease Department- all you have to say is “80% of HSV2 don’t know they have it” and that tunes out the medical community as a whole compared to HIV.
April 25, 2019 at 7:36 am #34805
I do think you should believe the western blot but if you wish, you can have concerning bumps swab tested. I don’t think you do more than perhaps 5 swabs before you give up and believe the blot. You ask about could this be HSV 1 in a new location – if that was the case the PCR swabs would still be positive, right?
April 23, 2021 at 9:33 am #73315
2 Years of doubt ended.
Just a note that after being HSV1 positive on the lips since pre-teen and then having a high risk encounter even after negative igg HSV2 tests and wB I had redness-groin discomfort I was able to persuade a doctor to put me on valtrex daily. After 4 tests + WB HSV2 negative and no swab ever positive I stopped valtex for 3 months. I had been on it for almost 2 years. All of sudden the now milder but still present symptoms stopped about 10 days after discontinuing valtrex. Now have zero issues and 3 months post valtrex took new igg blood test and hsv2 neg (for WB test i was only off Valtrex for 7 days)
Hope this helps others who never get “fluid filled blisters” but have lingering issues after a high risk sex encounter. This part of my life is closed and ended happily.
April 26, 2021 at 1:11 pm #73378
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