January 15, 2024 at 2:18 pm #83947
I traveled over seas for 3 weeks. I was given doxycycline to take everyday to prevent malaria.
Dec 22 – I had received unprotected oral sex and protected sex with a woman. i had about 3 hrs of sleep and ate very little that day. Two days before that, I barely slept at all.
During our time together, I licked her breast and a had an uncomfortable feeling in my throat afterwards. It could have been the body cream she used. Not sure. Less than 24hrs later, on Dec 23, I experienced chills with no fever, tiredness and muscle aches briefly in my sides. I took a Tylenol and felt better but not 100%. I was still feeling a bit shaky.
Dec 24 – I felt better during the day, but that night I took a Tylenol PM
Dec 25 – I woke up cold with night sweats, no fever. I read this could be due to the acetaminophen or the doxycycline.
Dec 27 – woke up with night sweats again after taking Tylenol PM
I got back to the states on Dec 30. And took a Covid test on the Jan 1st. After testing negative, with my anxiety through the roof, I took the STD test on the Jan 3, 12 days after the encounter.
IGM – 2.62
HSV1 Igg – 0.12
HSV2 Igg – 0.05
I went to an infectious disease doctor who also hates igm and said that if my infection was real it would have been much higher.
I have no sores or blisters. I am experiencing scrotum redness/sensitivity, probably from checking for sores, which has happened before during my first false positive of 1.35, 3 years ago. Dermatologist says it’s dermatitis. I think it gets worse with my anxiety. 3 days ago, I had a pimple on the back of my thigh, where it meets the buttocks. The skin was firm with a white head. It stung when touched and grazed but disappeared in less than 2 days.
Would herpes bypass the point of entry and appear there?
Is it safe to have to have unprotected sex? Or should I start antivirals in case?
January 23, 2024 at 7:04 am #83977
Hi Terri, just wanted to follow up on this. On Jan 17th, I felt a small firm bump in my groin, between my right thigh and my scrotum. On the 18th, the bump grew. Still skin colored, no blister or head. I immediately went to get it swabbed. The next day, it looked bit dry and there was a border of dry skin around it. On the 21st the center turned red. Yesterday morning(22nd) it popped on its own, and there was pinkish pus. I wiped it and went to the dermatologist immediately because I could get an appointment at pcp, where I did the initial swab. The Dr did a swab and said it did not look herpetic but she’ll test for it for peace of mind.
As of writing the lesion is flat and dry now, with no pain, no scab, no liquid and disappearing.
Later that day, I receive negative results for the first swab. Can I trust those results even tho there was no fluid at the time it was taken?
The dermatologist’s tests won’t be ready for another 2 weeks.
January 25, 2024 at 3:55 pm #84011Terri WarrenKeymaster
Please ignore the IgM test completely. Rely upon the IgG tests exclusively.
The lesion that you describe doesn’t sound herpetic and the fact that the swab was negative is quite promising that this isn’t herpes. If the second swab is negative, I think infection is really unlikely
February 10, 2024 at 2:50 pm #84143
Hey Terri. Thanks for your response.
Just wanted follow up
The second swab came back negative for HSV. I did another labcorp igg test at 6 weeks and it is negative.
I have however been experiencing weird sensations, spasming and increased itchiness. Which could all be from anxiety.
I have a weird patch of discoloration on my penis shaft that has been there for a few weeks to a month now. The skin appears duller than the rest of my penis but there is no pain or blisters. It returns to this dull state after moisturizing the day before. But I have recently started treating it with a steroid cream.
If I were your patient, would you recommend me continue testing, at maybe 8/10 weeks? Take a quest igg test now, which claims that if negative at 6 weeks I have a 97% chance at staying negative? Or stop testing all together?
Your insight and expertise would be super helpful. Thanks
February 17, 2024 at 8:32 am #84195Terri WarrenKeymaster
well, we know that the IgG tests miss 8% of HSV 2 infections, not 3%.
I think you can stop testing. The patch of skin you describe doesn’t sound herpetic.
I agree with the ID doc – HSV in your is very unlikely!
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