November 14, 2020 at 10:27 pm #71774
Gay male. Engaged in oral sex (both parties) and frotting.
I want to understand the risk of contracting HSV-2 orally or genitally from this incident and whether my recent symptoms are a sign of a new infection.
Found out the morning after that the other party is HSV-2+. He tested positive via an lgL blood test. He has never experienced any outbreaks or lesions in his life. I started panicking and have been suffering anxiety since the incident.
The following day, I did blood/urine labs + a flu shot.
~12 hours after the encounter, I noticed occasional tingling sensations through my genitals, including the testicles, penis, and slightly above it. Urinating is not painful, but is slightly more difficult than previously. This has persisted even 3 days after the initial encounter, but it comes and goes throughout the day and is only slightly noticeable on most occasions. No blisters on genitals.
24 hours after the encounter, I noticed small blisters forming above my lips. I cannot recall if I ever got cold sores as a child. Since then, I have noticed an occasional burning sensation in that area. I am taking Acyclovir.
36-48 hours after the encounter, I noticed slight muscle weakness/aches that are similar to when you would have a fever.
Doctor ordered an lgL test to determine if I have HSV-1, which may explain the cold sores on my lips. My clinic does not have PCR/culture swab test available. Can a non-first HSV-1 outbreak trigger fever-like symptoms?
My PCP thinks that given these facts:
1. oHSV-2 is very rare.
2. I have had a recent history of poor sleep/stress recently.
3. Partner has not suffered any known outbreaks.
That the cold sores are more likely to be an HSV-1 outbreak with unfortunate timing (i.e. the stress of having sex w/ an HSV+ partner triggered the sores).
The tingling in the groin that comes and goes is also worrying. Could this be explained by something else? This has been very anxiety-inducing and I don’t know what the real probability is.
November 16, 2020 at 7:15 pm #71804
Just received a positive test result for HSV-2 via IGG from a blood sample drawn approx. 12 hours after exposure. Given the negative HSV-1 results, the reasonable diagnosis from my PCP is oral HSV-2.
Given that I do not have any blisters forming in the genital area (and I am still on Acyclovir), how will I know if I have genital HSV-2? Are the tingling sensations enough to conclude? The tingling sensations stopped all of Sunday (4 days after initial exposure) but continued Monday morning.
I suspected it may have been some sort of nerve pitching issue given that I was weight training Tuesday and Sunday.
November 25, 2020 at 10:10 am #71864Terri WarrenKeymaster
What was the index value of your IgG test? A test done 12 hours after possible exposure would NOT reflect the input from that encounter. Way way too early. It suggests that you were already infected with HSV 2 and 95% of the time, that is genital. I would strongly disagree that this indicates that you have oral HSV 2. I don’t know where that conclusion came from, honestly
November 25, 2020 at 3:27 pm #71892
My doctor told me I had an index greater than 8 on the IgG test. She believes that given the fact I have no history of cold sores that the new cold sores that formed around my mouth is likely due to an HSV-2 infection.
I did realize that I had a previous sexual encounter 3 weeks before my blood test and that I had the symptoms of a first outbreak (muscle aches, chills) alongside my cold sore. The timing makes sense that I would have contracted HSV-2 from that encounter as opposed to the one I mentioned above.
I had a swab test done on my genitals (at a separate clinic) last week that came out negative, but I had no visible lesions in the groin. The tingling in my groin/lower body reacts to touch (i.e. if I press on the groin the tingling becomes more intense). The tingling has returned after one week of largely subsiding, and it’s slightly harder to urinate vs. when the tingling is nonexistent.
Beyond swabbing visible lesions, are there any clues that may help determine if I am also infected in the genitals?
November 30, 2020 at 3:05 pm #71922Terri WarrenKeymaster
Ninety-five percent of HSV 2 infections are genital. If you get symptoms either orally or genitally, you should obtain a swab test to try to sort out if it is HSV 2.
Your index value of >8 is not the result of an infection 12 hours old and probably not one that is 3 weeks old but it’s not possible to know for sure.
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