November 3, 2021 at 4:10 pm #75387
37 Male. History of hypochondria, especially STD hypochondria.
I had a one night on Oct 2, unprotected vaginal and oral sex(on her). I felt fine until a few days later when I started to experience a stinging pain at the tip of my penis which caused a burning sensation that ran down my shaft, behind my testicles, and even up into my anus.
One week after exposure I was tested for STDs at the clinic, no herpes test. Everything came back negative but at this point I thought I was seeing bumps on my lower shaft. I saw my PCP and he said they didn’t look like herpes, possibly follicles. So he didn’t swab me seeing as they were no sores to swab.
I just saw a urologist who also suggested the small bumps were follicles too as they haven’t changed in appearance(3.5 weeks) and never blistered. He prescribed Doxycycline for two weeks thinking I have Ureathritis.
4 weeks post exposure I did a full panel via STDCheck at Quest.
HSV-1 2.46 IGG Positive Herpeselect
HSV-2 <.90 IGG Negative
From reading this forum I see Id be considered low positive and should retest. In your opinion is it worth doing another blood test or waiting another 2 months to do a Western Bolt? Does my lower IGG suggest a recent infection?
Can an OB last one month after exposure? Im still feeling discomfort and at times a burning sensation on my shaft, testicles, and towards the head of penis but no sores.
November 8, 2021 at 8:30 am #75422Terri WarrenKeymaster
Have you ever been tested for HSV 1 previously? Have you ever had a cold sore in your lifetime?
It is a low positive but low positives are more likely to confirm for HSV 1 than they are for HSV 2. But I’m seeing more and more false positives for HSV 1 than I used to. Low positives can be from recent infections, yes, but sometimes they are false positives and sometimes they are just true positives in the low range.
Your symptoms sound absolutely nothing like herpes to me. from your description only, I would agree with your providers and they are in a far better position to know what’s going on with you than I am.
If you are still concerned or want clarification on your HSV 1 status, I would definitely suggest the western blot for you. You don’t mention your partner giving you oral sex so if the HSV 1 is truly positive, it is either from an oral infection or an old genital one.
November 8, 2021 at 4:31 pm #75450
She did not perform oral sex.
Im honestly not sure if Ive ever had a cold sore. I can remember having some skin issues on my face as a young kid but I dont remember it well enough to call it cold sores. As an adult Ive definitely had painful pimples around my lips but nothing ever ON them or similar to a google search of “cold sores”. I can remember at least once developing painful yellow, crystal like “scabbing” on my upper chin area maybe 4-5 years ago but I always assumed that was bc I have a beard and didnt dry it enough during a cold spell.
If this is an initial OB is it normal to have a burning/itching sensation in my groin area for 5 weeks or so without any blisters/sores? Im almost wondering if Im dealing with a fungal infection bc I didnt have the ability to clean myself off post sex bc of the situation I was in.
In this situation is it worth letting this person know about my possible HSV-1 infection this early or would you recommend waiting until I take the blot test?
November 8, 2021 at 4:37 pm #75451
My next question has to do with transmission of HSV-1.
For instance, last week at work I was waiting on a customer and pouring a coffee for both of us. I wasnt paying attention bc things were hectic and I might have accidentally put my lid on her drink. By the time I realized it she was already drinking from her cup and walking out the door.
Whats the chances of transmission with no cold sores/symptoms present? My lid was sitting for at least a couple minutes next to my cup so I was wondering how long herpes can live on a surface outside the body?
I definitely felt terrible all day about it. In all my years working in the service industry Ive never had that happen until now. My anxiety has gotten the worst of me and I understand why doctors wont test for herpes without clear symptoms. This is awful and now Im currently looking into a therapist to help with my hypochondria.
Thank you Terri.
November 9, 2021 at 12:55 pm #75469Terri WarrenKeymaster
I think there is no risk of transmission in the situation that you describe with the cup.
I don’t think you need to let anyone know anything unless you are clearer about your own diagnosis.
Half the population has HSV 1 so most people have come in contact with it at some point.
From the symptoms that you describe, I think you may have HSV 1 but the blot will tell us.
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