Negative HSV1 & HSV2 IGG Tests 16wks, but symptoms

[IndominusMex]

Hi Terri,

I’ve been getting conflicting diagnoses and need some direction on where to go from here.

Jan 25th I had unprotected sex and oral sex with a girl I was dating. A 2 days later I saw redness and burning on my foreskin. Woman and I fell out and she never got tested.

One doctor said it was just inflamation and gave me hydrocortisone. That didn’t help so I saw another doctor who said it was balanitis probably from yeast, gave me 2 weeks of Nystatin and it died down.

I masterbated, and it came back. Saw another doctor who believed I just aggravated it again and gave me more Nystatin with a steroid.

To which it went away but then came back again after I masterbated with lotion. Seen another doctor and she suggested I probably have chronic balanitis/skin condition from visual inspection and suggested considering circumcision and taking igg tests to be sure.

This was at 12 weeks, so I took the igg test via LabCorp and was shown <.9 hsv2 and hsv1. But I was still having redness, no blisters.

It eventually died down after continuing that doctors round of both Muporicin (anti bacterial) and clotromizole. I waited a week before masterbation this time and at 14 weeks, but it came back.

Same thing doc mentioned it looks like Balanitis and my past results support it’s not herpes so gave me clotromizole and steroid again. I decided to get tested again at 16 weeks. Again, negative HSV1 & HSV2 for igg <.9 on both.

This weekend I now have a flare up that came Midway through a regiment of clotromizole. I went to an urgent care to see if there was an oral/stronger alternative. To my suprise this doctor says the redness to him looks like herpes!

He swabbed my red skin and is sending it off for a culture. I told him about my previous tests, but he shrugged those off.

What do you suggest I try to narrow this down further?

Could I be resistant to the creams?

Can we send images here? I’ve documented this occurrence for the past few days.

Could the igg tests not show?

[Terri Warren]

I’m sorry but we do not allow pictures to be posted on the site. Nothing you have described sounds like herpes to me but I think it is possible that you have a resistant fungal infection. It might be useful for your clinician to swab the area for a fungal culture and determine specifically which fungus you are dealing with so that the medication can be tailored to the infection. Well herpes testing misses 30% of HSV one and 8% of HSV-2, your symptoms just aren’t consistent with herpes in my opinion

. I apologize for the delay in responding to your post. We have been out of town without Internet

Terri

[IndominusMex]

Hi Terri,

Thank you for this response! I accidentally created a separate thread forgetting I had used this question as my topic starter before. Feel free to ignore that one. I had assumed my question never got through but I guess I didn’t turn email alerts on.

I’m still concerned I may have HSV given this thing keeps coming back every 3-4 weeks immediately after a treatment with antifungals. The last treatment only ketoconazole seemed to help.

I did have some follow up questions though. Can herpes cause yeast infections given it weakens your immune system?

If I decided I wanted to do a western blot anyway to solidify my proof I’m clear of hsv, what steps would I need to take?

Does herpes usually not present as simply red irritated skin? Would antifungal creams alleviate herpes symptoms at all, hence the quick rebound in symptoms?

If each of these flare ups is constant for at least 2-3 weeks at a time, does that potentially point to yeast more than herpes given it’s such a long time I’m experiencing symptoms this late after my exposure?

[Terri Warren]

I believe that I just answered this on the other thread

Terri

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