- This topic has 36 replies, 2 voices, and was last updated 7 years, 10 months ago by .
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Nurse Terri good afternoon :
I posted a question on no November from last year. I described the experience I had with this lady, mentioning that I never got to have intercourse with her nor our genitals got to touch each other. Found out later that lady has HSV2. The only thing I did was placing my scrotum on her outer left thigh ( Almost buttocks). I am trying to find that post so I could re post from there but I cannot find it. Here’s the thing Terri: This last February 5th ( 4 months after that exposure) I took a test and came out negative. I Had also mentioned that I was HSV1, and you told me that 4 months would be time enough to wait to test.
1. Terri, would you consider this negative result conclusive then? I have asked in other forums, and they also tell me that 3 months is %90 conclusive.. But that 4 months is even better. That 4 months is enough time for antibodies to develop. But still I needed to confirm with you. Based on your experience, Would you consider rare/ uncommon seeing people, that eventhough tested negative at 4 months after exposure, would test positive afterwards?
2. A couple of days ago, after taking a shower, I was checking my scrotum just as a routine, and one tiny follicule was itching a little and I pressed my nail in it. Next day there was redness around it and gets irritated and stings when I walk. 2 days already and just wound. No blisters. Stings when put alcohol. could this be HSV2? -
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The pictures you are sending are very blurry. If you have a lesion that is open and looks concerning PLEASE go and have it swab tested now. Could this be something that you scratched with a fingernail?
I would say if you waited 4 months, that’s enough time for as reliable a result as you are likely to get.
And please remember – the subscription allows you three POSTS so it is important that you combine everything into one post as much as possible You’ve now had six posts and I don’t think that’s what you meant to do. I’m overiding the system this time because I know you got confused.
Terri
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Yes, HSV 2 can appear this way. Not all herpes presents as blisters. At some point, blisters break and then the outbreak can look like many things. But your doctor looked at it and said it didn’t look like herpes, did she swab test it? I think you just scratched yourself and are freaking out unnecessarily.
No, scrotums are not at all typical areas for outbreaks. I seriously doubt that this is herpes.
Yes, you need to renew your subscription before asking more questions.
Terri
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Sometimes we see big outbreaks sometimes minimal ones, we see it all. And I suspect that minimal outbreaks may not even present to us at the clinic.
The virus is not shed without an outbreak in the area in the picture. I am well aware of the innervation of the sacral ganglia, thank you. The point isn’t whether nerves go there – most certainly they do- it’s whether the skin is too thick for virus to be shed from there and yes, it is too thick to be shed from there.
Terri
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Yes, I do believe 4 months is enough to time to wait to get an accurate result.
TErri
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Have I ever seen outbreaks grow where?
Terri -
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Outbreaks on the buttocks? yes, I have seen outbreaks on the buttocks. Did she have an outbreak there? Remember that that area of the body does not shed virus without an outbreak.
Terri
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Outbreaks on the buttocks are quite common, actually. I would say that 15-20% of people have them there regularly
Terri
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No, they get outbreaks there because the nerve group that supplies the genital area also supplies these areas and all of those nerves are “infected”. So when the virus wants to come to the surface of the skin it can certainly travel along that nerve to get to the surface of the skin. The virus does NOT need to come out the way it went in. I can see why you were confused now.
Terri
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You’re welcome.
Terri
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It isn’t the time from the development of a lesion to antibody testing that matters. It’s the time from the initial infection to testing that matters. I would agree with your doctor that you don’t need further testing for HSV 2. Also I don’t recall ever seeing someone with herpes who only gets lesions on the scrotum.
Terri
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Normally, if a person is having a true first outbreak, he will not have any antibody for a while. A positive swab test and a negative antibody test for the same type indicates first infection. An outbreak is NOT a confirmation of the presence of antibody, no. Yes antibodies can appear after an outbreak.
If you are still worried about this, how about if you take a western blot and allow that to be the final opinion on whether you are infected or not?
I believe you have 14 substantive posts (I allowed a few free ones as you were struggling with the picture issue) and you’ve paid for 12. Can you please renew your subscription? Thanks
Terri
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You’re still not understanding what I’m saying. The timing to making antibody is NOT related to an outbreak, it is related to time from infection with the virus. So if you had a concerning sexual encounter, you would time the antibody test from the time of the encounter, not from the time of any suspected outbreak. Does that make it clearer?
We can order you a western blot in Texas, through the clinic. The cost is $250 and you need to make an appointment for that.
Terri
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OK
Terri
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