Oral or Genital Herpes

[karthgra]

On 10/6/ 2015 Tuesday midnight/ 10/7/2015 Wednesday morning I kissed a girl, & we rubbed each other with our clothes on. Later only with my boxers on, we rubbed each other again but not as hard as initially. In fact I was very careful and was checking continuously whether my genitels were on her directly. But I do feel the boxers were touching. She held my penis once too. And then with only my clothes on I rubbed her hard in the genitals.But she says she never leaked.On 10/8/2015 Thursday evening I felt a sensation in the penis and on 10/10/2015 Saturday morning the pain was unbearable. After taking a painkiller I was relieved of the pain completely but every now & then till today I get a very dull weird sensation on the penis head/tip. I am not sure where exactly the pain comes from. I have been taking hot water therapy for the genitel area. I sometimes feel I get the pain when I think about it. However I have been smoking a lot as I have been very worried,& have had a mild sore throat from 10/10/201 , but on 10/14/2015 after having a cold smoothie , I felt feverish, uncomfortable in the throat & I felt an ulcer at the back of my mouth near the throat on the right side, on the same night. When I checked my gums on the right & left side I could see few small irregularities, but the doctor says it is just an anatomy. It doesn’t pain or itch. I am not sure whether it was there before the incident.The next morning 10/15/2015, I woke up with a severe throat pain and had pain swallowing, 2 hours later it was not as painful as it was in the morning but the ulcer & throat discomfort was still present. After lunch I started taking antibiotics until 10/16/2015 Friday night and I still see the ulcer but there is no pain swallowing. However on the same night I felt uncomfortable in the throat in the lymph nodes but that subsided completely the same night. I am feeling feverish & uncomfortable in the lymph nodes mildly & I think my lips burn now and then since the incident

[karthgra]

Hi Terri,

This is a followup to the previous question. The small irregularities that i was talking about in the gums on the right side and left side can they be lesions? I feel a mild pain in the nodes in the throat. Is it because of the virus? She never had a sore on her lips when i kissed her? What are the chances of contracting oral/genital herpes? How long do i have to wait to be 100% sure.
Thank you for your time and help.

[Terri Warren]

Was any testing done of the lesion on your throat? You must have been seen to get antibiotics? I can’t really account for the pain in your genital area because nothing that you did puts you at risk for a sexually transmitted infection. you can’t get STI with rubbing through clothing but if the rubbing is hard enough, you could certainly get some bruising of the genital area. I believe in high school, I might have even experienced such a thing!
Kissing can transmit oral herpes yes, it can, even if there was no cold sore present and it would resolve on its own without treatment. If no swab testing was done, it is not possible to know if this might have been oral herpes or strep or some other bacteria that can be transmitted between two people who are kissing. I can’t speak to the small irregularities on your gums – that is best assessed by someone in person.
Testing for HSV 1 is not reliable until about 12 weeks after the encounter and even then, the screening test misses about 1 out of 4 infections. The herpes wester blot is the most accurate antibody blood test for HSV 1. Our clinic can order that for you at a lab near where you live or work if you want to arrange that. It is not available at traditional laboratories but instead is done only at the University of Washington lab

Terri

[karthgra]

Hi Terri, Did you mean the ulcer that needs to be tested? Will it give an accurate result now if tested? What test should i look for? Can you help me? I can show this to the lab you suggest and I have a CHP insurance provided by school. Generally i fall sick when i have iced drinks , and hence i took the antibiotics given by my doctor. I am in New York and away from home, and I am carrying the medicines given by my family doctor. In fact the climate turned cold in the last week at the time i had the drink. I have heard if no sores show up on the lips in 2 weeks after exposure then there is a possibility of not having oral herpes. I am really worried and 12 weeks seem very far. Will a 6 weeks test be sufficient? How would i know now whether this is due to oral herpes or strep throat or any other bacteria? Can i be tested for strep throat or other bacteria? Will the sore throat or irritation in the nodes last this long due to strep throat or other bacteria. The pain from the ulcer was relieved by the antibiotics. I have heard symptoms of oral herpes treated or not would resolve in 3-4 weeks. So can the ulcer be due to oral herpes since i was relieved of the ulcer pain? I have also heard that the sores show up first and then the ulcer. I still have the irritation the nodes and a mild sore throat. I am paranoid at this moment and I am not able to focus on my exams . Please help me. Thank you.

[Terri Warren]

It may be too late to do any swab testing of your throat. You could certainly now be tested for strep throat. If you have strep throat, it could cause continuing sore throat, yes. If the pain was relieved by the antibiotics then it is far more likely to be bacterial. I don’t know how you are making the distinction between sores and ulcers – to me they are the same.

Your only mechanism for contracting oral herpes would be kissing. None of the other things you did put you at risk for acquiring genital herpes.

My advice would be to go back and see the clinician again and tell them your symptoms are continuing and that you would like another work up. This is clearly NOT a reason to panic or be too distressed. I strongly suspect that you had a bacterial infection and responded well to the antibiotics, not herpes.

terri

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