November 27, 2015 at 11:12 pm #10775
Hi doctor, some background. I am a 23 year old Asian male living outside of the U.S. I am circumsized since 2004. I have been tested for HSV1 and HSV2 and both came back negative. This was somewhere in May 2015.
On 16 November 2015, I engaged the services of an escort while in Europe. There was contact between her mouth and my testicles and perineum and this was followed by roughly 10-15 seconds of unprotected oral sex that did not go beyond the head of the penis (I did not want this to happen but I didn’t know she already started) and a minute of protected oral sex after.
7 days later, I started feeling a tingling sensation at a localized spot on the underside of my penis where the foreskin means the penis. I can’t tell if there is redness or not because after my circumcision, I have had spots around my penis (where the foreskin means the penis) that are slightly redder, probably due to thinner skin after the operation or something.
This sensation subsided for two days and came back after that.
Point to note is that every morning when I wake up, I seldom feel the ringing sensation and with my morning wood, inspection was easier as the skin is stretched and there is no redness at all.
My questions are:
1) What are the chances of this being herpes?
2) I know some are a symptomatic but for people who display symptoms, how long before will the symptoms show and is hospitalization required? I also read that some people get bedridden because it becomes too painful to move. I’m living with a few colleagues and I do not want them to find out about my visit to the escort. In the unfortunate and hopefully unlikel event that the symptoms appear, will it be manageable enough for me to carry on my daily life without them knowing of my symptoms?
Note: I am only leaving Europe back to Asia in late December and i cannot afford to see a doctor because my insurance doesn’t cover it unless I get hospitalized for at least a night. Medical treatment is exorbitant here as well.
Please help me. The anxiety is killing me
November 28, 2015 at 8:11 am #10777
first let me ask you: have you ever in your life had a cold sore on your lip or in your nose? If yes, then genital infection in this way would be nearly impossible
As it is, now knowing that, I think herpes is very unlikely. The chances that you would acquire herpes at a single unprotected oral sex encounter are very low. Then add in that you have never had any lesions or sores at all, makes it more unlikely still. Intermittent redness and odd sensations do not convince me that this might be herpes at all. Then add to that the fact that it was almost two weeks and we almost always see lesions with new infection with a week or so (rarely in two weeks), even lower odds.
If you did happen to acquire herpes in this situation, it would most likely be HSV 1, the cold sore virus. It would recur infrequently, if ever, and would be quite mild in most people. If you did get HSV 1 at this encounter almost two weeks ago, I honestly would expect dramatic symptoms, if you were going to have them, to have shown up a week ago.
No one needs to know about this encounter and you do not, from what you have told me, need to seek medical help at this point = not at all.
November 28, 2015 at 4:53 pm #10780
Hi Doctor Warren,
Thank you for your reply.
I have never ever gotten a cold sore in my life. Nevertheless, given that it has already been 13 days since my encounter, will it be safe to say that:
1) I did not contract herpes (both HSV-1 and HSV-2)
2) Even if I did, I’m probably asymptomatic.
I still intend to get tested through a blood test when I return to my home country. As mentioned, I already have a baseline test done in May 2015, which confirmed that I am negative for HSV-1 and HSV-2. How many weeks must I wait before I go for the blood test and what test should I take?
Lastly, I understand that this is a herpes forum but I am sure you can assist me with this question since your clinic specialises in STD testing: Do any of the STDs cause cloudy urine? I realised that I have been getting cloudy pee these days.
Thank you for your help once again, Doctor Warren.
- This reply was modified 6 years, 7 months ago by Baddecisions.
November 28, 2015 at 6:54 pm #10782
Cloudy urine can be caused by pus or bacteria in the urine but sometimes it is just due to dumping more normal cells into the urine and not an infection.
I don’t know if you contracted herpes or not for certain but if you have no symptoms now, then either you did not contract it OR you are asymptomatic , correct.
November 30, 2015 at 12:33 pm #10791
Thanks for your reply doctor.
Can I ask if herpes sore are supposed to hurt more when I have an erection? I am still having odd sensations at the same spot.
Also, I believe you forgot to answer one question from my previous post about the type of test to take after 12 weeks to test for HSV-1 and HSV-2 antibodies.
November 30, 2015 at 3:40 pm #10795
I don’t think that herpes hurts more or less with an erection.
The test you want is a type specific IgG HSV 1 and 2 antibody test. NO IGM!!
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