Possible one time out break with permanent changes to glans

[Realscared]

Hi Terri

I would like to thankyou for the service you provide,it truly is so helpful to people looking for answers

A year and a half ago I had a one time unprotected vaginal sex encounter with a female (I’m male),within a few days I had burning red sores on the head of my penis(no other part of my genitals was affected)they didnt scab or have any fuild in them,i also had flu like symptoms this all resolved in about 2 weeks,

I waited 18 weeks to take an igg which came back as follows

>62.2 hsv1
<0.500 hsv2
Negative <0.9
equivocal 0.9-1.1
Positive >1.1

I have suffered from cold sores on the outside of the lips so hvs1 coming back was no surprise

I know how accurate the igg is and that 12-16 weeks is the most accurate time frame

In the months after the red sores had subsided I developed what I can best describe as erosive balanitis in the area where the red sores were,this is best described as a wrinkled pitted area which looks a bit like crushed glass in appearance with ridges and red patches..there is no pain or itching or weird sensations in this area..its almost like permanent trauma from the original sores..I’ve never had another outbreak of sores..my concern is hsv2

My questions are

1.I see that you say outbreaks on the head of the penis only are rare..is this simply because of condom use?

2.do you think in your experience that I would of had another outbreak in the last year and a half or would my pre existing hsv1 have stopped this?

3.In the cases of men that do have outbreaks on the head of the penis only have you ever observed erosive balanitis(as described in my description above)and permanent changes to the area where the primary outbreak occurred,I understand that balanitis is an umbrella term but I’m talking about permanent change to the glans not balanitis caused by thrush or bacteria,have you ever seen scarring as described above on a males gland

Thankyou so much in advance for the service you provide

[Terri Warren]

1.I see that you say outbreaks on the head of the penis only are rare..is this simply because of condom use?

No, I don’t think so, because many men have unprotected sex and get lesions on the shaft. I don’t know why it’s rare

2.do you think in your experience that I would of had another outbreak in the last year and a half or would my pre-existing hsv1 have stopped this?

well, your HSV 2 is negative, right? the IgG test picks up 92% of HSV 2 compared to the gold standard herpes western blot. Also, you’ve not had a recurrence, if that was HSV 2 which would be rare. I doubt what you describe was HSV 2.

3.In the cases of men that do have outbreaks on the head of the penis only have you ever observed erosive balanitis(as described in my description above)and permanent changes to the area where the primary outbreak occurred,I understand that balanitis is an umbrella term but I’m talking about permanent change to the glans not balanitis caused by thrush or bacteria,have you ever seen scarring as described above on a males gland

No. For the few rare men I’ve seen with outbreaks only on the glans penis, it does not leave permanent changes.

Terri

[Realscared]

Thankyou for the reply

One more question do you see many patients with chronic Idiopathic Urticaria caused by an immune response to hsv2 ?

[Terri Warren]

definitely NOT. I never have.

Terri

[Realscared]

I also have not had a hsv1 coldsore outbreak since the exposure where as prior to the encounter I would get atleast two cold sores a year like clockwork

1.i did perform oral sex on the female I had sex with…can exposure to hsv2 orally essentially cancel out a prior longstanding hsv1 oral infection and stop cold sores as I havent had one since the encounter a year and a half ago?

2.in your experience with patients who have prior ohsv1 and then acquire genital hsv2 are they less likely to have reacurring outbreaks or is it just severity of outbreaks that are lessened?

Thankyou so much terri

Let me know if I have to purchase another round of questions to have these answered

[Terri Warren]

1.i did perform oral sex on the female I had sex with…can exposure to hsv2 orally essentially cancel out a prior longstanding hsv1 oral infection and stop cold sores as I havent had one since the encounter a year and a half ago?

Not that I’ve ever heard of,no.

2.in your experience with patients who have prior ohsv1 and then acquire genital hsv2 are they less likely to have reacurring outbreaks or is it just severity of outbreaks that are lessened?

I think you are connecting two things that are just not connected. You are having fewer cold sores but I don’t think are related to any experience you had sexually

Terri

[Realscared]

I’ve purchased additional questions

Sorry Terri I think I’ve confused you with the way I’ve worded my second question

My worry is I’m in the 8% missed for hsv2,I’m in the uk and im far from london also financially I cant afford the blot,the gum clinc wont swab the area on the glans I’m concerned about and I had to pay for my igg privately
I’ve spoken to the female I had the unprotected encounter with and told her I’m worried about hsv2,unfortunately she doesn’t seem to understand the concept of carriers who shed and dont show symptoms themselves and told me she and her new partner of 6 months have both been checked and have shown no symptoms but as we both know the igg isn’t included in regular sti panels and 80% of people with hsv2 dont show symptoms but are still contagious,she also mentioned that if she had hsv2 it would show up on her regular pap smear,after research I’ve learned this isn’t a great way to test for hsv2

1.my worry is that if I have contracted hsv2 genitally that my pre existing hs1 has stopped me from getting any reacurring outbreaks,in your experience with patients who contract hsv2 do the ones who have a longstanding prior hsv1 infection experience less frequent outbreaks?I know the average for hsv2 is 4-7 a year but could I have only had one because of my pre existing hsv1?

2.what exactly would a recurring outbreak entail?can red patches of skin that are slightly sensitive be considered a reoccurence?or does the skin have to broken,have blisters sores etc?

3.with women who have herpes on there cervix are they shedding from anywhere inside the vagina or just from the cervix. Essentially what I’m trying to understand is a man more likely to acquire a primary outbreak of hsv2 on the tip and head of the penis if the woman had herpes on the cervix because of location?
My greatest fear is passing hsv2 on but with a negative igg,no noteworthy recurrence to swab and many sources saying herpes doesn’t change skin permanently I feel very lost

[Terri Warren]

1.my worry is that if I have contracted hsv2 genitally that my pre existing hs1 has stopped me from getting any reacurring outbreaks,in your experience with patients who contract hsv2 do the ones who have a longstanding prior hsv1 infection experience less frequent outbreaks?I know the average for hsv2 is 4-7 a year but could I have only had one because of my pre existing hsv1?

Yes, people who have pre-existing HSV 1 are less likely to have symptoms of HSV 2 when they acquire it.

2.what exactly would a recurring outbreak entail?can red patches of skin that are slightly sensitive be considered a reoccurence?or does the skin have to broken,have blisters sores etc?

Recurrences of herpes would normally present with lesions, yes, not just red areas.

3.with women who have herpes on there cervix are they shedding from anywhere inside the vagina or just from the cervix. Essentially what I’m trying to understand is a man more likely to acquire a primary outbreak of hsv2 on the tip and head of the penis if the woman had herpes on the cervix because of location?

No, most often new infection in men appear with lesions on the shaft of the penis, very rarely on the tip. And if women are shedding from the cervix, there is virus there and in the vagina.
My greatest fear is passing hsv2 on but with a negative igg,no noteworthy recurrence to swab and many sources saying herpes doesn’t change skin permanently I feel very lost

I understand you are worried about this, but if you can’t get a blot, you need to go with what you have. There is no other option. And your symptoms don’t sound herpetic.

Terri

[Realscared]

Thankyou terri,I know theres not much else I can do unless I have another outbreak
Since the sexual encounter and giving the woman oral sex I have constant redness along my bottom lip which fades and comes back red again but never goes completely its along the vermilion border,sometimes theres a slight burn but never any tingling..I also have the same on both sides of my face. patches of red that never really go but are sometimes less pronounced but always there..at it’s worse these patches on my face and mouth are almost bright pink and extremely noticeable

Have you ever seen any patient present with these type of symptoms after contracting hsv2 orally?I wonder if this is my bodys reaction to hsv2 taking hold in the nerves in mouth/face? I never had any of these issues before the encounter.

Could this be yeast related?I’ve tried using clotrimazole and fluconazole 150 x3 days and there isn’t really any noticable difference in symptoms.

Any feed back on this would be greatly appreciated

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