Symptoms Post Exposure

[Sid101]

Hello Terri,

I received protected oral and had protected vaginal sex with someone that was confirmed positive for hsv1 on 1/24. Started feeling some of the following symptoms within a week.

Frequent urination
Scrotum burning
Lower back pain
Itchynesss after urination (no pain while urinating)
Penis felt like it was burning at times

After 2 weeks (2/9) of exposure had very moist areas under foreskin that was also very itchy and painful. Urologist put me on doxycycline and the moist area under penis foreskin was gone within a day or so. Urologist didn’t have swab available so I was tested and those results were negative.

Since than I have had lower back pain, nerve pain in buttock area. Penis felt like there was something stuck in it at times and get feeling of pins every now and than.

Was tested at week 5 (3/1) at anylab and those results were <0.200 igg NEGATIVE for hsv 1 and 2.

I also had a follow up with urologist and he seemed to think there was nothing to be concerned.

I wanted your take on if I should be concerned given some of these symptoms? The lower back pain and nerve pain in buttock area countinies even today which is concerning.

Should I plan on taking Western blot test at week 12 or my 2 test I have taken sufficient.

Thank You so much

[Sid101]

Terri,

Sorry another symptoms I’ve had that I should mention is really dry penis head and these lines that look like cut or skin crack on penis head. The lines usually disappeared in 4-5 hours.

[Terri Warren]

You mentioned that the person you’re talking about confirmed positive for HSV one. Was that a swab test or a blood antibody test? The symptoms that you describe are not consistent with herpes, nor is the really dry penis. About half the population in the United States has HSV one infection, so it’s very common indeed. Most of this is oral, but some of it is genital. Genital HSV one is rarely transmitted to others, while oral HSV one can be transmitted with or without symptoms. The fact that you are negative for HSV one five weeks out is a good thing. The not-so-good thing is that the IgG test for HSV one misses 30% of infections compared to the gold standard western blot.
But again, nothing you suggested here sounds like herpes to me.

Terri

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