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Hello Terri,
Id like to start off by wishing you a happy new year and thanking you for all the insight,help and information you provide. The internet is a very scary place for std info and im very thankful that you have made place available for accurate info to be shared.
I am a 25 yr old male and had my first sexual encounter about 10-11 weeks ago. The entire thing was safe to the point where she even performed oral on me with a condom on. I performed very light oral on her without protection.
The unfortunate part is that around 3/4 through the encounter we decided to change condom (to be safe) but instead of using regular lube we used coconut oil. The possible exposure was around max. 10 min and I only learned several weeks later that condoms and oils are a no no.
I have gotten tested at 5 weeks and all is negative which helps me stay much calmer although I dont think I tested for HSV.
I have not had any symptoms except for quick shooting pain and minimal tingling on the genital area. Sometimes they occur on arms, lower legs and feet but much more often in the the genital area.
This has only come forth over approx. the past 5 days and has happened much less frequently over 48 hrs.
I saw an urgent care doctor at an std clinic yesterday and he physically examined my genital area and mentioned that the symptoms are not usually associated with herpes and that although possible, it’s unlikely to have an initial outbreak this late (10.5 weeks).
Before leaving he told me that he’d like for me to give a urine sample and said he’s confident about it not being herpes and that I should do the blood test whenever I feel comfortable (going next week).
I was wondering if you know what the urine test could be useful for and if getting a blood test at 11 weeks is okay?
Have you encountered people with similar symptoms? If yes, in your experience was it attributed to another condition or even just high stress & anxiety?
Thanks! very sorry for the long message
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The urine test was likely for gonorrhea and chlamydia, not herpes.
The symptoms that you are having, without an sores, is extremely unlikely to be herpes and though oil and condoms are not a perfect match, I think it is highly unlikely that with only 10 minutes of intercourse, you contracted anything at all. Good job with using the condom for oral sex.Terri
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Do herpes lesions last much longer than 1 – 3 days?
Normally, yes, longer than 1-3 days – not every time, but usually longer
Should I have tested at 16 weeks instead of week 13-14? Should I get tested now?
13-14 weeks is as good as it is going to get, no worries there.
If I understood correctly from online reading, the blood test is around 92% certain at 12 weeks. For the 8% that the test misses, is it mostly due to people taking antivirals?
it is 92% sensitive for HSV 2, 70% for HSV 1. The lack of sensitivity is NOT mainly due to antiviral use, no, it just misses it.
This is your final post on this subscription. If you have more questions, feel free to renew
Terri
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1) In your experience have you seen many cases of false negative igg tests using WB as confirmation (assuming tests were done at proper time)? Or if i understood correctly the majority of “healthy” people will at least be in the low positive range by 12 to 16 weeks and be confirmed as a false positive or true positive by WB.
It isn’t about whether you made antibody, it’s about whether the IgG test will pick it up or not – it’s a test issue, not a “you” issue UNLESS you are taking daily antiviral medicine
2) I live in montreal canada and there is a lab that does immunoblot testing, is that a “close enough” test to the WB?
No, it is just another form of IgG test
3) I’ve unfortunately been super analyzing my genital area and noticed a minuscule red bump on the shaft of my penis. required a magnifying glass and ultimately seemed to be an irritated hair follicle. It lasted a total of a day and a half. I have never had lesions during the incubation period and have not had any other encounters, yet my mind is still stuck on this 6 months later.
Anything that requires a magnifying glass and last a day and half is extremely unlikely to be herpes.
My last question is in order to get my head off the fear of a false negative would you suggest a WB? If yes, do you know of any labs in Canada that do this or is it only through the university of Washington?
As far as I know it is only done at UW but if you can find someone to draw and spin your blood in Canada, we can get it done
Terri
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1) transmission from female to male is roughly 4% (assuming sex 2-4x per week over an entire year)
Correct
2) condoms are not perfect but still significantly reduce the risk of contracting herpes.Correct
3) igg blood testing at 14 weeks is accurate enough.It’s as good as it is going to get at 14 weeks, correct
4) WB is really only necessary for confirmatory testing and people with a high risk sexual history (many
Yes and to set worried minds at rest
Terri
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that med has no influence on the western blot, no
So what if you posted an address on evisit that is not your home address, but rather an address in the US somewhere – perhaps a friend’s address or an address of a restaurant. I believe that people have done that in the past and it has worked for people who live in Canada. Try that and if it doesn’t work, we’ll talk a different way. We will be in Ireland starting tomorrow for three weeks but I am still able to do video conferencing.Terri
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