Reply To: Help with diagnosis – thank you.

[Snowiness6423]

Hi Terri, thanks for your reply

1. I failed to mention that I had the most recent rash and the inside the tip of my urethra was swabbed for PCR last week. It came back negative for HSV1 & HSV2. There are no ulcers/sores to swab though. It was quiet dry. How accurate is this?

2. I will go back to do HIV, Syphilis and HSV blood tests on 19th June (12 weeks after sexual contact), if my IGG blood test comes back negative for HSV2 at (like it did at 6 and 9 weeks) am I safe to have sex? My partner has OHSV1. I live in Asia so the Western Blot is not a possibility for me.

3. I started to feel tired and some sensations/tingling in my scrotum around day 10/11 but the rash didn’t appear until day 12/13. I have seen you give a timeline of 10 days for sores to appear. How does my timeline fit with this?

4. My worry is that no medical professional saw the rash for the first 4 weeks. I had a red rash all over my groin folds (both sides) with 3-4 small raised (mountain-shaped) spots with tiny red heads on them. In my groin next right next to my scrotum. Not touching each other but fairly close. Could this be a primary OB?

5. My OHSV1 presents as typcial coldsores that blisters etc… If I had GHSV would it present in the same way? Is that typical for people who have OHSV and GHSV?

6. I had an obvious rash which was large and in both groins. With this in mind, how likely is it that there was a small OB on my penis and I didn’t see it? With such a reaction in my groin would you expect to see a severe outbreak on the penis too?

7 I have read that the igg blood test Sensitivity is 96% to 100% and the Specificity is 87% to 100%. Which in of these is most important for getting a correct negative? Where does your calculation of 92% missed vs the WB come from?

Thank you.