[Question #10300] STD
24 months ago
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Hello, question here re: std risks.
6/29- Protected vaginal intercourse. 5 days prior to, he cut his upper shaft shaving with an electric razor and sent me a pic of two small little red dots and said they were bleeding. He had routine std testing 5/26, negative except for HSV1, which we both are positive for.
7/9 - formed a linear cut outside on my thigh near my anus, went away with some aquaphor after a few days.
7/13 - noticed a small small circular cut in my perineum after a bad BM, it healed after a few days with aquaphor and baths as well.
7/31 - routine std panel, but it didn’t include trich, and it was all negative except for HSV1.
Since this past Saturday, experiencing the same small pin sized cut in my perineum, red dot, it seems to subside with aquaphor and baths but everytime I go to check on it on the compact mirror, it’s like I open it back up once it’s healing.
I’ve read across forum boards that this type of one cut can be herpes or HPV and it can be just one lesion. I tried to go to and STD clinic but the NP wouldn’t swab me. He said “because you’ve had an antibody test, used a condom, and are not sexually active, I see no need to waste the time.”
24 months ago
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Should I be concerned that the routine panel on 7/31 didn’t test for trich?
If the cut on his upper shaft was protected by condoms, am I still at risk?
I cant get in to see the OBGYN until tomorrow morning. I assume she will swab me. Is it too late by then?
What is the likelihood that the PCR test is positive but the IGG remains negative, does that happen often?
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Terri Warren, RN, Nurse Practitioner
24 months ago
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It is likely too late for an accurate swab test. It should most certainly have been done at your exam, and takes 30 seconds to do.
But if the lesion is still there, I hope your GYN will swab it for you anyway.
If you happened to be infected on the 29th, which I seriously doubt since condoms reduce transmission from men to women by 96%, an antibody test done two weeks later is too soon for accuracy.
If the swab is positive and IgG negative, that indicates new infection.
Let me know how the OB appointment goes, please.
Terri Warren
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24 months ago
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The NP told me my case wasn’t serious, it was overall just rude bedside manner.
If the swab is negative, do I need to do any additional testing? Should I take another IGG test?
I’ve read responses from Dr. Handsfield that said “initial herpes cause lesions primarily at the site of friction, usually multiple lesions. You can’t have and std involving your perineum if there wasn’t direct sexual contact with those areas.”
Is this accurate? Am I just being a worry wart for no reason?
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Terri Warren, RN, Nurse Practitioner
24 months ago
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I would agree that lesions with a brand new infection should show up at the site of contact - so with vaginal intercourse, your perineum or vagina.
I think infection in your situation is highly unlikely, but hope your visit with your GYN sheds some light on what's going on with you.
If it would provide you with more reassurance, you can do another IgG 8 weeks down the road from the encounter, but remember, there are false positives on these tests so beware! I personally think that's probably not necessary.
Terri