[Question #1075] Herpes

49 months ago

17 days ago, I visited an erotic massage parlor where I received a body-to-body full nude oil massage. In the course of the massage, the masseuse may have gently licked my penis for about 2-3 seconds a couple of times. For the most part I laid on my back as she slid all over my back and legs. At one point, she also proceeded to give me a prostrate massage with a sexual toy fitted with a condom. The massage ended with her giving me a hand job and penis to breast massage. At no point did her genitals come in contact with my genitals. There was also NO intercourse and I am certain there were no openly visible lesions of any kind on her body.

 

About 10 days ago, I noticed a singular small skin colored bump in my groin area hidden underneath my pubic hair. Upon touching it, it started to get a little itchy/agitated but did not hurt. On day 11, I applied a skin cream I apply for pimples on the bump. On day 12, the bump popped upon after a hot shower and upon dabbing it, I could see a few red dots resembling blood on the tissue. From day 13 onwards the bump started to heal and today, on day 18, the bump is more or less healed. It appears as if surrounded by dead skin with a central dot. The healing process has been painless though I still feel a very slight itch from time to time.

 

I’m panicking thinking I may have a contracted an STI – most likely herpes given the skin to skin contact and bump on my skin. I couldn't get an immediate appointment at the doctors so I ordered a 10 panel test for myself (on day 11) through stdcheck.com. The results all came out negative. This week, I went to my local planned parenthood clinic who advised me that they believed the risk of me contracting herpes was general low though HSV-1 was a possibility given the possible oral to genital contact. They advised me to take another blood test for HSV-1 and HSV-2 given the nurse felt antibodies might have started to develop in the event I had contracted the virus. I haven’t received the results of the second round of testing, but I am looking for a second opinion on 1) whether herpes is a real possibility given the specifics of my encounter 2) whether testing at this early stage can truly generate an accurate assessment.

 

Thanks!

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
49 months ago
I think the risk for HSV 2 simply isn't there at all, and for HSV 1, a tiny risk.  Have you ever in your life had a cold sore on your lip or in your nose?  If yes, then you already have HSV 1 (the test misses 30% of HSV 1 infections compared to western blot).  If you already have it, then you are no longer vulnerable to getting it in a new location.  The bump could be anything - I think we forget sometimes when we have lots of body contact with another person that we an pick up other skin bacteria from them that we don't have - like certain kind of staph or strep.  But if the bump went away, then that's a very good thing.  I just don't think herpes is at all likely in your situation nor are other STI's - you did a great job (except for the very brief unprotected oral sex) of not putting yourself at risk for an STI in this sexual situation.

Terri
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49 months ago
Thank you very much for your reply Terri! To answer your question, I haven't had cold sores before. 

The results of my  second round of HSV1/2  testing (blood test recommended by my local PP centre) came back negative. Given it is only still within 3 weeks of my exposure, do I need to come back and do more testing in a few weeks or a month? Can I be reasonably certain at this point, based on  the risk factors being low to begin and the two rounds of testing results, that I do not have herpes?

Thanks for your help!


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
49 months ago
The most accurate antibody testing for HSV 1 and 2 IgG would be done 12 weeks after any concerning exposure. Even then, the HSV 1 test misses 30% of infections.

Terri
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