On 11/17/23, someone used saliva to give me a handjob. I dont know if the saliva made contact with penis opening. On 11/19/23, I started having frequent urinations and pain after urinating. I setup a full sti lab check for 11/20/23. All negative except HSV-1 61.80. Then, called primary and explained what was going on. She said if problems exist in a day or two call her. I did and setup an appointment more tests done 11/22/23 all were neg. She didn’t include HSV-1 or 2. she then referred me to a urologist.  more tests 12/11/23 no HSV1 or 2. All were neg and she then diagnosed me with a bladder infection with no meds. On 12/22/23,  outside lab  all negative with the exception of HSV1 . The pain continued went back to the urologist. I told her I had been watching what I ate Had a cystoscopy, I didn’t have a bladder infection and my prostate looked fine. I then had hsv testing. The results were IGG hsv 1 +, IGG hsv 2 –,IGM + 1.2. I have tested at stdcheck (quest/Labcorp) multiple weeks all the way to week 24. I worked with Terri to get the western blot done at week 18 which was negative. I am still having pain after urination and uretha pain but am being treated for prostatitis. I have avoided sex with my wife since this. i want to put this behind me so bad but am confused because i met with my primary doctor and below is her response after i updated her Glad to hear things are going ok (from what I can see, hope you're actually doing ok). Please let me know if you ever get a blister (from the HSV), we can start you on prn valtrex (as needed)

This is Terri.  I answer the questions on this board about HSV.  Dr. Handsfield also read this post and he agrees with me completely that you don't have HSV 2.  You doctor doesn't seem to understand t that if you have HSV 1 already (which you clearly do based on your high HSV 1 index value) you are extremely unlikely to get it in a new location on your body.  I think she is simply responding to your positive result for HSV 1, not thinking that you have HSV 1 genitally from this contact.  

I am assuming that when you say your western blot was negative, you mean that you were negative for HSV 2, correct, and positive for HSV 1.  So HSV 2 is your concern here.  If your concern is indeed the saliva from the handjob, the virus that could remotely be possibly present in this situation is HSV 1, not HSV 2, so I think your worry is unnecessary.  Hope this is helpful.

Terri

I did a 24 week hsv 2 igg last week it was negative and at week 22 full std  panel all negative except hsv1. 

The only reason I think about hsv2 is the positive igm I received at week 8. I read igm is not wrong all the time. 

Could my high establised hsv1 slow down my hsv2 serocoversion? 

The symptoms i have are penis pain at tip, pain after urination, some tingling on buttocks, occasional irritation when penis touch underwear, NO blisters or sores in 6 months. Urologist treating me for prostatitis. 

Terri