[Question #12275] Risk assessment

9 months ago

Good morning

Male in Texas and you guys are great and I’ve learned a lot from you guys and pretty much know my exposures

Here it is :

10/11 unprotected vaginal and oral w female

We both shared our results and all negative but she is positive hsv2 and me positive hsv1

11/11 unprotected vaginal and oral same girl

11/19 unprotected oral w new girl that was kind of rigorous

11/20 eight hours later I find a tear like a paper cut -small line one the base of my penile head where it meets the foreskin

Seems like it is from friction from the oral w the new girl. The girl before was 8 days prior to this which seems a little long for anything

No clusters and I know syphilis is painless

Any suggestions or am I on the right track the paper cut tear is from be friction of the rigorous oral

Please advise

Edward W. Hook M.D.

9 months ago

Welcome to the Forum. Thanks for your questions. I'll be glad to comment. You did well to test and share your test results with your partner of 10/11 and 11. Negative tests mean this was safe sex in terms of the testing that your did and your risk of having acquired HSV-2 is low and your own HSV-1 makes you risk, if anything lower than average. That does not make your risk of HSV-2 zero but it lowers it. In addition, if you were going to acquire HSV-2, lesions would have appeared within 10 days of your exposures.

I suspect, as you do, that the "paper-cut" you describe was due to friction rather than any infection. No STI would appear just 8 hours after an exposure. Unless you develop additional lesions or the lesion you describe evolves, I would not be worried.

I hope this perspective is helpful. EWH

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9 months ago

Awesome! That’s what I thought

My only concern was the unprotected vaginal eight days before the tear. I guess I was concerned if after 8 days a tear similar to a paper cut would present as a Sti lesion? It hasn’t evolved in three days now and is healing

Edward W. Hook M.D.

9 months ago

It would be unusual for an STI lesion to present in the manner you describe. Particularly since you already know that your partner 8 days ago tested negative. In addition, you have a good alternate reason. I really would not worry. EWH---

9 months ago

Understood

I was just wondering if a herpes lesion presents like this since she is hsv2 and I’m hsv1? I don’t think it dies but wanted reassurance

My last reply

You guys are great!

Edward W. Hook M.D.

9 months ago

As i said above "It would be unusual for an STI lesion to present in the manner you describe". That includes herpes.

Thanks for your thanks As you know, this completes this thread which will be closed shortly. EWH

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