[Question #13195] Hsv2 risk

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1 months ago

Dear Drs. 

I had before 41 hours with CSW unprotected oral and protected vaginal enter-course 
( but the when i pull out me penis the condom slip to the head of penis)
deep fresh kissing and masturbating her by my hand as well 

After 40 hours of this exposure i had a bump red color on my end of gear shaft that can’t be covered by condom is this could be HSV2 ? 

Is there any way to send a photo so you can check if this is herpes or not ? 

Please advice 
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1 months ago

Sorry for adding more but what the bump i have can be a sore of syphilis it can show up after 40 hours of exposure  ? 

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Edward W. Hook M.D.
1 months ago
Because this is a somewhat different question you will receive a response.  Returning to your prior questions will lead to closing the thread.  Consider this a warning to your continuing Forum abuse.

Pictures are often misleading and unhelpful. We do not accept photos.  Forty hours is too early for this to be syphilis and quite early for herpes.  What you describe does not sound like a herpes lesion which would quickly become a small water blister and then go on to become a shallow open ulcer.   A lesion of this type at the base of the penis may be folliculitis, not an STI.  If you are concerned, you should see a trained clinician.

You are worrying too much.  EWH


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1 months ago

Thank you doctor for your reply 

When i can do test for sti to be conclusive? 

And if it test today for syphilis (RPR) and it came negative that mean this lesion is not syphilis right ? 

And i decide to do pcr test also is 7 days is enough to be conclusive ? 

Really thank you for you reply and btw i talked to the csw today and told me that no slip of the condom and she tested on end of March 2025 that make feel relaxed 

Thank you again I don’t know what would happened to me if there is no medical site like this and doctors experts to give the right medical advise as i’m in place hard to find good internal specialists doctor. 




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Edward W. Hook M.D.
1 months ago
This is a repetitive email. You have been informed regarding testing windows a number of times. If the lesion you’ve noticed was Syphilis a syphilis blood test would be positive2 to 3 days after the lesion appeared.  If you wish to rule out herpes, a herpes swab test using PCR would be conclusive at any time. The swab may be taken from the lesion, even if it is not open or wet.

One reply remaining. EWH.
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1 months ago

I already did the syphilis test same day lesson shows up is this test can be reliable  or need another test ? 

I didn’t mean pcr for herpes as what i know from your reply that lesson not a herpes . 

Need to do pcr test for hiv after 7 days is it enough for my exposure? 
I know it should be after 11 days or more but after 7 days can be conclusive ? 


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1 months ago

And doctor do you advise me to do any sti/std test like gron,chalmidi, syphilis and herps ? And if yes needed what i know after 4 days gron,chlamidya will be conclusive right ? 
Syphils and herps when conclusive test time ? This only if your answer is yes need it 

I know test is personal choice but i need your medical advise based on my exposure 
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Edward W. Hook M.D.
1 months ago
Final response.  NO FOLLOW UPS WILL BE PERMITTED!!!

A syphilis test taken on the day the lesion appeared may be falsely negative.  As I already said, you would need to wait 2 to 3 days after the lesion appeared for a syphilis test to reliably rule out the possibility of Syphilis.

The encounter you described was virtually no risk for HIV. PCR tests for HIV are not entirely conclusive until at least 11 days following an encounter. Seven days is too early for a conclusive test result.

The encounter you describe was very, very low risk for all STIs.  I do not see a need for testing for syphilis or herpes. Where I am your position I would not feel the need for testing at all. If you choose to test for gonorrhea and chlamydia test results will be conclusive anytime more than 3 to 4 days following the encounter.

This threat is now over. You should not return to the forum. EWH.
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