[Question #1517] Urgent; absolutely devastated.

47 months ago
For the past week, I've been to the doctors several times to figure out what's going on with me. Almost 3 weeks ago, I had protected sex with a man. About 10 days later, I started getting a YI. I was checked for chlamydia, gonorrhea and trich & that came up negative. I got diflucan for that and am now waiting for it to clear up. On Monday night (2 weeks after), I started getting a bad uti. I've been to the gyno twice this week & both have said they did not see anything unusual. My gyno today said she did not see any lesions or redness around my urethra or anywhere. She said everything looked good. She said my vaginal walls have thick white discharge and redness (classic symptoms of a YI), but I also just started my period as she was examining me so I don't know how she could tell redness apart from my blood? She swabbed my urethra and sent it off to the lab. She scared me and said it could be herpes, even though no lesions are present because there could be some inside the urethra. She also said this could be the beginning of a herpes outbreak. However, she said for right now she does not suspect it is herpes. I am so scared that this is genital herpes :( 

Questions:
1. How likely is it that my urethra burning when I pee, is actually genital herpes?

2. Should I still be worried about genital herpes symptoms 3 weeks out? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
47 months ago
1.  Genital herpes can cause urethritis - herpes lesions in the urethra.  So what herpes does NOT cause is frequency and urgency - needing to pee really often and feeling like you absolutely have to pee immediately.  Do you have frequency and urgency?  Was a urine culture done, do you know?  It's very  good that you were seen in person and that your clinician didn't find anything on exam. 
2.  Most people who acquire genital herpes with symptoms will have symptoms within 2-10 days.  Your 10 days symptoms are really on the long side out from the encounter.  I think it is reasonable that your doctor could tell the difference between  blood from your period and redness of the genital area - they wouldn't look the same.

How is it going with the Diflucan?
Any chance your partner would agree to be tested?

Terri
---
47 months ago
We tried to do a urine sample, but I just couldn't pee. My gyno said I did not have redness anywhere but inside my vaginal walls, along with white discharge. I honestly cannot tell if the YI is clearing up because I didn't have any symptoms besides discharge. I'm on my period though, so would it be better if I used tampons or a pad? I don't want to make things worse. 

It just burns when I pee, but last night when I went to the bathroom it didn't hurt at all. 

I'm just devistated because I was always under the assumption that if you used condoms, you wouldn't have to worry about this stuff. But here I am :( 

Questions:

1. How likely is it that my UTI is actually genital herpes? Even though my gyno found no lesions or redness around my urethra.

2. Do you think my YI is in fact genital herpes? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
47 months ago
If your partner used a condom, it is very unlikely that you acquired herpes from him at that encounter.  I think if your exam was negative for lesions or redness, then herpes is very unlikely in this situation.  So no, I don't think your yeast infection is actually herpes. 

I believe that you've posted a few times here on our boards and it's the policy of ASHA that we need to limit our conversations with people who ask multiple anxiety driven questions.  I think this discussion falls into that category as I see that you also had this conversation with Dr. Hook.  So this will be my last response on this thread.  Please don't spend more money on questions here as they will just be deleted and you won't get a refund. 

I'm sorry you are so worried but I believe you can put these fears to rest. 
All the best
Terri

---