[Question #1749] Possible herpes

43 months ago
Hi
First of all i am  glad to be able to ask real experts and have admired your work on this site and med help.

I had unprotected oral sex and protected sex with a female. The same day i started to feel symptoms discomfort in my penis and noticed what looked like to be a blister near the tip of my penis. i had been prescribed from a urologist a cream for some sort of rash but was not std related which i appealed that morning this spot to blister was tiny but when i squeezed it a pin head amount of white came out same colour as the cream. the next day when i woke i was extremely exhausted and felt week in the legs all day. and could not stomach food this continued all day i also started to have pain in my lower inside of my penis and a tingling sensation on the head and left side of the shaft. That night i seen a urologist who looked at the mark and said it was not a blister but it was not as easy seen as if i had a erection. I was prescribed some form of cream and more tables for a ongoing prostate inflammation. The next day i had developed a irritated throat a have been sweating more than usual and there is still tingling sensation on the head and shaft of my penis.I also started to feel a pain in my left but check like a pulled muscle when i have been sitting. I don't know if this is stress related as i have really worked my self up for the 2 days it has been ongoing. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
43 months ago
I'm sorry you are having these troubles.
Herpes symptoms would not show up as soon as the same day - usually outbreaks come 2-10 days after an encounter, with the average being 5.5 days.  Also, with a new herpes infection, you might not have just a single lesion and most lesions are on the shaft of the penis rather than the head.  Herpes lesions generally have clear fluid in them, and they are easily seen without an erection.  I think it is a very good sign that the urologist did not think it was a herpes blister.  Did the doctor feel any testing or any kind was necessary?    While some people with herpes do have muscle pains in the buttocks or down the leg, I have certainly encountered many people who have that kind of pain but test completely negative for herpes.  Also, the fact that you used a condom reduces the risk greatly that you would have acquired herpes.  Have you ever in your life had a cold sore on your lip?

Terri

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43 months ago
Hi Terri 

Thanks for your quick answer. I have never had a cold sore before and in Jan i showed neg for both hsv1 and hsv2 from a type Igg test. this was 6 months after exposure. The doctor 2 days ago did not warrant any sort of swab test he did say it was down to anxiety but this was one day in. Day 3 and same feelings today always seem to be thirsty. If i get no lesions over the next few days can i assume this flu like feeling is not related, or is there any other std i could possibly have?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
43 months ago
I think these flu symptoms are not likely related but obviously I cannot say for certain.  If you tested negative for HSV 2 6 months after the encounter, there is about a 95% chance, compared to the gold standard western blot, that this is correct.  The HSV 1 test does miss about 30% of infections, so that's just not as good. 
I can't think of another STD that would cause the symptoms you are describing, no

Terri
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43 months ago
Thanks for your quick reply.

Could i assume then if i have not break out even with the symptoms that i have i would be free from herpes. Also i don't think it is possible to have a western blot done in the uk. Is it possible all of the symptoms could be caused by anxiety?
If there was to be a out break what would the typical symptoms that a newly infected person would show?

Many thanks 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
43 months ago
A person with brand new herpes, with no prior history of HSV 1, would like present with sores, usually starting with a water filled blisters, probably multiple ones, most often on the shaft of the penis.  A person with HSV 1 antibody on board already might present with far milder symptoms. 
I have certainly ordered western blots of people who live in the UK.  That requires a video consultation with me and we can talk about what you need in terms of sample requirements.  The UW does not send packets to the UK, but there are ways to arrange this - what you need is someone to draw you blood and spin it down.  That is usually the tricky part for most people.
I cannot say you are free from herpes but I can say that given what you've told me, I think it is unlikely that you have new herpes.

Terri
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43 months ago
Hi terri 

Again thanks for your quick responce. A question i wanted to ask is if your lymph nodes were sore or swolen would this come before or after a first outbreak i have spwnt hours reading info from Dr Handfeild and seem to suggest ifni have flu symptoms a swolen nodes i could see a out break but this would be at the same time is this correct. Also if i have been pishing on them trying to see if theybare swolen could this make them hurt and swell. I am for the most part feeling much better on day 4 apart from the tender part of what i assume are my nodes on the rights and the itch around the head and shaft of my penis. I intend to see the uroagist 10 days from the event for std test for bacteria, tric and uraplasma ect how accurate would this test be. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
43 months ago
In my experience, the flu like symptoms, if people are going to have them, would include possible fever, achiness, sometimes light sensitivity - these come with the first lesions, not significantly afterwards.  If you push on your lymph nodes a lot I think yes, you can make them react and swell.  Of if you have an ingrown toenail, that can make your groin lymph nodes react - not just genital things.  I think 10 days after exposure is enough time to have testing for these organisms, yes.  I surely hope you continue to improve and feel better.

Terri
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