[Question #1858] Afraid of hsv2

42 months ago
26 day ago I had vaginal protected and oral unprotected sex with a woman for about 40 minutes.
2 days later I started feeling a slightly burning sensation in urethra and as days went by it became persistent. There was no dysuria or secretion. Asked the girl to get tested and the results came back + for hsv2 (igg 4.7) and – for gonorrhea, chlamydia, hsv1, sifils and hiv.
After 10 days I realize my penis was sore and the glans showed something like little fissures and also had swollen nodes in the groin. Due to I work at sea I only could contact a doctor by phone. He told to use miconazol and betametasone + gentamicin since he suspected to be a yeast infection or an allergic reaction to the stimulanting substances in condom I used.
At the beginning responded well but after a week my shaft still was sore and the glans looked like to be more irritated with deeper fissures and some kind of a rash and a lot of red tinny pimples, all over it, no pain at all. The uti reduced and became intermitent, the doctor decides to stop with betametasone + gentamicin, and in the firts 24 hours using only cetoconazol my shaft looked better. Then he decided stop with cetoconazol, since he tought it could be a reaction to creams. That night my uti got worse and felt it burning more than any other day. Next morning my glans was more irritated than any other day. Sent images to doctor and told me there were no herpetic lesions and to resume cetoconazol, that after 24 hrs improved the uti and the glans aspect. 
After 3 weeks I started to feel a low fever and sore throat. Since the beginning of this situation I have been extremely stressed, worried and anxious. I haven't sleep more than 3 or 4 hours for almost 4 weeks.
After almost 4 weeks there are no sores or blisters. I have checked  10 times per day, only the red pimples that became red dots, maybe 0.5 mm size. Still have some rash and uti almost gone but still feel it sometimes during the day. 
What are the odds of be infected with hsv2. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
I think the odds your acquired HSV 2 are very close to zero.  Thankfully, you used a condom with this sexual encounter and though condoms aren't perfect protection, they are very good.  I'm glad that you had a physician look at pictures of the symptoms that you describe here as a picture truly is worth a thousand words in a situation like this one. 
The main possibility for infection here would be her mouth and the unprotected oral sex.  HSV 2 infection in the mouth happens rarely and when it does happen it sheds infrequently from that location. Her infection, with 95% certainty, is genital and you used the condom for contact with that location. 
From your description, it sounds to me like you had candida balanitis, a fungal infection, like your doctor advised you. 
Be careful not to get the medicine inside the urethra as that can be irritating. 
I'm less clear about the cause of your UTI symptoms - I'm glad those are going away.

Terri
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42 months ago
Thanks for the quick reply Terri,
I have to tell you that now I am very worried since a few hours ago I realized some kind of tiny blister around 2mm size under my toe. It is white but didn't seem to be at superficial skin, maybe because the skin of the feet sole is thicker. When I turned my toe to see it better the skin stretched and the blister opened and something like puss came out, yellowish and milky, the liquid wasn't clear at all.  Now I am frightened. 
I red in medhelp forums that the blisters could appear anywhere from waist down, but also red an expert told that the first outbreak is always realated with genital area, so it is possible to have a first outbreak in such place whit only 1 blister without any sore/lesion in genitals? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
It is not possible that your first outbreak would be under your toe.  And herpes lesions do not have pus in them.  If you are still concerned about the lesion on your toe, you should have a professional look at it to tell you what it is, don't you think?  Otherwise, it is all guessing and worrying yourself without reason.

Terri
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42 months ago
Terry, the same day I wrote I made some lab tests for others dsts. Among them was one test for both igg hsv1 + 2. I asked the doctor for a specific one but the lab didn't have the specific option, so today I got the results and it came as igg 6.7 hsv1+2. I am shocked. Don't remember ever had cold sores. During this almost 4 weeks I have felt all teh symptoms of a new acquired hsv infections  without any sore or blister. I have checked mi penis 10 times per day, my testicles, everything. How can it be possible? I have red some posts of doctor Hunter Handsfield telling thta in 30 years he never saw a new acquired infection with such symptoms withou sores or blister. I am going to tests for a specific igg type today. The odds were too low plus i didn't show anything but the balanitis due candida...the redness and the inflamation that come and go for 3 weeks. It is possible the antibodys arise in such way, in less than 4 weeks?...I am so sad....
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
Please don't feel so sad!  The combined test is completely unable to tell you anything other than you likely have HSV 1 and/or HSV 2 and I have seen those tests yield a positive value but when type specific testing is done, it is negative for both.  This test is not the greatest .  I'm glad that you were able to find the type specific test that is the best one.  We won't know anything further until these tests come back.  I agree that without any lesions at all, new infection is very unlikely, especially since you've been looking so closely. 

Terri
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