[Question #1881] Follow up to possible std

43 months ago
Hi, I've some follow up questions regarding my previous post. 

1. With regards to swollen lymph nodes I was just wondering where the location would be? Should I be looking at the inguinal nodes or are there any in the pubic area as well?

2. ive been checking for lumps In the area where the discomfort is, approx 1cm up from where left side of penis joins the pubic area and approx 1cm to the left and i can feel something. it feels like a tube approx 3-4cm long running right though where the discomfort is. Would this be the inguinal canal  and is it easy to feel. I can feel a similar structure on the opposite side of my pubic area the same length. 

3. Would 14 days after exposure be a bit late for herpes symptoms to start?

4. it's day 11 now and still no blister or sores, would I be right in thinking that in their absence after this amount of time that I can rule out HSV?

Still no sign of my gon/chlamydia results so I'm taking that as a good sign. 

Thanks again for your help. 
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
 Welcome back to the forum. I'm sorry that you continue to have symptoms and be concerned that this might be an STI related to the encounter you described. I doubt this is the case.   Let's address your specific questions: 

1.   Lymph nodes are typically not seen in the pubic area. Typically swollen lip took her 2 to 3 inches to the side of the crease between the pubic area in the leg. Swollen left those are the best diagnosed with a physician. With your continuing symptoms I would encourage you to ask a trained to clinician to evaluate your symptoms. You can do this  without concern that your symptoms are due to any STI including herpes. 

2.   What you are describing may be a ligament or other normal connective tissue related to the junction of the lower extremity to the leg.   It does not sound pathologic.  Once again, an evaluation by a trained condition they help you sort this out. 

3.   Yes, it would be quite unusual for the symptoms of an initial herpes episode to begin more than two weeks for exposure. 

4.   Yes, you can be confident that your symptoms are not related to herpes infection encountered through the exposure you described. 

 Rather than wait, I would encourage you to call and seek your gonorrhea and chlamydia test results. I suspect they will be negative but think that you would do well to have this information. After that, as I mentioned above I would think it helpful for you to see evaluation by a trained clinician to look at the area of concern that you described.    Clearly this is concerning you and it would be best to deal with it directly. I am  sincerely doubt this is that this is an STI of any sort.

 I hope you find my comments helpful. EWH 
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43 months ago
Thanks Dr Hook. 

The lymph node placement was the only issue I had left that I was struggling to get around and now you've clarified where they are you've totally put my mind at ease. 

Going to book an appointment with my GP to have it checked out. 

Thanks again. 
43 months ago
P.s would it be ok to keep this thread open for a bit please just in case anything else comes up that I need to ask about? (I'm pretty confident I won't need it though)
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Thank you.   We can keep the thread open for a few more days.  All threads are closed administratively at around 2 weeks or when there have been 3 replies to a question and the follow-up clarifications.  EWH
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43 months ago
Hi, sorry to post again but I have another question. Didn't put in my original post that there was kissing involved as well. 

2-3 days ago had 2 areas of tingling inside my lower lip, felt like it was the start of mouth ulcers. I started using corsodyl mouth wash straight away and didn't think anything of it. However they haven't developed into ulcers. The patches just feel rough now, are red and the tingling has disappeared. 

1.Could this be the start of cold sores? It's been  25 days from exposure,would that be too long to get a cold sore outbreak?

2. Also I can feel my submandibular glands, under my jaw, both sides. I've read that they should be approx 1cm big, but it's hard to tell how big they are. Is this normal or would I only be able to feel them if they were swollen?

3. If it was a primary cold sore outbreak would it be over so quickly?

4. Would it cause tingling without producing any blisters?

I've had mouth ulcers before and they never take this long to form ulcers. I can't see any blisters. 

Just as I thought I was getting over the anxiety after your answer yesterday This happens and I feel like I'm back at square 1 again. I'm really sorry to post again, but I can't get an appointment at my doctors til next week and you're the only person I can ask advice from til then. 

Thanks. 

43 months ago
Sorry I left out a question. 

Would could sore blisters be easily seen or can they be tiny?
43 months ago
Also left out that the skin looks like it is broken where the patches are. 
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
You really need to let this go.  It is clearly bothering you and, I suspect, effecting your day to day state of mind.  As I said in my original response "I am  sincerely doubt this is that this is an STI of any sort."  The more I hear about this, the more I am convinced that this is not an STI, including herpes, acquired through the exposure you described.  On to your follow-up questions:

1.Could this be the start of cold sores? It's been  25 days from exposure,would that be too long to get a cold sore outbreak?
Answered earlier- it would be most unusual for an initial HSV episode to not have appeared within 25 days of exposure.

2. Also I can feel my submandibular glands, under my jaw, both sides. I've read that they should be approx 1cm big, but it's hard to tell how big they are. Is this normal or would I only be able to feel them if they were swollen?
No, it is normal to be able to feel these. Further, their presence is entirely non-specific and can reflect gum disease, dental problems, colds or simply be part of normal variation.  The more you poke and prod, the more likely it is that they will swell and become tender, reflecting your trauma rather than infection.

3. If it was a primary cold sore outbreak would it be over so quickly?
No, initial HSV episodes typically last 10-15 days, sometimes longer.

4. Would it cause tingling without producing any blisters?
The perception of tingling in situations most often reflect the attention you are paying to the area.  When persons experience tingling, this typically is followed by an outbreak in the next 12-24 hours (or less). 

HSV blisters are typically 1-3 mm in diameter and occur in groups which occur in clusters.  They are easy to see.
That kissing was involved in no way changes my assessment of advice.

Again, I worry that you are entirely too concerned over this.  My sincere advice, offered over concern for you and nothing more, is to suggest that you seek the advice of a confidential counselor to help you work through the guilt and anxiety you are experiencing.  This is NOT an STI, including herpes.  With that, this will conclude this exchange.  The thread will be closed later today.  I wish you well.  EWH

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43 months ago
Thanks for your reply DR Hook, you're absolutely right, I feel like a mess at the minute. Can't get rid of the feeling that I've ruined everything over one moment of drunken madness. Once again your advice is reassuring, just need to get my head around that this is not an STI. 

Thanks again.