[Question #2159] STD exposure

46 months ago
Hi Doctors, I had a protected sex with CSW on 4/13. Since then I have not been feeling well. I had oral and vaginal sex and changed condom between each acts. About 3 days after encounter, I felt very feverish. ( my face , neck and the whole body seemed to be burning) but had no fever. I might had a low grade fever but it was always below 99. I went to urgent care and they tested me for all stds. HSV 1 came positive. I had HSV 1 for years and I was aware of it. In the second week I started having headaches followed by feverish feeling. ( no fever just felt like it) . Also during second week I had a small bump in my buttocks ( just one ). I went to urgent care again and the doc dismissed it for ingrown hair. It went away next day. I definitely would not have noticed the bump if I was this concerned so I am pretty much sure it wasn't herpes. I again did the HSV test ( two weeks after encounter) both igm and igg came negative for HSV 2. For the last three weeks i am still having headaches everyday and I feel very feverish. The headaches and feeling very hot over my face ( feverish feeling ) comes together. Sometimes the headaches comes first and then the feverish feeling or vise versa. In between I also had some lower abdomen pain which I cannot say was from groin area, testicle or even my lower back. It lasted just for a day. I feel like I have full pain in my groin or left testicle but I could be I am just too focused on it. I also had my annual follow up done and the blood counts are ok. Yesterday I went to infectious disease specialist with all my test results. She heard my symptoms and looked at the results and said she does not think it's anything to do with infectious disease. My concern is the timing of this symptoms. I barely have headaches and these feelings. Since this encounter it has been on going. I really think I contracted some STI or most possibly HSV 2. Questions: 1. Do you think I should be concerned of any stds in regards to my symptoms. 2. If it was 
46 months ago
Continued...2. If it was HSV 2 symptoms, would the symptoms last this long without an outbreak knowing that I already have HSV 2. 3. I am trying to put this behind me, but these headaches and the feverish feeling has not let me do so. I don't feel well at all. I have been going to bed very early. 4. When I get up early in the morning I just feel that my headache is there barely noticeable but it gets worse around noon for few hours and then I feel fairly normal. I have this feverish feeling on and off. One thing to note is that I am on Xanax for three weeks now 0.25 mg since I have been very stressed. Can it be a contributor for my headaches.5. Can it be stress related? 6. I am married and trying to buy a house so this situation has put me in lot of stress and I am very anxious. I have been holding up sex with my wife. 7. In your experience how likely is it to do with that particular encounter. As I said I was very well before this incident and after that this headaches and feeling unwell ( feverish , hot flashes , flushing ) never seems to go away. I am planning to test again at six week mark. I had some input from MS. Warren abut the symptoms seems to be getting worse. Also I have noticed probably three times being lightheaded and felt like I was fainting. But it just lasted for few seconds. Please advise me where should I go and which doc should I see.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
I'm still answering the herpes questions here. Your symptoms sound nothing at all like HSV 2 infection.  The condom gave you a great deal of protection, good for you for using one.  I think sometimes people forget when they come in close enough contact with someone else to acquire an STD, they may also acquire other things, like upper respiratory infections or influenza or skin bacterial infections.  If anything, I think you may have gotten something unrelated to an STI from this other person.  I think you are very stressed and noticing every little thing, even bumps on your bottom that last only a day or so or lightheadedness, that except for this encounter, you would likely not have been worried about.  You have one more post on this subscription - please try to summarize any other questions that you might have.

Terri
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46 months ago
Dr Warren, first of all I appololize if my posting seem to be rude. I value your opinion and expertise, I was just trying to get an opinion from Dr. Hook or Dr. Hansfield ( just a different perspective I guess) it would really help me to move on. That being said, I do realize that you have been saying that these symptoms does not sound like STI. But the coincidence of the symptoms and the encounter really worries me. Specially if I was feeling better then I would move on. But I have been getting the headaches everyday and even probably low grade fever or just a feeling being feverish. I just have one question: let's assume these headaches and the feverish feeling were from HSV 2. Would I have headache all day long until outbreak or it would be like on and off. Mine happens in intervals. Usually in the morning and evening it's I am fairly ok. Then the headaches and this feverish feeling gets to me in the afternoons. Also more importantly if these were the symptoms ( let's assume ) would it last for this long without an HSV 2 outbreak keeping in mind I am already HSV 1 positive. Also if I got other bacterial or viral infection other then STI, wouldn't there be some other symptoms as fever, running nose, sore thoart, rashes ? You see, just having headache and feverish feeling makes me it should be herpes if it was small bugs probably it would have gone by now or have other symptoms. Again, I am just trying to reason myself Dr. Warren , not trying to get 100% assurance which only the result can give. Thank you !
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
Most people do not have headaches at all with HSV 2, except perhaps a few days during the first episode.  This does not apply to you as your headaches are far more frequent and only happen at certain times during the day.  If you got an upper respiratory infection yes, that was just an example of something you could acquire from another person during a sexual encounter. 

I would suggest that you take one last IgG test at 12 weeks from exposure and if negative, try to learn to believe that you do not have herpes.  Believe it or not, this can be a very hard thing for people who have decided for some reason that they do have herpes - changing one's mind can be tough but if you test is negative, I'll bet you can do it

Best
Terri
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