[Question #2299] HSV 1 & 2
98 months ago
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Hello to whomever may be answering my question. At the age of 12 I had unprotected sex for the first time and not too long after that I had developed a red bump at the base of my penis that seemed like a red hard pimple. I was too ashamed and embarrassed to tell my parents or the doctor. I immediately believed I had every disease possible. Through several years I would have a single red bump that was painful on other areas of the shaft of my penis. I would try to push against them but nothing would come out. Eventually they stopped appearing. I am now 38 and have been tested many times for HSV 1 & 2 IGM screen throughout the years with negative results. From time to time I will get a sore in my mouth that consist of a white center that is painful but goes away within a week or so (which I question is this oral herpes). I also have small white bumps of the shaft of my penis (which I question is this herpes). I have been to a Urologist to examine these spots and he was not concerned about them, but there were a few small raised spots that are visible in the light. The doctor advised me it most likely is Condoloma. He did remove one spot and send it to a lab and it was confirmed to be Condoloma. I have recently started a new relationship and want to be upfront with her when the time is right. I have spoken to my primary care but have not really had a great answer. My concerns HSV1, HSV 2 and Condoloma. I don't mind talking to a new partner about all three, but I just need to know if I have all 3. Obviously the Condoloma was tested from my skin, so I would consider that a valid diagnosis. For HSV 1, HSV 2 I am unsure of how to determine if I actually have them even if the result is negative. Are the small white spots on my penis considered to be HSV 2 and the occasional white sore in my mouth HSV 1. The last thing I want is to infect a new partner, but I also want to let them know the right information about what I have or don't have. I wish there was a STI specialist i
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Terri Warren, RN, Nurse Practitioner
98 months ago
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Normally sores inside the mouth are canker sores and are not caused by herpes.
The problem is that your testing was using the wrong test - the IgM is pretty useless - what you need is an IgG test. Are you certain your testing was not an IgG test?
Terri
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The problem is that your testing was using the wrong test - the IgM is pretty useless - what you need is an IgG test. Are you certain your testing was not an IgG test?
Terri
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98 months ago
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Terri,
The past few tests in years have been IGM ifa with reflex to titer. Prior to those I had two separate test 2 years apart about 6 years ago that were the IGG you speak of 1 report just stated the IGG was negative and the other stated values HSV 1 was 0.34 and HSV 2 was 0.02 and anything above 0.90 appears to be positive. What are your thought on the small white spots sometimes I would think they are possibly hair follicles but some don't have hair coming out. I will also have a HSV 1 & 2 IGG test done soon instead of IGM screen. I just want to have best facts and lay these thoughts to rest. Thanks for your reply.
Jason
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Terri Warren, RN, Nurse Practitioner
98 months ago
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Thanks so much for clarifying your testing situation. As you may know the IgM test are worthless and have many false positive that completely freak people out. The IgG is the only test you want to have done. So good that you have had it done but it wouldn't hurt to have it done again to see what your current status is. So I think the white ulcerations in your mouth are canker sores and we don't know what causes those exactly but it is not herpes.
In terms of the white bumps on the penis - herpes normally presents are a water blister followed by rupture of the blister and then an ulcer forms and then it scabs over. Are you white bumps just staying around all the time? They could be hair follicles (I think that might be the most likely thing), they could be a viral infection called molluscum, it's difficult to say what they might be. Have they been there a while? Do they come and go or are they mostly always there? If they come and go, how long do they stay before they go away?
Terri
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In terms of the white bumps on the penis - herpes normally presents are a water blister followed by rupture of the blister and then an ulcer forms and then it scabs over. Are you white bumps just staying around all the time? They could be hair follicles (I think that might be the most likely thing), they could be a viral infection called molluscum, it's difficult to say what they might be. Have they been there a while? Do they come and go or are they mostly always there? If they come and go, how long do they stay before they go away?
Terri
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98 months ago
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Terri,
The water blister you describe may have been what I had many years ago like 20 years. I have not had any of those since 20 years ago and they were far and few so I'm not really sure if that was herpes. The white spots never go away they don't itch or anything. I do keep my self clean down there and occasionally shave the area including my penis. I did have an examination done by a dermatologist and she told me they were normal spots. So if the IGG test is negative is it safe to say I don't have herpes or have I built antibodies that just keep it dormant. And the condoloma there are 3 very small raised bumps on the penis you would never see unless I told you. Sorry to be so paranoid but I just want to be able to present my new partner with the correct information in the most easiest and comfortable way. Thanks for replying, these issues though they are minor can really twist my mind.
Jason
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Terri Warren, RN, Nurse Practitioner
98 months ago
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I do understand that you want to give your future partners the most accurate information about your herpes and HPV status.
The fact that you may have had a water blister on your penis 20 years suggests that you may have contracted HSV 1 genitally years ago - I cannot at all be certain but HSV 1 genitally recurs very infrequently for most people and may fit the picture you describe. The IgG test for HSV 1 misses about 30% of infections, compared to the gold standard western blot so it is possible that you have this. The majority of the population has HSV 1 infection, though most orally. Someone with a history of cold sores would very likely not ever get genital HSV 1 from a partner or within one's self.
Also, the vast majority of the sexually active population has been infected with at least one type of HPV, some, many more types. And most visually apparent genital warts are caused by a type of condyloma that is not normally dangerous - they are called low risk types and your biopsy may actually have revealed the type that yours are. Most people clear condyloma of this type.
If the white spots on your penis never go away,they are not herpes, herpes comes and goes, it is not there all the time in the form of white spots.
Teri
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The fact that you may have had a water blister on your penis 20 years suggests that you may have contracted HSV 1 genitally years ago - I cannot at all be certain but HSV 1 genitally recurs very infrequently for most people and may fit the picture you describe. The IgG test for HSV 1 misses about 30% of infections, compared to the gold standard western blot so it is possible that you have this. The majority of the population has HSV 1 infection, though most orally. Someone with a history of cold sores would very likely not ever get genital HSV 1 from a partner or within one's self.
Also, the vast majority of the sexually active population has been infected with at least one type of HPV, some, many more types. And most visually apparent genital warts are caused by a type of condyloma that is not normally dangerous - they are called low risk types and your biopsy may actually have revealed the type that yours are. Most people clear condyloma of this type.
If the white spots on your penis never go away,they are not herpes, herpes comes and goes, it is not there all the time in the form of white spots.
Teri
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