[Question #2331] Concerned with HSV 1 and HSV 2

45 months ago
I met with a CSW at a massage parlor and had protected oral and vaginal sex that lasted 5-10 minutes with her on top (the condom was put on with her mouth). I experienced what I think was genital focused anxiety for many weeks after. Mostly tingling of the penis and the occasional pimple/red bump/razor burn that made me freak out. I know for certain I was STI free prior. I have only been with one other person prior to this incident.

I was tested for HSV1 and HSV2 at 4 weeks, 6 weeks, 13 weeks, 16 weeks, and 24 weeks (6 months from possible exposure was the last test).  All tests were IGG type specific AB Herpselect by Quest Diagnostics. All results came back <0.90 Negative.

 I still occasionally freak out and think I have it. This event was 8 months ago now.  I feel the need to go to my doctor every time I have razor burn or a tingle down there, but they always go away eventually. Any bump I did have checked out, was told it was nothing to be concerned with. Is anymore testing required? Should I relax and feel 100% confident I don't have it? Is there a chance any tests are false positive? COuld symptoms start to appear at this time? Most importantly, is a negative test at 4 and 6 months conclusive for this situation?

Thanks for any help!

45 months ago
Another incident that has me worried is 6 weeks ago I was at a peep booth, and stroked a strangers penis for 30-60 seconds.  Afterwards I noticed I had a scab on the top of one of my knuckles and read herpes can transmit through wounds during this type of contact. Any chance a new transmission could have occurred from this? There was no oral, just my hand to his genital. I am getting help for this behavior, and need closure from all the worry.  Should I retest from this incident?

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
I have no concerns at all about the masturbation of the man at the peep show.  None. 
The IgG test picks up about 92% of HSV 2 and about 70% of HSV 1 infections.  The best test to detect herpes infections is the herpes western blot from the University of Washington.  If you would like to order that, I can help you at our research website, westoverheights.com.  This might allow you to stop worrying and stop taking trips to your doctor when you have a little ditzel on your penis.  I suspect you are fine but these are the sensitivities we have from our most recent study

Terri
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45 months ago
I am open to taking the western blot. What are the chances that all the testing that I have had done are false with all the negatives?  Is a negative test at 4 and 6 months conclusive enough, or do you  recommend the western blot for absolute certainty. I appreciate your help and expertise. The internet is a scary place when seeking these types of answers out.

 I guess I am just looking for someone to tell me the odds are favorable enough to move on, or I should have more testing.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
Different people are satisfied with different percentages.  I listed the sensitivities in the past post and now I think it is up to you to decide how comfortable you are with these percentages.  Given that your encounter was condom protected, I think the chances that you got infected are very low indeed.  I am responding as much to your feeling the need to see your doctor whenever you have something in the genital area that feels unusual or abnormal to you as I am to your actual risk.  This one has to be your call.  Herpes testing is just not as great as HIV or chlamydia or gonorrhea testing.  It has a ways to go to get better.  But it's pretty darn good and we know how to deal with the possibility of false positives nicely now with the blot for confirmation.  The issue of false negatives is a little more challenging.  I do recognize that there is a lot at stake here for most people and I try to give all the options for the most accurate testing - whether you use these options are up to individuals.

Terri
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