[Question #2341] Possible herpes

46 months ago
Hi doctor,
I am following up on previous questions. My history is 11 weeks ago I had a drunken encounter which resulted in protected oral sex with a CSW in Liverpool England. No vaginal sex. Since this regrettable encounter I have had std tests  at 37 days and 61 days. All results came back negative including blood tests for herpes. 2 nights ago I starting getting tingling feelings on my right hip area feeling felt like water trickling on my skin. Yesterday no tingling.  This morning I woke up with aching muscles in my right bum check and 3 big spots exactly where the tingling occurred 2 nights ago. I'm terrified this is herpes and I'm terrified I am going to affect my wife. We have been together for 17 years and neither of us have ever had sex with anybody else. My questions are Would it be possible to get herpes in this region (my right hip) even though my exposure was protected oral sex or does herpes only develop on the affected site of exposure? Also would negative blood test at 61 days for herpes be conclusive in your opinion and do you think my exposures would put me at risk for herpes? Would you recommend further testing?
Also final question would you think my exposure could lead to genital warts. I'm just terrified of affecting my wife.
Thank you doctor for your help
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
The thing is, using a condom with oral sex is just so safe.  How would infection happen?  The virus can't get through a condom. 
People who have herpes can get outbreaks on the buttocks - you say they are three big spots - can you see a professional and have these looked at? 
The only thing I can think could be possibly going on here is that you had HSV genitally previously from receiving oral sex with your wife at some point and you are now having a recurrent outbreak.  Having said that, we have no idea if the red spots are even herpes.

I just don't see how it would be possible at all for you to have acquired HSV from the CSW in the situation that you describe. 

The IgG test misses about 30% of HSV 1 infections - it is not perfect.  But if you are asking if you should be retested for herpes due to this encounter, my answer is no!

Terri
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46 months ago
Hi Terri
Thank you for your reply 
I understand what you say and the specialist I seen also said it was practically a zero risk encounter. I seen the specialist today and showed him the spots and he said they are non specific to herpes. He did not spend much time examine them though. I guess I'm just worried that 2 nights ago I got this tingling sensation on my hip that I've never experienced before and then this morning the same buttock is stiff and sore and then these spots appear. It just has all the symptoms of herpes. 
Would it be possible that this could be my first episode 11 weeks after the episode? 
I don't think I would of got herpes from my wife as we are always extremely careful in that regard. Also the fact that I had negative blood tests at 37 and 61 days would rule out getting it from my wife surely? We have not had any sex since this episode as I'm afraid to infect her if I have anything. 
My specialist repeated blood test today for herpes and all the other stds and results are back next Thursday. If these are negative 11 weeks after my encounter can I take these results as conclusive?

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
No, it would not be possible to have a first outbreak 11 weeks in.  And if the specialist said the lesions aren't herpetic, then they aren't.
Yes, if your 11 weeks results are negative, I believe they can be considered negative as the risk just isn't there.

Terri
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46 months ago
Hi doctor. I rang my specialist today for results  and he told me the results indicate that I am not sero convert in relation to heroes. What exactly does these results mean. Can I take these as conclusive 11 weeks after my exposure? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
are you saying that your doctor said you were negative on the herpes test?  I can't tell you what the results mean unless you are a bit clearer in this statement

Terri
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46 months ago
Hi Terri 
Yes I rang the doctor again this morning to reconfirm the results and he told me the herpes blood test came back negative and that I did not sero convert from my previous tests. All results came back negative. As this is 11 weeks post exposure can I be confident that these results are conclusive. Sorry about the vagueness of my last question. I just really didn't understand what sericonvert meant when he said it.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
That's OK, thanks for checking on this.  Yes, I think 11 weeks, without you taking any antiviral medicine,
 is as good as 12 weeks.

Terri
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