[Question #2352] HSV1 POSITIVE

46 months ago
Hi Doctor,
Had a 10 panel test done and the only thing that came back positive is HSV1. As you know from my previous questions my symptoms I was experiencing and still experiencing were all genital. Therefore I  would like to ask you if my HSV1 is genital? I am assuming it is since I have no visible cold sores on mouth or elsewhere. My inner thighs are still burning up and irritating. It still hurts when I walk and if I sit for a prolonged period. My prostatitis seems to be cured. Still some pain in my scrotum. Big question is can I have sexual relations with my wife? Can I pass this on to my children. Do I need to take any medication? Was my prostatitis caused by the HSV1? I TESTED AT 12 1/2 WEEKS are my results accurate? HSV1 AND HSV2 were IGG blood tests. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
and HSV 1 positive test does not tell you the location of the infection in your body.  However, the symptoms that you describe do not fit at all with herpes.  Herpes does not cause pain in the scrotum nor pain while walking or sitting for a long time nor prostatitis.  The test results that you have obtained at 12 weeks are as good as it is going to get. 

I am unable to locate your old post - remind me of your exposure please.

Terri
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46 months ago
REVIEW OF MY EXPOSURE
Hi Doctor,
I cannot get over the pain and discomfort I am feeling since my encounter 12 1/2 weeks ago. I had an experience with a masseuse that unfortunately my eyes were closed and I as drunk. My assumption is that she gave me hand job or oral sex unprotected. I now fear she did more that . Ever since the event I have had numerous symptoms. Initially I had 2 blood like sores or pimples on my scrotum that I squeezed an they bled. I then started to have genital agitation in my inner thighs and between my scrotum and anus. I could not even walk without having discomfort especially with jeans. I initially thought it was skin irritation but no antifungal worked. I have also felt burning sensation in my scrotum. I went to STD clinic after 3 weeks for testing they checked everything except my prostate and hsv 1 and hsv 2. After returning for my results which were all negative at 3 weeks. The doctor ask me if I had discomfort anywhere I mentioned between my scrotum and anus, She checked my prostate with finger and I yelled in pain. She said I had prostatitis and prescribed ciprofloxacin. 4 days later no improvement. I am in a total panic over this prostatitis since all I know is that before my encounter I was in perfect health and no prostate problems. So I am convinced this is all due to an STI more specifically HSV1 or HSV2. prostatitis only occurs through bacteria coming into my urethra correct. So that means she must have made vaginal contact with my penis. Please help me understand that I am possibly safe. I feel doomed. I cannot even do any prolonged periods of walking or running without pain and agitation. So I'm even more concerned. ONE LAST THING I ACCIDENTALLY USED THE MASSEUSE WET TOWEL TO DRY MY GENITALS. I KNOW BIG MISTAKE.  Initial outbreak was a very severe one. Inner thighs are my biggest discomfort burning / chaffing feeling. 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
Using the towel is not a mistake - and I'm not seeing where you had an initial outbreak, much less a severe one.  Burning thighs do not equate to having herpes. Nothing you have written here makes me think you have herpes.  It sounds to me like you are still experiencing prostatitis (which may or may not be new) and you should revisit your doctor to tell her this is not resolved and you need a recheck

Terri
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46 months ago
Hi Terri 
Thank you for your response. I also have constipation, lower abdominal pain and occasional procitis. My igg results say I am hsv1 positive so you still believe I do not have genital hsv1? I am on flomax for another week. I have taken cipro twice for a week at a time. I don't have any more perineal pain. I cant understand how prostatitis would be able to cause this much discomfort.Also when I get my igg numbers I will provide them to you. Do you think a western blot would be a good idea? Thank you for your time and understanding. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
Marco, I don't see how a western blot would help here because if it still just shows HSV 1, we still won't know where it is. And I don't know if your infection ir oral or genital, just like you don't.  Are you wondering if we should do it for HSV 2?  If yes, then we can do that.  Prostatitis can be very painful in my experience.  Cipro really isn't the drug that most people use and often treatment can last several weeks.  The thing is, HSV 1 is just not going to cause the types of issues you are having, Marco

This is your final post.  Any further questions will likely just address the ground we have already covered here and would not be beneficial.  I strongly suggest that you go back to the urology provider and seek assistance.

Terri
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