[Question #2375] wondering

45 months ago
i had a sexual encounter with a girl i was worried about.. i was definitely std free before.. a few weeks after i started experiencing itching and pain in my genitals.. no lesions.. redness here and there in the genital region. now it is almost 6 months later and the symptoms have never truly subsided... they have remained consistent for 6 months. i have also experienced a feeling like i have to pee or something like that. i got a blood test at 12 weeks post possible exposure, both igg and igm and everything was non detectible and negative.all other stds were negative as well. my girlfriend has almost experienced intermittent itching but thats it. it usually goes away  i have also experienced pins and needles in my legs but not sure if this is just in my head or not after reading about it.. what are your thoughts...?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
The negative IgG test is 92% sensitive for HSV 2 - that is, it picks up about 92 out of 100 infections, compared to the gold standard western blot.  You don't mention whether the encounter was protected or not protected.  Obviously if it was protected, your risk is way way lower.  You've had no lesions which is excellent and herpes symptoms don't last for 6 months - the symptoms of herpes are intermittent.  Women often have intermittent genital itching for a variety of reasons and without lesions, herpes would be low down on my list of reasons for her itching.  Out all of the people who report tingling in the lower extremities, very few end up having herpes.

When you say you were STD free before this encounter, does that mean you had previous herpes antibody testing to determine that you were uninfected with both HSV 1 and 2?

Terri
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45 months ago
Yes.. the encounter was unprotected. it was one time and very brief but was unprotected. I guess i mis spoke when i said i was std free.. i assumed i was std free before the possible exposure.. Is 12 weeks enough time after possible exposure to consider the testing results conclusive? what would you attribute the 6 months of itching too?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
I'm so sorry that I don't know what could be causing itching - it could be many things but among the most common are a little fungal infection (like jock itch for you or a yeast infection for her).  Farther down the list might be scabies or a bacterial infection of the skin, some sort of allergic or sensitivity reaction to soaps or laundry detergents. 

The 12 week mark is enough for herpes testing and any other STD that you decide to test for, yes. 
The other way to approach this would be to ask her if she has been tested for STD's including herpes if you are still worried about this, but nothing that you've told me suggests that you have a herpes infection. 

Terri
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45 months ago
just a follow up question.. what percentage of people with hsv2 infections show lesions? what are the most common symptoms and what % of people show what symptoms?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
I would say that most people do show lesions but they might be outside of the genital area - buttocks, thighs, anus - and people don't associate them with genital lesions.  Lesions are the most common symptom.

Terri
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