[Question #2709] WORRIED.

41 months ago
Thank you in advance for offering your guys' expertise and advice; you guys' are extremely helpful!

1 month ago, I had sexual intercourse with my ex, that was CONDOM protected. 2 weeks after the event, I noticed 2 bumps on my labia minora. Neither bumps were painful or itchy; I only noticed them while washing in the shower. There was 1 bump on each side- both were relatively the same as my skin color. Both bumps were small and had whiteheads. One popped and went away, the other still seems to be lingering. The bump is so tiny, you can only really feel it. It doesnt hurt or itch, but has a very tiny whitehead, just like the pores on a chicken's skin. I haven't gone to the OB/GYN yet bcuz I have health anxiety and am embarrassed to go in frequently. Any time I go in there, they make me feel crazy for coming and told me not to come in for a every little problem. I know my health anxiety is an issue, but i've been working on it! I do wear very tight leggings daily for work and the gym, so i'm not sure if the bumps are due to sweat and clogged pores. My OB/GYN told me several bumps can form in odd places due to clogged pores. She stated the vagina and labia has pores, just like the skin on your body.

Now, this Tuesday I had PROTECTED intercourse with a new partner for at most 2 minutes. It wasn't really intercourse since the event was so short. We used a condom for the entire event. He got a little soft at the end and the condom was not all the way to end of the penis, near the testicles. I tried to get on top, but it didn't work out. It was a brief encounter. 

Questions:
1. Do you believe those 2 bumps were herpes?
2. Do you believe the lingering bump is herpes or worrisome?
3. Do you believe either of these encounters puts me at risk for contracting genital herpes or an STD? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
1.  These two bumps do not sound anything like herpes to me, no, nothing like herpes.  In addition, the good news is that condoms worn by men with herpes reduce the transmission of herpes by 96% so even if he had herpes (do you know that he does?), transmission to you would be extremely unlikely
2.  Not being able to see the bump, I can't say if it is worrisome or not - it could be a genital wart, a molluscum, a herpes outbreak from an old infection, a plugged skin duct, many many things.  Only a clinician can let you know that.  And I understand that you are reluctant to go in frequently to be checked but if your doc knows you are working on your health anxiety, they may be more understanding.  And BTW, how are you working on your health anxiety?
3. No, I don't believe either of these encounters put you at any risk of an STI.  You've done a good job about condom use which certainly reduces the risk of acquiring anything of a STI nature.

Terri
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41 months ago
No, I don't know that he has herpes.. I just assume the worst. The lingering bump that I was worried about, I popped on Friday night and some white stuff came out. The bump went away after that and today I checked, and the bump seems to still have a very very tiny whitehead left. The whitehead is the size of the end of a pen tip. The first time I checked, I noticed it and the second time, it was hard for me to identify. The bump/whitehead does not hurt or itch.. I don't even notice it without looking. 

Questions:
1. Does this bump/whitehead sound like herpes? 
2. Did I do the right thing by not going to the DR. for these 2 bumps, since they did not hurt or itch? 
3. It's been 6 days and so far I don't have symptoms of herpes, what do you think the likelihood is of contracting herpes from this encounter with protection? 


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
This does not sound like herpes to me.Herpes blisters have clear fluid in them,not white substance.
Of course you did the right thing!  If you have a worry, then getting that symptom checked out rather than stressing about it alone is the right thing
I think it is extremely unlikely that you acquired herpes in this situation.

Terri
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40 months ago
Terri! I AM FREAKING OUT! 

I’ve been seeing someone for about 2 weeks now and last weekend I got a cold sore (10/5). This Saturday (10/14) my partner kissed me once or twice. It had been about 9 days after my cold sore started and it was scabbed over in the last stages. My cold sore was on the border of my top lip. The outside of the sore had already began healing with new skin and had no scab. The inner side of the sore had a dark brown scab, just like the one you get when you scrape your knee and it heals in the later stages. I was also wearing lipstick on top of the scab. When my partner kissed me that night, my top lip where the scab was, touched the side of his nostril/underneath his nose. The next day (Sunday), the scab fell completely off and new skin was present. I kissed him yesterday too a few times, but there was no scab present.

Questions:
1. What are the chances I passed hsv 1 to my partners face/lips with the tiny scab?  It was about the size of freckles. 
2. He gave me oral after I kissed him- could I get hsv 1 on my genitals if he did in fact contract hsv 1 from us kissing?
3. Could I have passed hsv 1 to my partners lips while kissing him after the scab fell off? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
40 months ago
You are probably less infectious when the lesion is in an older stage so that's good.  And it depends upon what you mean my kissing - what it a little peck, was it a passionate longer kiss?  Obviously, the more passionate the kiss, the more likely it would be to transmit.
Once you have HSV 1 in one location (your mouth) it is very unlikely that you would acquire HSV 1 in a new location (genitals).
A person with HSV 1 does shed virus when no symptoms are present so yes, it is possible that you could transmit virus when you have no symptoms.  Do you know if he has ever had a cold sore? This is something it would be valuable for you to discuss with him

Terri
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