[Question #2730] Follow up: Oral Risk and Testing

42 months ago
Hello I had a thread already started with Dr. Handsfield but I will describe everything again below.

About 12 weeks ago I received unprotected oral sex from a female of unknown status. I have alot of anxiety around herpes. Two weeks after the encounter I went to an urgent care and tested for chlamydia, gonorrhea and syphilis. I had some diarrhea and made me nervous. All of which came back negative. The next day after the tests I notice a small red patch on the side of my penis which resembled rug burn. So I went back to the urgent care and the doctor who looked at it said it didnt look like herpes and didnt require any further testing (it went away in about 2-3 days). He asked me if I had any other symptoms such pain in my lower pelvic/groin area and I did not.  I have not had any sores or lesions. I spoke with the female who said I have nothing to worry about but you never know.

Of course after meeting with the urgent care doctor for the past three weeks I have felt a pain in my lower left pelvic/groin area. I went to the doctor as I thought maybe it was a lymph node but they said they couldnt feel anything. I workout alot and thinking maybe due to that. I also have read that a symptom of herpes is genital pain.

I guess my question is do you recommend testing? Should I get tested for both HSV 1 and HSV 2?

From my understanding HSV 1 is the biggest risk from receiving oral. My biggest fear is it will come back positive and I wont know if it is oral related or genital related. I have never been tested for either since I had no symptoms. Have never had cold sores from what I can remember. I want piece of mind but is it worth the risk.

Thank you for the help.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
I honestly can't make that call for you but you appear to understand the risks and benefits of testing.  I would say that pain in the pelvic area is NOT a sign of herpes so I don't know why the doc would say that.  I think if you were my in-clinic patient and you have a lot of anxiety about herpes, I would ask you - would you be more agitated if you knew you were HSV positive or more agitated constantly worrying about whether you are infected or not?  Only you can weigh that out.  If you've had no symptoms genitally, I think NEW infection is unlikely in the genital area.  Whether you have old infection is unknown.  And since you have never had a cold sore, a positive HSV 1 result would not tell you where your infection is located.  Have you received oral sex from other people in your lifetime?

Terri
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42 months ago
When you say symptoms genitally do you mean sores and lesions? Or are there other symptoms related to look for? I have received oral from other people in my lifetime but have never noticed any obvious symptoms. 

On a side note I also fingered her for a few minutes. Is it possible to get herpes on your hand? I noticed some hard itchy red bumps on my right hand the other day but figured they were just bug bites or something.

Thank you again for the help.




Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
I was going to say, if this is the only person from whom you have received oral sex and you did test and tested positive for HSV 1, you could probably safely assume your infection was oral but that isn't the case. 
Yes, I mean sores or blisters for symptoms.  though I cannot assure you 100% that you didn't contract HSV 1 genitally, but it seems really really unlikely to me, given you've no symptoms.  And I'm not worried at all about your hand.  In my experience, and I've seen several cases of whitlow, the blistering is way more extensive than bug bites. 
I know this is nagging at you but you've had a lot of people now tell you this doesn't sound like herpes and I hope at some point you can feel truly reassured.

Terri
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42 months ago
I appreciate the insight. 

I guess my biggest concern was the rash on the side of me penis two weeks after. Like I said it was pretty small and I had a medical professional look at it and he said it did not look like herpes. It went away about 2-3 days. I know you read stuff online though that the herpes rash can be mistaken for ingrown hairs or even rash....is that true?

Since an HSV 1 test could miss the infection and I wont know if its oral or genital I might just have to calm my nerves over that. Should I get an HSV2 test with no symptoms? Is this Igg test reliable on HSV2? 

Again really appreciate the help.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
The thing is, you were able to have a professional look at this rash and give you an opinion.  Was it a blistering rash, did it then make an ulcer and scab over?  That's what herpes looks like.  I'm not concerned about HSV 2.  And again, if you test for HSV 1, and it is positive, you won't know where the infection is located and if it is negative, you won't know if it is accurate.  Right?

Terri
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