[Question #2811] Is it HSV?

42 months ago
I am a 23yo Male and have been dealing with worsening symptoms after unprotected sex about 1 1/2 year ago. I have seen multiple DRs, have been tested for multiple STIs and all have come out negative, I also took a 12 panel STD test through an online STD testing service and only positive was HSV1 IgG at 48.5 Doctors blow it off because "everyone has that." But I don't see what else it could be. It started as mild UTI symptoms and became a very bad abdomen pain, burning when peeing and constant intense genital burning/itchy including anus.  the abdomen pain went away but the daily burning, forcing and red penis head are mild everyday issues now. other issues that arose and that have come after throughout this time are light sensitive eyes, blurry vision(i now wear glasses) and lights at night are starburts and uncomfortable. I was hospitalized because I had a 150BPM and 103 fever but was released after having a vagel response and those rates dropping back to normal.  since then ive also become very fatigued, easily exhausted, irritable. I feel its hard to concentrate or focus on anything,  and my feet burn and hurt, my hands feel a bit swollen and red and my skin at times feel over sensitive to touch, achy joints . I have seen multiple drs, currently seeing a Neurologist who wants an MRI of my upper back and neck.  I feel its a waste of time because I am confident this is all STD related and dont see what the MRI can do in that aspect, I am looking for any advice or recommendations on what to do moving forward.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
Oh goodness, this sounds like your life has changed quite a bit since this sexual encounter.  You ask in the title if this is herpes and I would tell you that it sounds absolutely nothing like herpes to me.  There are a few things that you describe that people with herpes might have but it does NOT cause abdominal pain, constant itching and burning, a red penis head, blurry vision, starburst vision change or an elevated heart rate.  It also does not cause continuing fatigue or irritability or difficulty focusing or swollen hands.  Have you ever in your life had a cold sore on your lip or in your nares?   Do you have a regular partner and was this partner someone different? 

HSV 1 infection can be oral or genital.  What is your age?  Testing positive simply means that you are infected but it doesn't say where you are infected.  If you happened to be infected genitally, HSV 1 is quite benign.  It rarely recurs and rarely reactivates. 

Are you so convinced that this an an STI because it started near the time of the unprotected sex?  Was it intercourse only, did you receive oral sex as well?

Terri
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42 months ago
I had multiple partners at the time, as of now I have one regular partner. 

I am 23 years old, and don't ever recall having a sore.
I have heard that HSV can be "Soreless", is there any truth to that?

it was only intercourse, no oral. 

I have convinced myself that it is all related to that but I have also seen multiple specialist including rheumatology, urology and neurology.  ive taken multiple tests and have even repeated many of them and all come back normal including MRIs. and all these negative tests have only made it harder to not associate all the symptoms.  And so I guess because of my age, the symptoms seem too much, and because the virus is seen as something so benign I just worry its being overlooked. I understand the virus doesn't normally cause any difficulties but Ive also read that in rare cases it can be difficult to manage. None of my doctors seem to knowledgeable on the virus and I just wanted to speak to a specialist in the area to be able to cross it off the list finally. 

If i have tested for all major and common STIs is there any other possible tests to ask my dr for? any uncommon STIs?

Thank you. 


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
A person can have HSV 1 without symptoms, that is true.
I'm guessing you have likely mentioned herpes to the clinicians that you have see to try to see if that might be the cause of symptoms that you are having?  If yes, then I doubt that it has been overlooked.  And your testing suggests that HSV 2 is not the problem. 
I cannot think of tests that have not been done already, no.
I've not had cases of herpes that are hard to manage.  In what respect are you speaking about?

Terri
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