[Question #2941] Could it be HSV2?

41 months ago
I recently had protected vaginal sex with at an Asian massage parlor. I made a huge mistake and have never done anything like this. I am terrified I have HSV2 now thanks to the internet. Day 1 & 2 after exposure I had frequent urge to urinate,  mild pain in penis head that could have been minor burning or tingling (I don’t know really). Day 3 I had what appeared to be a pimple on my left buttcheek that I didn’t think anything of initially because I always get pimples on both buttcheeks. I was so nervous I went and had a 10 panel test done to see my base line. I am negative for everything except HSV1, I’m almost certain I already had that so I’m not worried about it. I have not had any sores, flu like symptoms, muscle aches, discharge or burning when I urinate. The only point of exposure I can think could’ve happened would be the base of my penis and maybe my inner thighs. I am now Day 10 since exposure and no sores but my inner thighs feel agitated with no signs of rash or blistering. My wife and I have just gotten back together and now I’m terrified my stupid mistake is going to pass on something I have. My first question is do you think this sounds like possible symptoms or “minor” symptoms as the internet puts it of HSV2? Thank you for your help. 
41 months ago
Also sorry I meant to add that I shaved with clippers my pubic region maybe like 3 hours prior to sex like an idiot and have since read online this could increase my chances.... is this true?
41 months ago
Sorry I’m a nervous wreck right now and have so many questions I do not want to forget them. I was also wondering if I have HSV1 how likely is it that I would be asymptomatic, have you seen this often?
41 months ago
I’m sorry I just reread the rules of this thread and realized I can only ask one question. I don’t see a way to remove my other comments with other questions. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
You are fine, you didn't ask too many questions.  Nothing you have described here concerns me for HSV 2 infection.  Good for you for using condoms.  Your thighs are not at any risk due to their thick skin and the base of your penis is only at slight risk - the condom covers most of the susceptible areas.  Also, the risk with a single protected encounter are just statistically very low indeed.  We don't know that this person was even infected with the herpes virus.  I think it is incredibly unlikely that you have an asymptomatic first HSV 1 2 infection.

Terri
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41 months ago
Thank you very much Terri. Would you still recommend I get a blood test before resuming relations with my partner? I only ask because I have limited funds and From what my provider has told me they don’t even consider it with the symptoms I provided. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
No, I don't think I would recommend an antibody test for you, given the information you have provided to me.

Terri
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41 months ago
Ok thank you very much Terri. I just have one last question and than I promise I’m done. I was just wondering what is the basis of the research that condoms only provide 30% protection? Everything I have read on here from you all states that condoms provide up to 95% protection and if anti-vitals are used your chances are lowered even more. This 30% stat is what has caused my paranoia. Could you please clarify that for me? Thank you very much for your help again
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
When a male with herpes uses a condom to have intercourse with an infected female, transmission risk is reduced by 96% and you are correct, antivirals decrease that risk even further. The 30% reduction that you note is likely female to male transmission, where condoms do not provide as much protection as the reverse. But I think 30% is a little bit low– I would put it at higher, perhaps 50% or even better. Males shed virus most frequently from the shaft of the penis but females shed virus most commonly from the labia and even with condom use, Olivia can come in contact with the base of the penis, the the reduced protection from condoms.

I am now going to close this post, given your most recent activity here.

Terri
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