[Question #2955] Should I get a herpes test?

41 months ago
Hi,  so I'm really anxious and don't know what I should do. Should I get a herpes test? I have a dull pain/ really a discomfort in my urethra that goes in and out. No pain urinating, no lesions. No abnormal discharge. Was seen by two urologists. They examined my penis and inside my urethra said nothing is wrong. Just took a urinalysis and came up negative. Also been tested for chl/gonn negative. Started in April, went away after a week. Came back in July, went away and now has come back mid October. Has been on and off till now. I acquired molluscum this past march, and that cleared up in September. Was tested for hsv1 and hsv2 a week before molluscum showed itself and was negative for hsv1 .07 and hsv2 .03. Is this pain from too much masturbation and holding my semen before I ejaculation? If I don't masturbate it feels better after a day, also I have frequent urination sometimes for no reason but not always. The dullness commonly seems to start after I masturbste but not always. Sometimes it's there for no reason. I have copious exposures but all unprotected oral and always protected vaginal besides once. The unprotected vaginsl would have came up on the march test, as it was a couple of months prior. I'm only asking cause I know you can have herpes urethritis with no lesions present. Thanks 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Yes,it is true that you can have herpes urethritis, but it presents somewhat differently.  Have you had the urologists do a prostate exam?  The pain is definitely not from too much masturbation. Let me know about the prostate exam. We will go from there

Terri
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41 months ago
No they both didn't do one. The one urologist said it was from stress and the other said it could be ngu. They kind of both dismissed prostatis due to my age 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Hmmm. How old are you? So if you've had no unprotected intercourse since your last herpes antibody test, I think a new herpes infection is unlikely unless it is HSV one from receiving oral sex. Have you ever in your lifetime had a cold sore on your lip or in your nose? If you have, genital infection is extremely unlikely as you already have this virus. The problem is, the HSV one antibody test misses 30% of infections. The other problem with it is that even if positive, the antibody test does not tell you where are your infection is located–it could be oral, even if you've never had a cold sore, or genital. With all of your symptoms that you have described to me, it sounds more like some sort of prostate issue.

Terri
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41 months ago
I am 27 only unprotected sex i had was receiving oral sex. in april the women had 3 bumps on the inside of her upper lip, but she said it was due to her picking her lips, not a cold sore. they didn't look like cold sores though, and i didn't see them till the next day, when i asked her about it. I never had a cold sore before.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
So if you've had no lesions in the genital area at all then I continue to think that HSV 1 genital infection is an unlikely cause of your issues.You can certainly test but again,if positive for HSV 1, we cannot know if your infection is oral or genital.

Terri
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