[Question #2967] herpes - symptoms and testing

41 months ago
Hello Experts,
I'm very worried that I may have came in contact with the herpes virus or another std at an adult club.  Here are the timeline of events:
10.17.17 @ midnight received a dance and some hand to genital touching.  
- I touched inner thighs, butt, and around female's pelvic region. Don't believe finger ever penetrated inside - possibly very close, but never inside
- She touched my genital area as well. 
- no visible sores. 
- no oral or vaginal sex. 
- no heavy grinding
- I may have some minor eczema around my fingers occasionally, but I didn't notice any open cuts or anything that night.

10.20.17 @ noon felt a tingling, prickly sensation on the scrotum, followed by pain on my butt, lower back, and down my left leg - the following days. no lesions/blisters
10.27. 17 @ 3pm central took test at Quest for HIV-1-RNA, HSV 1/2 IGG,TYPE SPECIFICHSV 1/2 AB (IGM), IFA , CHLAMYDIA/N. GONORRHOEAE, TRACHOMATIS.  (APROX. 9.5-9.75 days after exposure on 10.17.17. ALL TEST CAME BACK NEGATIVE
11.11.17  - visited doctor to discuss situation and symptoms. He couldn't see any lesions. He seemed to think this wasn't herpes and didn't want to do further testing 
11.13. 17 - still experiencing same symptoms  aprox 4 week after possible exposure. 

I understand Dr. Handsfield doesn't approve of igM testing.  Also, I understand he has suggested in the past hiv1-rna should be done at 10 days not 9.5-.9.75 DAYS after exposure.

Are these Herpes Symptoms that I'm experiencing for a month now?  I understand tingling is always followed by an outbreak within a couple days.  Is my tingling prickly and other associated symptoms possibly something else or herpes? I have never experienced tingling prickly feeling on my scrotum ever. 

Please help. I appreciate your support





Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
None of us "approve" of IgM testing -it's full of false positive results. 
Nothing you did at the encounter presents a risk for acquiring herpes - or any other STI.   You can be very reassured about that. I don't believe that the half day difference and when you did your HIV test (9.5 vs.10) is significant. What matters here is the kind contact you and Nothing is described worries me at all for STI acquisition. In addition, herpes symptoms do not last month in the way that you describe happening.

Terri
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41 months ago
Terri - thank you so much for your helpful response.  I guess my main concern is stemming from an immediate prickly/tingling sensation on the scrotum ~2.5 days after possible exposure along with the typical herpes symptoms (lower back, butt(felt like i got kicked) and leg pain). Are there any documented cases/experiences you're aware of for symptoms  to last close to 4 weeks ? I've never experienced symptoms like this ever.  I'm trying to put this past me and not spending every hour of my life researching.  However, I don't want to ever want to risk infecting my wife if I did catch something due to this stupid decision that I will always regret.  
"IgM testing -it's full of false positive results."  -- does this also mean TYPE SPECIFICHSV 1/2 AB (IGM) - NEGATIVE AT 9.5 days should be tossed out as well? Is there a high rate of false negs, or only false positives? How can I bury this fear and put this past me?  Should i get tested again?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Herpes symptoms do not appear immediately after a sexual contact. The earliest you might perceive symptoms is about two days after the contact. Lower back, but and leg pain I'm not typical herpes symptoms. Some people who have diagnosed herpes have some pain down the back of the leg occasionally before an outbreak comes but to assume that lower back butt and leg pain are related to herpes is a huge unwarranted jump in reasoning. Low back pain is the number one reason people present to healthcare providers and I would guess that close to 0% of it is due to herpes.

No IGM test is truly type specific, even though it's says that it is.  You could test at nine days, nine weeks, nine months, nothing you did presents a risk for acquiring herpes. You are taking this backwards–you are having some symptoms and then deciding that something that you didn't presented a risk but it's really the other way around. You should evaluate whether your experience presented a risk first and if you did that way, you would recognize that your situation does not present a risk for acquiring an STI.

I would strongly suggest that you stop researching now or you could really get yourself worked up needlessly.
You have one more post on this subscription but if you ask me again if I think this is related to herpes my answer will remain the same which is no.

Terri
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41 months ago
Good Morning Terri,
Thank you for your response..  Just for clarification - prickly, itching scrotum started aprx. 2.5 days after possible exposure not "immediately." I guess all the research from various groups -- including CDC suggest there is  a real possibility for viral shedding  and that's my biggest fear.  Maybe her "boxer short area" touched my thigh or something. (again - no sex happened, oral or vaginal. just hand to genital area touching).   Your approach to view the experience first, not the symptoms makes perfect sense and is very logical.  I'm not assuming leg pain & butt pain to herpes, but it's very odd i had a prickly tingling scrotum 2.5 days after exposure and  still have the same symptoms 4 weeks out along with lower back, butt and leg pains, but no blisters.  I've been married over 10 years and don't want to infect my wife because of this bad decision.  You are running a wonderful service and your support has really helped me stay rational during this time. Your thoughts are appreciated!  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
A prickly, itching scrotum is not a symptom of herpes.  Many things can cause lower back, butt and leg pains and the vast majority of these symptoms have nothing to do with herpes.

This is our final response to your concerns. If you post again, we will need to delete your posts so please don't waste your money by posting again. Your experience, as you describe it,did not put you at risk for herpes.

Terri
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