[Question #3164] HSV2 Concerned

39 months ago
About 7 months ago I had sex with a sex worker.  Twice in the same evening. A condom was on all throughout the encounter.

A few days later, I had unprotected sex with a female friend whom I know is rather promiscuous.  Several times throughout one evening. 

About 17-18 days later I noticed a single pimple in my pubic area, about 1.5in above the base of my shaft.  I had no other spots in my genital area, I checked out of pure panic/anxiety daily.

Then last month, on the underside of my shaft I had a straight line welt of sorts. Probably an inch long.  I do use hair clippers to trim and it certainly looked like that type of size.  Also I don’t wear underwear at all times, so it certainly looked like it could’ve been a zipper burn or rub, somehow.

I have had no other symptoms.  Also, I’ve never been tested and haven’t ever noticed anything peculiar down there before.   

Does this sound like HSV2?  If the pimple was HSV2 and was my initial outbreak,  would that pretty much be the worst I’ll experience?
39 months ago
I just wanted to check and make sure I didn’t do anything wrong with my question? I notice the experts typically respond fairly quickly and it’s now been 4 days for me.  I certainly understand the experts are awfully busy.

Do I need to submit more information? I understand this will take up one of my responses, but I wanted to make sure all is ok with my question.

Thank you 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
39 months ago
I am so sorry!  Don't know how I missed this question but I apologize.    You don't need to submit any more information,no.
So can you tell me more about this pimple?  Did it have clear fluid (like a water blister) or white-yellow stuff like pimples normally have?
The "line" thing does not sound like herpes to me. 
Do you usually use condoms with intercourse with people?  I'm trying to assess your risk of having herpes or of needing a herpes antibody test.
The CDC says that for people who are requesting STD screening and who have multiple partners (more than one), herpes antibody testing should be considered.

Terri

---
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
39 months ago
You know, I am not seeing that previous post from you.  Odd.......

Terri
---
39 months ago
The pimple looked like a regular pimple.  Then a few days later, it was gone.  I checked thoroughly because I was worried about my poor decisions.

I never noticed the pimple or the line go through the progression that you all have noted.  Blistering, opening, scabbing.  But where the line was, I can still see a crack in the skin, and I first noticed it 4 weeks ago; it wasn’t ever real painful.  The pimple never got painful either.

The pimple would’ve been 17-18 days after the last encounter, so 21 days or so after the first.

I usually always wear a condom and have been monogamous for years before this.  My monogamous partner isn’t infected.

Thoughts?

39 months ago
Oh, I should also mention that the unprotected partner said she is clean.  I think she gets tested regularly and for birth control.  I’ve also read that these tests don’t test for HSV and I didn’t ask her explicitly about HSV.

I’m just worried I caught something from 1 of them.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
39 months ago
I have some concerns about you saying that you had unprotected intercourse several times with a woman whom you know to be promiscuous.  To know more clearly if you are infected or not, you would want to do the IgG antibody test.  If your result comes back between 1.1 an 3.5, you will need a confirmatory test.  If you were my in person patient, I would recommend that you be tested.  Alternatively, you could check and see if  this woman actually did have a herpes antibody test and if negative, my worry level would go way down.

Terri
---
39 months ago
Ok, I will get tested.

Just for my reference, so I know what to watch out for, do those symptoms sound like lesions?

And if I’m positive and had no real primary outbreak, would I expect it to stay this way forever or do outbreaks occur down the road, even when the initial infection took hold and showed no/mild symptoms?

Thank you again for your help
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
39 months ago
These symptoms aren't typical of herpes no.  Mostly you want to look for water blister-type lesions or ulcerations in the skin
Sometimes people have herpes for years with no symptoms and then start having them so the present doesn't necessarily predict the future.

Terri
---