[Question #3175] HSV2 genital from receiving oral sex

37 months ago
Hi Terri,

I received oral sex few days ago and saw a few bumps on my foreskin couple of days after the exposure.  They did not hurt or itch, and the doctor who saw them said it did not look like herpes to her. I am still concerned since I have had random pain in my left buttock and foot for couple of days now, and read that Herpes can show up atypically at times.

1. What is the likelihood of it being HSV2 ? The only exposure was me receiving oral sex. I already have an old HSV1 infection, so I am assuming I couldn't have gotten genital HSV1 from this encounter?
2. What is the correct way to PCR swab these kind of lesions? Since there was no fluid inside them, the physician just rubbed the dry swab over the area on my foreskin. I have read somewhere that a wet swab should be used in such cases? Should I ask for a wet swab to get tested correctly ? Can you please explain how to get a 'wet' swab?

Thanks.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
I know you  have been tested many times.  The likelihood of this being HSV 2 is probably zero unless you have recently had new partners since you were last tested.  Yes, since you already have oral HSV 1 it is very unlikely you would acquire this genitally
2.  Correct way?  Exactly the way he did it.  Both wet and dry swabs are fine.

Terri
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37 months ago
Thank you so much, Terri.

The partner who gave me oral sex was a new one. Is it likely for me to have gotten GHSV2 from her Oral HSV2? I don't know her Oral HSV2 status.
On and off pain in my left buttock and foot/right knee has me concerned. Lymph nodes and my body temperature appear to be normal though.

Also in your opinion, how efficient is a plastic wrap like saran wrap in preventing oral-> genital transmission in this scenario?

37 months ago
Sorry Terri- to clarify, I meant that I have not had any genital-genital contact since 9 weeks prior to the last negative HSV2 IGG test.

Only sexual exposure after that has been me receiving oral sex  by a new partner (protected with a polyethylene wrap, but not sure if it was completely intact at all times since it lasted for 3-4 minutes and was pretty rough for some time). 

I am also feeling pain in groin area on the left side now.


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
Oral HSV 2 is uncommon and when someone has it, it is rarely shed from the mouth, either through lesions or asymptomatic viral shedding.
The poly wrap is quite safe also.  Between the two factors, I would bet a million dollars that you didn't get HSV 2 from this experience.
As worried as you get about such things and as often as you post, I'm am totally surprised that you don't carry condoms with you at all time - let's make that your New Year's resolution!

Terri
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37 months ago
Thank you so much Terri, it is definitely my resolution this year to refrain myself from getting into situations which occupy my mind for months later.

I got the PCR swab test results back today - there were 2 swabs done and both came back negative. One was performed within 48 hours (PCR test by Sutter Health- Palo Alto Medical Foundation)  and another within 72 hours (HSV DNA PCR Qual test by Stanford Virology Lab) of the appearance of bumps.

I still have the pain in my left buttock, foot and in the groin area on the left side. Should I be concerned about this being related to the bumps?

I saw Dr. HHH's reply on the other post and would like to take this opportunity to thank him as well.
Also, I would like to mention that the acronym ASHA is a word in my native language (Hindi), and it means hope- very befitting due to the service provided by this forum. 

Thanks for all you do. 



Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
You are most welcome - I wouldn't worry about the pain being related to the bump - no.

Terri
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