[Question #3372] Herpes???or something else

37 months ago
kay. I am lost. 3 months ago I had unprotected sex. Right after I got my period which I thought was weird since it wasn’t supposed to come....and it was really heavy. Anyway after my period I was reallllly itchy down there. I never had any sores, bumps, rash or cuts....the itch lasted about 4 weeks when I finally decided to try a yeast pill which seemed to help. Then I got period again which was right on time . I am not on any birthcontrol but I am regular to the day every month. . Right after my period I had pelvic pain which was always there and then 2 weeks after my last period I got another period which is sooooo unusual for me. Anyways I’ve tested negative for gonorrhea and chlamydia...it’s been 3 months and. My vagina just feels off. Could this be herpes with no sores??? I just finished my period again and still have mild pelvic pain and like I said just an off feeling down there..my vagina just feels achy also my discharge is yellow but no Odor. Has anyone else ever had this happen. Ohhh and when I was itchy which I’m not anymore my urethra was also really itchy. I don’t have any Odor down there either. I’m kind of lost and my doctor seems to think nothing is wrong. What’s the chances of having herpes with no actual sores?? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
Herpes normally does not cause a yellow discharge nor does it cost continual itching nor does it cost pelvic pain. I think herpes is very unlikely here but that's not to say that you couldn't have herpes and not know it. That is always a possibility. I'm going to refer your question to either Dr. Hook or Dr. Handsfield and see if they have any ideas about what other things could be going on here in terms of sexually transmitted infection.

Terri
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37 months ago
Okay. Thank you:) 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Thanks to Terri for the referral. I'm happy to comment.

Many women are very attuned to how their genital areas feel, variations in discharge, and so on; others are pretty much unaware. You seem to be in the former category, and I always pay great attention when an obviously intelligent, aware person perceives a change they consider significant. That said, I agree with Terri that your symptoms don't suggest herpes at all. It's easy to be misled about herpes symptoms, because so many websites list vague things like "tingling", leg pain, and so on. What many sites fail to point out is that such symptoms often can accompany overt blisters and sores, or can precede them by a day or two; but that by themselves rarely indicate herpes. If you were to be tested for HSV and have a positive blood test, my conclusion would be that you have asymptomatic herpes but that your actual symptoms still are not herpetic.

As for being "really itchy down there" for a while, I would have suspected yeast infection and it seems that yeast treatment helped. But yeast doesn't fit with your ongoing symptoms, and I remain concerned about a fair possibility that something significant is going on. Perhaps most important, colored vaginal discharge (yellow, tan, greenish, etc) really isn't normal and often indicates infection. You say nothing about the nature of the exposure 3 months ago, what you know about your partner, whether you have spoken with him (or her) and, crucially, whether you have been tested for common STDs, especially gonorrhea, chlamydia, and trichomonas. If not done, please get professional care now (you need personal genital exam just as much as lab testing, so don't just get tested by an independent lab.

I look forward to hearing some of these details. In the meantime, I hope this information is helpful.

HHH, MD
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Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
Thanks so much, Hunter, great response!

Terri
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37 months ago
Thank you very much for your reaponse. I was rated for chlamydia and gonorrhea but not Trich. Could this possibly be Trich? I agree I really don’t think it’s herpes since the symptoms have been so prolonged but reading the internet defiinitely  gets your mind going places you really shouldn’t be going. Can Trich be tested via Urine? Or does it have to be swabbed? Thank you again. I am very I tuned with my body and I know something is off!! 
37 months ago
Treated not rated lol 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Were you tested and ttreated for gonorrhea and chlamydia, or only treated? What treatment(s)? Have you spoken with your partner about any symptoms, testing, or treatment he may have had?

The most accurate trichomonas test is a nucleic acid amplification test (NAAT, i.e. DNA test) on a vaginal swab. Urine has not been well studied in women. (For sure don't have only a trich microscopic test, which is still the main test done in many clinics but misses at least half of all infections.) For very complete testing, you could also request a DNA test for Mycoplasma genitalium, a more recently appreciated common STD that is not yet routinely included in most test panels.

You also need speculum examination to evaluate for cervicitis and other explantions for discharge, other than those caused by known STD pathogens, and for comprehensive testing for the various causes of vaginitis.

We're just about at the limit of two follow-up comments and replies included with each new question, so I suggest holding off on furhter comments until you have had these additional tests and clinical evaluation and results to report. (Or feel free to add additional information now, in which case you would need to start a new thread if and when you have additional results to report.)
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