[Question #3613] So worried about herpes.

36 months ago
I am so sorry to return, but i am really worried and don’t know what to do. 

On 4/6 i was having protected sex with my partner when the condom broke. We realized the condom broke after a few strokes and then took it off & put on a new one. It took us up to a minute to realize the condom broke. Now, i did ask my partner about herpes and the last time he got checked & he said he’s never had herpes or signs and he got checked last year around this time. I’m just worried that maybe he does have herpes and doesn’t realize it. I did go to the gyno 4 days after and she said everything looked good and clean. She said my vaginal walls & cervix looked good. 

On 4/18 i woke up in the morning, and it burned when i went pee (urethra). Through out the day, sometimes it would burn and sometimes it wouldn’t. I began obsessively checking and i didn’t feel anything that felt abonormal. This morning i woke up and it burned when I peed, but it felt like there was a tear on the labia minora or something. I looked in the mirror and couldn’t really see or feel anything that hurt. I just went pee again and it burned when i peed, but it doesn’t burn or hurt on my labia minora. Now when i just examined my labia minora, it seems ticklish or sensitive on the top of the left side of the labia minora near the urethra, but doesn’t necessarily hurt yet. I’m just at a loss and so worried. I’m wondering if maybe i have a UTI but i don’t want to go back to the gyno and them think I’m crazy for going twice in 2 weeks. I got tested for chlamydia & gonorrhea and it was negative. I’m desperate for advice and very worried.

Does this sound like herpes? 

Is this too far out to be herpes? i started getting symptoms 13 days afterwards.

What is the likelihood of me contracting hsv 2 from this exposure? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
36 months ago
It is both unlikely this is herpes based on the very limited exposure and your symptoms - they just don't fit well with herpes
And it is quite far out as well.  Usually we see symptoms 2-10 after infection, if there are going to be recognizable symptoms
I think the likelihood of contracting herpes is very low but why don't you just ask him to get tested so you aren't worrying so much about this?

Terri
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36 months ago
We are no longer together or speaking, and I did ask him if he has herpes or anything like that and he said no. I have severe health anxiety, so i apologize for all of the questions and being bothersome. 

The ticklish sensation was kind of there over the weekend. Sometimes my urethra would burn when I would pee, and other times it wouldn't. Sometimes the ticklish sensation would slightly burn for a second when I first started to pee but never lasts. Not sure if it's all in my head or what. I don't know if I have a UTI because sometimes it burns and other times it doesn't. I don't want to rush back to the gyno because they already think i'm a lunatic and I don't know if the burning when peeing is just something in my head, since it only burns sometimes. I'm currently taking diflucan because my gyno tested me for BV and it came back inconclusive- meaning that there was some bacteria present, but not enough to definitely call it an infection. 

My new symptom today was itching and burning on my labia majora- on both sides of where the labia majora meets the vagina. It started itching and burning after I got done working out in the gym and I was sweating and wearing workout pants/leggings. I began to touch, examine and look at the area and saw that it was red on both sides of the labia majora, just outside the vagina. I took a shower and put some nystatin on it to see if that helps- don't know if it's an irritation or what. However, when i'm sitting I do not feel any pain or discomfort. 

1. I tested negative for gonorrhea and chlamydia after five days of the exposure and it came back negative- can I conclude that i am definitely negative for both?

2. Does the sensitive sensation on my labia minora previously sound like herpes? It started at about 12-13 days post exposure.

3. Do you think this red irritation on the outside of my labia majora is herpes? It is 17 days post exposure.

4. To help me stop worrying- would you conclude that this exposure was low enough to not worry about?

5. Since I did not get symptoms in the first 10 days, should i be worried about getting symptoms in the future from this exposure?

6. Since i did not get symptoms in the first 10 days, is it likely that i do NOT have herpes?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
36 months ago
1.  yes, you can count that as negative.
2.  It does not sound herpetic to me, no, not at all
3.  No, not at all
4.  I would agree that it is low enough that you can stop worrying, yes
5.  I think symptoms from an infection from this encounter would be highly unlikely to show up much later
6.  YES!!

Terri

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35 months ago
Thank you so much for answering my questions very thoroughly, Terri.

You advice definitely helped relief some of my stress and anxiety. I have a few last questions for my third reply. The last time I was tested for hsv 2 was last year around this time. Since then, I have had 4 partners, ALL protected with a condom though. Previous to this last encounter, I had never had a condom break on me. I have heard that one should not be tested for hsv 2, unless they have symptoms because false positives are very common. 

Questions:
1. Since I used a condom with all previous 4 partners and did NOT have symptoms after any of the encounters, can i conclude that I do not have hsv 2?
2. Is it likely to get hsv 2 from protected sex with a condom?
3. Should  i get tested for hsv 2, even though I have not yet had symptoms?
4. Is it likely to have contracted HPV from the condom breaking for a minute?
5. Including the previous 4 partners that protection was used with and no symptoms 10 days afterwards, should I be worried that I contracted hsv 2?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
35 months ago
For the record, false positives are NOT very common.  We kept data for seven years on everyone who had an Igg antibody test as we included them in every STD screen requested (and per the CDC, herpes testing should be considered when people present for STI screening).  about 6% of people fell into the low positive range (1.1 to 3.5).  This is the range where most false positive occur and the CDC says those people need confirmatory testing.  Of that 6%, half were false positives - so of everyone who tested in our clinic for 7 years, 3% of that total population had false positives.
The IgG test misses 8% of HSV 2 infections compared to the western blot
It is not likely to get HSV 2 when having sex with a condom, no.  Condoms do protect women better than they protect men - condoms reduce transmission of herpes by 96% from men to women.
Gosh, whether you test or not depends on whether you can put this to rest without testing, I think that has to be your call.  Look at all we've discussed and come to that decision.  But I really think this situation is really low ris,
No, it isn't likely that you got HPV from one broken condom encounter.  Have you had the HPV vaccine?
I don't really think you do need to be worried, as I've said above.

Terri

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