[Question #3955] HSV1

31 months ago
Had protected sex with a girl three months ago. Noticed bump on her pubic area. Got scared and rubbed isospyrol alcohol all over my pubic area and inner thighs, also took hot shower and felt intense burning around those areas. A couple days later started having some real skin irritation in those areas. It felt like raw, stinging, a few faint red spots, a little itching, also had pain in lymph nodes. Had folliculitis spread to those areas. Saw two doctors and a dermatologist. They both agreed it was a contact dermatitis to the alcohol, and that made way for the folliculitis. The irritation lasted about a month, the folliculitis still shows up here and there. I have took blood test for have came back hsv1 positive only, and confirmed with mother I had cold sores as a child. I also have been trying some different lotions, soaps for the folliculitis, and dry skin. After some heavy drinking for a couple days I had a pain under my skin in my lower pubic area, the next day noticed what I thought was dry skin, applied alot of lotion and it seemed to help, but then noticed like a soreneess under my skin in pubic area, and pain in lymph nodes, a knee ache, a little itching, and a couple red spots that look like irritated hair follicles. This has lasted about five days. Could these be prodromal symptoms of a second genital herpes outbreak? I have never had any blisters, just red bumps or flat spots that have been over entire area. Usually with a hair. I researched prostatitis and realized I have had a lot of symptoms of that over the last 7-8 years or so. Maybe that has something to do with it. I guess I'm freaking out because the pain felt kinda similar to the pain I had with the first contact dermatitis, and the pain in the lymph nodes and am worried I could have genital herpes after all. I have asked the girls to get tested and have not gotten her results yet? I would like to hear your thoughts on whether a genital herpes infection seems likely or possible?



















Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
31 months ago
I would strongly agree with your physicians that the irritation you experienced is very likely due to the alcohol that you rubbed into yourself.  Nothing that you have described here sounds anything like herpes to me.  I think you might be getting a bit carried away worrying about this now.  Also, I don't believe that you would perceive herpes as a bump - maybe a wart?  But not likely herpes.

Terri
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31 months ago
Terri,

Thank you for answering my question. What happens is after I drink alcohol, I start to notice a mild faint pain that almost feels like it is in the muscle tissue in my pubic area, and then I will also feel some pain that feels like it is in the layer of skin. I also notice a very little bit of itching. It is mostly in a lower right spot of the pubic area, but I have noticed it basically all over the pubic area. It usually lasts a few days, I have not noticed any sores or lesions, but the last time it happened, I had what looked like dry skin, and the entire pubic area was a little red for maybe a day, when this happened I think I may have irritated the skin with a hot shower.

My question is do you think that the dehydration, from alcohol consumption, and the previously damaged skin could cause this pain? I guess it freaks me out because of how deep some of the pain is like a virus coming through my body. Also, is it possible to have any kind of prodromal herpes symptoms like this without an outbreak? If it were herpes would it be contagious, as I have read that you can't she'd the virus in pubic area without a lesion.?

I have confirmed, that I had cores, and tested negative for hsv2. Wouldn't this make it likely to not be herpes? Is it possible to get genital hsv1 after having oral hsv1. Also I waited 5 weeks after what I thought could have been the exposure to get tested. Is that long enough? It was an igg blood test.

Thanks again.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
31 months ago
No, I don't think that drinking alcohol has anything to do with the pain that you are experiencing.  It certainly is possible to have herpes prodrome without an outbreak, yes, but since you have noticed no sores, that seems really unlikely to me.  The pubic area does not shed virus when no sores are present, no, the skin is too thick. 
So I'm a little confused by your post - did you or did not have sores?  I do see that you tested negative but your test was done too soon after a concerning encounter to be fully accurate - we like 12 weeks out for greatest accuracy.

Terri
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31 months ago
Terri,

I decided to get retested, and got the same results. HSV1 Positive, HSV 2 Negative. Again this was a ln IGG blood test, and it was 14-15 weeks since the encounter. Again I was able to confirm that I had cold sores as a kid, my whole family has and some still get them. No. I have not had any sores, just folliculitis which I confirmed with a doctor, they always look like a red bump/pimple. Some small some bigger, a few got as big as a dime. They have been all over my butt, thighs, hips a few around pubic area. Most of the time there is a hair growing out of them, or you can see a tiny hole in the middle where the follicle is. Never any cuts, blisters, or anything that looks like herpes. There was some slight redness over entire pubic area once but it was after I applied some folliculitis body wash which I'm sure has irritated my skin a little bit, and took a really hot shower, the redness lasted probably less than 12 hours. 

I realize that my anxiety might be playing a role in this, I guess what is freaking me out the most is the recurring pain in my pubic area. To describe it best it sort of feels like bruising in the tissue, in my lower right pubic area. I thought it was similar to some of the pain I felt during the first contact dermatitis but I really don't think so anymore. That was pretty much all on the outside of the skin. It happens the day after I drink alcohol, but I've also realised that the pain is exactly where the back of my hand makes contact during masturbation, which can be more intense after a night of drinking. I'm thinking that might be the cause since I remember doing before the pain every time so far. Just confused to why it never happened before. I've noticed some itching, in that area but I don't know if it's related, because it's very minor, and I've had minor itching all over since the dermatitis, I also notices a knee ache a couple of times with this pain, again I don't know if it's related, also I mentioned before pain in lymph nodes which only happened once a couple days after this pain, and I realized it's not my lymph nodes more like where my appendix is, it was on left side a little but the pain around my appendix, right side lasted a few weeks, but have not noticed it since it went away. The bruising pain in my pubic area first happened, a little over 3 months after the encounter, and has recoccured three times since then (within about a month), it really only lasts about a day. I appreciate all of your help and advice. I'm just trying to figure what to do/think from here. It seems to me that this would have to be a very rare case of herpes. Again do you think a genital HSV1 infection is possible/likely? Should I be worried? I'm seeing someone new and haven't had sex yet should I disclose anything? My biggest fear is hurting someone else, but obviously I can't go on thinking I have something I may not. I just don't know what to do. Again Thanks for your help.





















Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
31 months ago
Since you have had oral HSV 1 for a long time, it would be extremely unlikely for this to be HSV 1 genitally.  I know you are worried, but my opinion here is that the things you are concerned about are not herpes.  It also does not cause bruising pain.  I hope you can put your mind at rest.  You are trying to be very responsible with future partners, and I think you have been.

Terri
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