[Question #4653] herpes symptoms?

28 months ago
My 9th tested positive for Chlamydia.  Myself and partner treated. He tested negative for everything else.  1 month later developed 3-4 lesions, looked like in ingrown hairs, some I could see hair coming out of it but was very paranoid after chlamydia diagnosis. Saw PCP who did not feel they were HSV but swabbed anyway to give me peace of mind - culture was negative. Still being worried I went to gynecologist few days later who also felt they looked like folliculitis and said vulvar burning is not consistent with HSV. Lesions healed in 1 week. Burning lasted 1 month. August 17th again with vulvar burning, no lesions. Repeat STD testing negative. They did not do HSV. Again burning lasted about a month. Nov2 fooled around in hot tub with partner who was touching vaginal area. Woke up next morning with meatus stinging - last 5 days. Went to PCP who said likely irritated but vulvar was red and this is when burning started again. Few days later - 3 lesions, 2 looked like tiny pimples, one was red patch. All healed. Burning continued until November 22. Had one week of no symptoms and Dec2 developed hives on outer thigh. Next morning some gone but about 10 tiny vesicles, pink, not red and spread out. Vulvar burning started again. All lesions healed and vulva burning is continued as of Dec 10th.  I have also had hives off/on since September all over. Take zyrtec and have allergist apt scheduled.  Does this sound like HSV
28 months ago
The first word is supposed to say May. I have not had a HSV blood test this year. First time they didn’t test Bc its not usually recommended by CDC and second two times I saw doctors, I didn’t have lesions and felt my symptoms are not consistent with HSV. I have been tested once before and was positive for HSV 1. This was when I was only 20 and had only 3 partners. One being a virgin and other two were one time occurances with a condom.  I have never had a cold sore and anything in nose.  If I do a HSV blood test it won’t tell me if this is a new HSV 1 genital infection.  I could only rule out HSV2.  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
So in this case, I do think you should have an IgG antibody test for HSV.  You already know that you are positive for HSV 1 so you would be most concerned about HSV 2.  In particular, I am concerned about repeated genital lesion (though the nature of them varies) and the face that you acquired another STD from your sex partner.  Actually, the CDC position on herpes testing is that is should be considered for those undergoing STD screening. In addition it says the following: type-specific HSV serologic assays might be useful in the following scenarios: 1) recurrent genital symptoms or atypical symptoms with negative HSV PCR or culture.  I think that is you.  If negative, it will ease your mind and if positive, will allow you to manage your symptoms appropriately.  Please let me know what other questions you might have.

Terri
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28 months ago
-Okay. Do you see this generalized vulvar burning as a atypical symptom ever?  

-And I read that outbreaks become less sever each time.. There were about 10-12 vesicles on my thigh which I feel is worse Bc I only ever had 3-4 in the past. Have you seen this?  

-is it true that if you already have HSV1 orally, you are less apt to get a gentital HSV1 infection is you are exposed? 

-I was with my partner 3 times, twice without a condom before these symptoms started,  are chances of getting HSV genitally  kind of low? Especially when he got tested he was negative for everything else but I supposed could have had new infection where he also had chlamydia. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
Generalized vulvar itching is not a usual symptoms of herpes, no
Yes, outbreaks normally get milder over time and less frequent as well.  '
Were the vesicles on the thigh on a red base -and were they water blisters?  If yes, and this is herpes, it would be a recurrence, not a new infection
Yes, that is true about HSV 1
The more intercourse, the more risk but two times of unprotected intercourse still presents a small risk.  Is he going to be tested?

Terri
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28 months ago
So it’s more of a generalized burning - not really itchy. 

So the vesicles were not on a red base, no. They were all spread out  from hip to down to above knee and not red, they were pink/flesh colored. I have been having issues with allergies/ hives. There were a lot of hive looking bumps when they first appeared. I scratched because they were itchy but then next morning, most hives gone but remaining were 10-12 tiny blisters or vesicles.  No ulcers formed. They were like size of a pin head. Tiny scabs formed from the ones I squeezed. They didn’t hurt and gone in a few days. 

He tested in May and was negative for both at the time. I didn’t bring my recent concens to his attention nor ask have I Asked him to get  re-tested. 

So if you have HSV1 orally can you just not get it genitally or just less likely? Is there a percentage you could give me of the amount of people that do get it gentially When they’re already had HSV1 orally for a long time or is there no way to tell really?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
The way you describe this does not sound herpetic
If you have HSV 1 orally you are extremely unlikely to get it genitally.  I have seen it happen once in 33 years in practice.

Terri
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