[Question #4683] Any need for follow up testing?

27 months ago
This is a follow up to a series of questions I've asked. In short I had sex off and on with a girl throughout the summer. We sometimes used protection and other times didn't. The last time I had unprotected sex with her was 19 weeks ago. The following week after a visit to the OB GYN she was informed she was a confirmed positive for HSV1 & 2 via IGG testing. I ceased having sex with her at this point. This stressed me out and caused anxiety for me. I went to get tested at 3 weeks and 6 weeks both negative. No signs of sores or an outbreak at any point. We resumed some relations in October but didn't have sex during this point. It was only making out and I did receive oral on a few occasions. Still no signs of any outbreaks. However the last time I had contact with her was 4 and a half weeks ago. Drunkenly we made out and I had brief intercourse with her. I used a condom. It's blurry but I'd say the intercourse lasted less than a minute before I decided I didn't want to take any further risks. I received brief oral the following morning as well as some kissing. I tested this week negative for HSV1 & 2. I've had no signs of an outbreak either orally or genitally. At this point can I safely assume I don't have genital herpes and move on? Do I need further testing? Let's say if I were to have protected sex with someone else would I need to disclose any of this? I'm more concerned about future partners and whether there's any chance I could infect them. While this person didn't know at the time they had herpes when we began having sex and I don't fault them I don't want to put anyone else through this. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
27 months ago
So the last contact you had with her was 4 .5 weeks ago?  If you are testing now, it's a good sign that you are negative - at 6 weeks post exposure, 70% of those who are going to eventually test positive will test positive then, so you are looking good - especially with no symptoms.  And this is also especially true since you used a condom.  I think it is very unlikely, given all of this, that you don't have HSV 2 but if it was me, I would test once more at about 8 weeks out and call it good.  Your last unprotected intercourse was quite a while ago so that was your riskiest time.

Terri
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27 months ago
I did see this person last night and we kissed  and she stayed the night. She was naked and I was at first wearing boxers that are old and have some holes in the crotch area. I later out on gym shorts. We didn’t have sex., just fooled around. I fingered her and touched my penis briefly after. She got on top of me and I got ok top of her but I was covered by the shorts. I’d imagine there was little to no risk there but should I be concerned at all? 
27 months ago
Just an update. I’ve noticed some red areas between my inner thigh and scrotum. Any cause for concern here? I didn’t penetrate her at all this weekend. What we did involved her being naked, me with shorts on, heavy kissing, I fingered her a good bit, she gave me two handjobs, and she gave me oral some. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
27 months ago
There is no risk in the activities that you described here.  Generally, redness that show up in the area between the thigh and the scrotum is fungal, not herpes. 

Terri
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