I recently hired a prostitute who gave me a handjob / titjob, which I asked for to avoid any sort of sexual contact (I'm married). She was naked, and after I was finished she offered me a massage. I didn't think much of it but we were both naked and I was face down with her straddling me, meaning her groin / butt were touching and rubbing my lower back and butt, rubbing around as she moved around. 

This was about a week ago and for the last 2-3 days I've been having a burning / tingling / itching sensation in my butt crack and on my buttocks just outside of the crack. I don't see any sores aside from a lone dark bump way up my butt that I think is a pimple, but the tingling/burning sensation comes and goes, and it seems like my skin is extra sensitive to temperature.

Is there a chance I could have contracted HSV2 this way? I have pretty dry skin and get eczema, would that make me more susceptible?

Please help! I can't avoid sex with my wife much longer, how soon can I get tested?

Thank you

I think that experience present no risk for herpes acquisition.  Unless you had an eczema outbreak right in the area when she was grinding on your buttocks and she has HSV 2 and that day she happened to be shedding virus, there is no risk here.  And the likelihood that all of those things would come together at the same time is probably greater than 1 in a million.  I don't think you need testing OR that you need to avoid sex with your wife.

Terri

How much would my skin need to be dried out / compromised for there to be any risk? And do the symptoms I described sound like they could be caused by an initial HSV2 infection? Would it last that long (4-5 days) without leading to sores?

Thank you very much.

Yes, I would say that in general sex workers have higher rates of herpes than non-sex workers, this is found in the literature.

No, I don't think your symptoms sound like herpes and you would have had to have had a significant break in the skin for this to happen

Terri

Anyway, it sounds like this isn't herpes, but yesterday I started getting pain and itching on my anus, to the point where I sat down on a bar stool and had to quickly get up because it hurt. It's still pretty itchy and somewhat painful, but it's very hard to get a good look at my own anus to see if anything looks off. I've dealt with hemorrhoids before and it's never felt like this.

Obviously there's some paranoia here, and adding to that is reading that having prior HSV-1 (which I do) can make initial symptoms milder or unnoticeable. Out of anxiety I would like to get tested. 

I have an appointment with my PCP tomorrow morning to discuss another health issue and potentially this exposure. If the pain in my anus continues or gets worse, can it be swab tested? Or would swab tests only be useful if there's a visible lesion?

And for blood tests, would testing (IgG) at 3, 6, and 12 weeks be helpful? If I understand correctly, 3 weeks would detect 50% of HSV2 infections, 6 weeks 70%, and 12 weeks would be close to 100%. Would testing too early risk any false positives, or only false negatives?

Thanks again, you are so very helpful!

I hope you have seen your PCP by now - pain so severe that you had to get up while sitting is unlikely to be just an exaggeration of normal sensations.  You anus can be swab tested, definitely.  Your statistics on the testing are correct.  Testing too early would only risk false negative - false positives can happen at any time, actually, but are not as common, in my experiences, as others believe them to be.

Terri