[Question #5395] exposure odds

22 months ago
I was exposed to hsv 2 and had no idea until after. The person apparently has not had an outbreak in two years. It was just a one time exposure and a condom was used for the majority of the time, but there was exposure without a condom for a couple of minutes. What are the chances that I contracted hsv 2, and how soon can I get tested?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
I think the chances of you acquiring HSV at this very brief single encounter is incredibly low.  I don't have an exact percentage for you but I know Dr. Handsfield quotes 1 in 2-3,000 chance.  If you do decide that you want to get tested, I always recommend a baseline IgG test to be sure you weren't asymptomatically infected prior to this but a final IgG test 12 weeks after the encounter.  The condom was great -do know if she was taking antiviral medicine as well?

Terri
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22 months ago
She wasn’t taking antiviral medication. This happened on Thursday of last week so, 5 days ago. When would I see symptoms? When can I feel in the clear? And at what point should I get tested? Now? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
The vast majority of people who are going to develop symptoms will do so with 2-10 days with the average being 5.5 days.  You could get a baseline antibody IgG test now, yes, if you wait and only test at 12 weeks you won't know if you've had this for a long time or a short time from this encounter.  If it doesn't matter, then wait until 12 weeks.

Terri
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22 months ago
I noticed this morning the area around my anus is reddened and sore, not painful and no lesions or blisters that I can see. It looks more excoriated and raw. Is this typical of how it starts? Note: we did not engage in anal sex, but oral sex and saliva or skin could’ve made contact with that area. Freaking out. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
I'm sorry that I can't help more over the internet.  But if you are having symptoms that worry you and skin changes that are unusual for you, please see your own clinician for an evaluation and swab test if the decide that is appropriate.

Terri
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