[Question #5520] Time for Western Blot

22 months ago
Hello-

I had a few questions leading up to taking the western blot next week. I put off the test for the past few months because I felt that it was more anxiety driven, but then I noticed a few red spots near my lips pop up about a month apart from one another after kissing 3 different girls. No ulcers or liquid or scabbing, but they were red, around my lips line on my hair follicles and peeled a little on their last days. (Each lasted like 4-7 days total). During the second one I also notice a red irritation on my genitals that lasted a few days that made me nervous that I may have passed it from my mouth to my genitals. There was no ulcer but it was itchy and irritated. I had scratched a little skin off and it made a tiny little cut/wet type mark that lasted like a day as well. The last red mark this month lasted the longest. Do these sound like oral herpes to you? How possible would it of been for me to pass this to my genitals during the second red mark if i was washing my hands before touching that area? (I showed two doctors a picture of the spot and they said it wasn't herpes related) Should I take a regular HSV1 test before the Western Blot to try and determine when/if I got this infection? I know the western blot is the gold standard, but doesn't give a level of antibodies. It's been over 12 weeks since the first red spot started. 







22 months ago
Also, If the tests come back positive and I don't know for certain if I have this genitally as well, how do I go about talking to future partners about this? Should I assume I do not have HSV1 genitally as I didn't have oral sex with the first two girls when the red bump on my genitals showed up? Or should I explain to them that I could have this genitally as well based on chance. Any help would be appreciated. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
21 months ago
This does not sound like oral herpes to me AND it is highly unlikely that you would pass infection from the mouth to the genitals.  Also, herpes lesions would not last 12 weeks.  I honestly don't think it is useful to talk about telling partners about herpes when you have no idea if you have it.  You don't need to tell anyone anything at this point.  Again, a herpes "bump" would not last 12 weeks so please don't jump to the conclusion that you have herpes!  Get the blot and then we can discuss the results, OK?

Terri
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21 months ago
Hello- Thanks for your response. So sorry if I was confusing, the three red bumps on my lip showed up around a month apart from one another during the past twelve-sixteen weeks, so one each month and not 12 weeks of constant symptoms. Each lasted around a week, give or take a day. I noticed that red/itchy circular spot on the side of my penis right after the second red spot had disappeared from my lip during the second month. I took a photo and showed two doctors the spot on my genitals and they were not convinced it was herpes either but it was only a photo. But that’s why I instantly thought I had passed it to myself during masturbation or using the rest room because I noticed I had some dry skin in the area before. I agree, I will let you know what my results are as I’m taking the blot this Wednesday. So hopefully we can save the last two responses until I get the results. Thank you so much Terri. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
21 months ago
I understand why you would be concerned - totally.  But let's await the blot results - is so much more objective evidence than either you or I can conclude, right?

Terri
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