[Question #5887] Question about symptoms

20 months ago
Dear doctors, I’ve become very nervous recently about contracting hsv. I had a full std panel done in January which everything came back negative. Have only been with 2 partners since both times vaginal sex protected, with very short unprotected cunnilingus less than 5 minutes and receive fellatio. I have never had any sores or blisters on genitals. I am a very heavy cigarette smoker. About a month ago developed painless white patches on inside of checks and lower lip which healed without blisters or bleeding. Did not require any medication. I do not believe I have ever had cold sores on lips. From time to time I have slight itching in face and white patches healed on their own with no intervention in less than week. I have had some lower back pain and tenderness above left buttocks which I assumed could be due to running on treadmill. No sores or lesions in genital area or thighs. I had a bump on thumb more than inch above nail which I assumed could’ve been mosquito bite or pimple. It was raised red and itched.  Had another on elbow and knee. Both itched bad and scabbed over from scratching. Have become very nervous about hsv. Did not know status of either partner but didn’t see any lesions or sores. What are chances these are prodrome symptoms should I get tested again or be concerned. Could hsv2 be contracted from cunnilingus or causing white patches in mouth? Can it be contracted orally and causing symptoms? Started a committed relationship and want to know best way to be safe.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
20 months ago
Your symptoms are in no way whatsoever consistent with prodrome.  Herpes does not normally present as white patches or the bumps that you describe on elbow and knee sound far more like bug bites than herpes lesions.  While it is possible to acquire HSV 2 by giving someone oral sex, it rarely happens because HSV 2 doesn't like the oral area and rarely occurs there.  The IgG test misses 30% of HSV 1 and 8% of HSV 2 compared to the gold standard western blot but I don't know how many lifetime partners you have had and what your other risk factors for herpes might be.  So I can't really help you iknow if you should obtain the better test or not.

Terri
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20 months ago
Thank you so much for the service that you all provide. I am not sure if we are allowed to post pictures but it let me attach a couple so here goes. As far as history and risk I have always practice safe sex and since January do not recall having any unprotected sex with anyone with any open sores of lesions. I was told that the white patches could be leukoplakia from smoking or canker sores from irritant like tobacco. They healed on their own without any issue and no bleeding or blistering. My test in January came back negative for all STDs. I don't seem to remember ever having cold sores or blisters on outside of lips or on genital area. Sounds like I am just worrying and should not worry?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
20 months ago
I'm sorry but we don't allow pictures on this website.  There are services run by dermatologist who will look at pictures and/or body parts and give you an opinion.  I have none specifically to suggest but you can look on the internet. I would agree that the white patches may well be related to smoking and this might be a good reason to consider stopping smoking altogether.  I know that's tough - been there, done that, years ago.  But in the big picture, smoking related illnesses are a far greater risk to your health than herpes.  Probably not what you want to hear but I'm offering it up anyway.

Terri
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