[Question #5890] Herpes Risk Concern

20 months ago
Recently, (4 weeks ago), an event occurred where where I received a hand job from a girl, and I am concerned to exposure to herpes. 

The following events occurred:

During hand job, she touched her vagina and likely fingered herself and returned to touching my penis with hand job.
Additionally she used her spit in the process but there was no bj and rubbed the head with it.
She also sat on my on my penis in her g-string for a minute or two.

I noticed it after 9 days, there was a spot which looked like a hair follicle that was bit odd. It looked like an old scar in a single spot not sure if a herpes blister risen and have completely me healed within 9 days of the event without noticing or if it was a scar from a hair I plucked out and it healed before.  About 26 days after the event,  I noticed close to that location a single red spot with some puss (maybe even same spot). It turns out there was a ingrown hair inside, I have removed it and it is healing up normally. But I am still concerned if either of these could have been a herpes blister over a hair?

 What is the possibility of contracting hsv 1 or hsv 2 from this event?


20 months ago
Just to follow up on recent events with my concern outlined above: 

I did a test for HSV 1 (which was positive) and HSV 2 (which was negative). 

I still do have some concerns though.

1. What is the likely hood of transmission of genital HSV1 or HSV2 from the event of her sitting on my bare genitalia (in her thong). I am not sure how well it was covering her genitalia. But it was for about a minute or two.

2.  Is HSV1 transferred genital to genital contact? 

3.  Since my HSV2 test was taken 28/29 days post this incident,  I am not sure the exact type of test, but it was a blood test and the result was 2.42 RU/ml (anything below 16 RU/ml is negative, 16 to 21.99 RU/ml is borderline, and above 22 RU/ml is positive). 
What is the accuracy of this test being only 4 weeks post exposure. Most websites say 4 to 6 or even 12 weeks. 
Do you recommend to retake the HSV2 test ? (as a male in his 20s in good health I would assume antibodies to the virus to have been built within the 28 days or is this a false assumption?) Do you recommend to retake the HSV2 test in a few weeks to ensure it was not a false negative?

4. I understand the high likely hood of HSV1 being from a previous encounter, but I have never had a noticeable mouth or genital sore (other than those potentially described in the previous message).  I have though had a lot of cancar soars. 
 Further information on the previous post: the first suspicious spot that I noticed 9 days post event on my penis looked like the current healing pattern of the current ingrown hair (which sits about 5mm below it). But i never saw an ingrown hair in the first spot or noticed anything until 9 days after incident.  Maybe only some itching on that same side on the penis, but difficult to remember if it was that spot exactly or in close vicinity. Does any of this sound suspicious to you?  




 
20 months ago
5. A few hours when i got home, I noticed what looks like a small break in skin that resembles a paper cut on the top right side of shaft, its about 5mm long, almost perfectly straight, thin, and lies on a blue vein. It does sting a bit similar to that of a paper cut. The break is reder than surrounding area. Not sure if this could be a symptom of a herpe ulcer or sore, or if it could be from the a cut from a finger nail or the skin broke on this spot from twisting and examining the penis from the other visual concerns almost daily. 

Should I get a swab done on it?

I know these are alot of concerns but I am becoming anxious and oberly concerned with this regrettable event. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
20 months ago
1. What is the likely hood of transmission of genital HSV1 or HSV2 from the event of her sitting on my bare genitalia (in her thong). I am not sure how well it was covering her genitalia. But it was for about a minute or two.

This is a no-risk event.  The material of the thong would prevent transmission.

2.  Is HSV1 transferred genital to genital contact?

It is not

3.  Since my HSV2 test was taken 28/29 days post this incident,  I am not sure the exact type of test, but it was a blood test and the result was 2.42 RU/ml (anything below 16 RU/ml is negative, 16 to 21.99 RU/ml is borderline, and above 22 RU/ml is positive). 
What is the accuracy of this test being only 4 weeks post exposure. Most websites say 4 to 6 or even 12 weeks. 
Do you recommend to retake the HSV2 test ? (as a male in his 20s in good health I would assume antibodies to the virus to have been built within the 28 days or is this a false assumption?) Do you recommend to retake the HSV2 test in a few weeks to ensure it was not a false negative?

I don't recommend you re-taking the antibody test - that's because this was a no-risk event

4. I understand the high likely hood of HSV1 being from a previous encounter, but I have never had a noticeable mouth or genital sore (other than those potentially described in the previous message).  I have though had a lot of cancar soars.

Canker sores and herpes sores are different but you could certainly have oral/facial herpes without symptoms or with mild symptoms that you missed.  It can also occur inside the nares.

5. A few hours when i got home, I noticed what looks like a small break in skin that resembles a paper cut on the top right side of shaft, its about 5mm long, almost perfectly straight, thin, and lies on a blue vein. It does sting a bit similar to that of a paper cut. The break is reder than surrounding area. Not sure if this could be a symptom of a herpe ulcer or sore, or if it could be from the a cut from a finger nail or the skin broke on this spot from twisting and examining the penis from the other visual concerns almost daily.

I think it extremely unlikely that this is a herpes lesion, both from your description AND because this was a no risk event AND because herpes lesions don't show up that quickly.

Terri
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20 months ago
Hi Terry,

Thank you fro your response. I have read a lot about you on your website and on this blog and I appreciate you assisting me.

I am just concerned because I do not know how well thong covered her area. I cannot be 100% sure there was no direct contact. And then I took notice to suspicious spots in the weeks past. So I just would like to be safe and have a peace of mind. I have a few follow up questions:

1) I just wanted to clarify your response to point 5 from your response. When you mention that herpes lesions do not show up that quickly, I am assuming you are referring to my first post regarding the suspicious skin spot that I noticed and looked like a healed spot at 9 days? or the ingrown hair or the third cut from 2 days ago?
 "I noticed it after 9 days, there was a spot which looked like a hair follicle that was bit odd. It looked like an old scar in a single spot not sure if a herpes blister risen and have completely me healed within 9 days of the event without noticing or if it was a scar from a hair I plucked out and it healed before.  About 26 days after the event,  I noticed close to that location a single red spot with some puss (maybe even same spot). It turns out there was a ingrown hair inside, I have removed it and it is healing up normally. But I am still concerned if either of these could have been a herpes blister over a hair?"


2) Would you recommend swabbing the recent cut that appeared as an isolated paper cut 2 days ago? It has now basically healed now. But is has appeared almost 5 weeks after this incident, and is very random. I noticed it Thursday, it was a bit stingy, healed over next day or two. No ulcer or puss noticed from it.

"A few hours when i got home, I noticed what looks like a small break in skin that resembles a paper cut on the top right side of shaft, its about 5mm long, almost perfectly straight, thin, and lies on a blue vein. It does sting a bit similar to that of a paper cut. The break is reder than surrounding area. Not sure if this could be a symptom of a herpes ulcer or sore, or if it could be from the a cut from a finger nail or the skin broke on this spot from twisting and examining the penis from the other visual concerns almost daily. " 


3) Can a single herpes blister be easily confused with an ingrown hair with some puss on top? I just find it strange it was close to the first spot I noticed 2 weeks prior.


4) So do you agree that all three isolated scar/spot/cut which were all timed a week or two apart do not sound like a herpes blister?


5) Technical question regarding the test values. If the test shows negative after 4 weeks, why is there a value showing up of 2.42 RU/ml (rather than zero (16RU/ml being borderline and 22RU/ml being positive)?
 Can you tell what type of Igg test this is based on these units (RU/ml) if it was ELISA or other type?  What is the accuracy of the Igg Tests detecting anitbodies after 4 weeks? 
















Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
20 months ago
1) I just wanted to clarify your response to point 5 from your response. When you mention that herpes lesions do not show up that quickly, I am assuming you are referring to my first post regarding the suspicious skin spot that I noticed and looked like a healed spot at 9 days? or the ingrown hair or the third cut from 2 days ago?
 "I noticed it after 9 days, there was a spot which looked like a hair follicle that was bit odd. It looked like an old scar in a single spot not sure if a herpes blister risen and have completely me healed within 9 days of the event without noticing or if it was a scar from a hair I plucked out and it healed before.  About 26 days after the event,  I noticed close to that location a single red spot with some puss (maybe even same spot). It turns out there was a ingrown hair inside, I have removed it and it is healing up normally. But I am still concerned if either of these could have been a herpes blister over a hair?"

I was referring your comment about something that you noticed "when you got home".  I was assuming that was when you got home from the contact.  Neither of these sound herpetic to me.


2) Would you recommend swabbing the recent cut that appeared as an isolated paper cut 2 days ago? It has now basically healed now. But is has appeared almost 5 weeks after this incident, and is very random. I noticed it Thursday, it was a bit stingy, healed over next day or two. No ulcer or puss noticed from it.

There is no real point in swabbing something that is basically healed and normally, a herpes lesion would last longer than 2 days.

"A few hours when i got home, I noticed what looks like a small break in skin that resembles a paper cut on the top right side of shaft, its about 5mm long, almost perfectly straight, thin, and lies on a blue vein. It does sting a bit similar to that of a paper cut. The break is reder than surrounding area. Not sure if this could be a symptom of a herpes ulcer or sore, or if it could be from the a cut from a finger nail or the skin broke on this spot from twisting and examining the penis from the other visual concerns almost daily. " 


3) Can a single herpes blister be easily confused with an ingrown hair with some puss on top? I just find it strange it was close to the first spot I noticed 2 weeks prior.

A herpes lesion would look more like a water blister than something with pus inside.


4) So do you agree that all three isolated scar/spot/cut which were all timed a week or two apart do not sound like a herpes blister?

I do agree

5) Technical question regarding the test values. If the test shows negative after 4 weeks, why is there a value showing up of 2.42 RU/ml (rather than zero (16RU/ml being borderline and 22RU/ml being positive)?

There is always a value to a reading - it is never (or almost never ) zero.  It is completely normal to have some background protein that shows up in this test - I would be worried the test was not functioning if you got a zero.  This is completely normal.

 Can you tell what type of Igg test this is based on these units (RU/ml) if it was ELISA or other type?  What is the accuracy of the Igg Tests detecting anitbodies after 4 weeks?

I cannot tell the brand of the IgG test from what you've said or the numbers, no.  I suspect you may not be in the US however.
The accuracy of the IgG test at 4 weeks is probably something like 60%

Terri
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