[Question #5957] chances of contracting herpeseither oral or genital

19 months ago
Good morning,
Male 39Y/O and I had sex with a friend of mine on JUL27. I had unprotected oral sex for about 10 or so twice & protected vaginal sex with my boxers on the whole time and I am almost positive that I never touched her skin during the intercourse. Boxers where completely dry. The next day my right inguinal node was "soar" and shortly after I developed penile discomfort (pain and felt like something stuck on my urethra) never had any discharge nor burned while I urinated.  2weeks after the encounter I couldn't handle the discomfort and went to the ER and they ran the whole STD panel and did blood work, everything came back clean and the doctor treated me with one shot and 4 pills he told me that he didn't want to take a chance. the following day I developed some sort of redness on the top of my penis head, i went back to see the doctor and he prescribed an ointment (triamcinocolone.1%)  and took it away in about 2 days.  Since that day I cannot see the light, I've been STD tested 3 times and everything keeps coming back clear this is the reason why i think is probably viral. No lesions, soars or blisters up until this point but 2 doctors prescribed my valtrex and one wanted me to go see an infectious disease dr. so I have a few questions based on this encounter and before all this I had been tested multiple times Igg through labcorp and quest and all tests came back negative. never had a cold sore either.
1. what are my chances based on this encounter?
2. how long does it take for first outbreak?
3. should i be concerned?
4.likelihood of having an outbreak after 5.5 weeks?
5. should I take the valtrex?
6.everywhere I read states 2-12 days for first outbreak, is this true?
Thank you
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
The chance of  contracting herpes in this situation is HSV 1, the cause of cold sores.  If you have ever in your life had a cold sore on your lip, then it is extremely unlikely that you would then acquire this in a new location.  If you have never had a cold sore, you could contract herpes in this situation but your symptoms just don't fit with herpes.  Lesions from herpes would appear within 2-10 days after the encounter.  I think it is very unlikely that you would have an outbreak now.  I wouldn't take the Valtrex with no lesions, no, because if you ever want to do an antibody test for herpes (you don't mention if that has been done) then the Valtrex will interfere with the accuracy of the test. 

Terri
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19 months ago
No, I have never had a cold sore ever in my life. I forgot to mention that the oral sex was for about 10 second or so both times and mainly was leaking but there was lips to genital contact. Also she did not have any lesions at the time of oral sex.  Yes, I had been tested before through quest and lab Corp igg and they were negative all the time. In your practice experience have you seen someone develop an initial outbreak after 5-6 weeks? Thank you ms Terri
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
oh, that's different.  I thought you meant 10 minutes, twice.  10 seconds would present closet to a zero risk for acquiring HSV 1.  Very different story and so glad you clarified.  I have never seen someone have an initial outbreak 5-6 weeks later, if that happened, it would be a recurrence of an initial outbreak or infection without symptoms when acquired.   Given the extremely short time of the encounter and a negative IgG 6 weeks later, and no lesions, I would bet a lot of money that you are in the clear

Terri
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19 months ago
Hello Ms Terri,
Thank you so much for your help. My friend just recieved her test results from any lab test now and she is positive on HSVII >8.000 and negative on HSVI 0.3 range <0.9. Am I screwed? Does your previous reply still the same or should I just be waiting for an outbreak anytime soon? Does the 6 week mark still be sufficient? Thank you ma'am. I will buy more follow ups after your response. Thank you
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
So that's actually great for you.  You had no intercourse with her - your contact was only oral, if I am reading this correctly.  So that's almost always genital!  With oral sex, that is not a real risk at all.

Terri
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