[Question #601] Herpes / Oral Sex

42 months ago

Hey Doctors,

Again, thanks to whoever answers this.

I'll give you a timeline to best ask my question.

I'm a male.

Day 1: I give unprotected oral sex to a woman of unknown HSV status.

Day 14: I notice a red bump on my cheek while shaving. The bump is not near my mouth. It's about halfway between my ear lobe and the edge of my mouth. It's a raised single, light red bump.

Day 14-28: Bump doesn't really change. It doesn't become a blister. It isn’t soft. It isn't a part of a cluster of other bumps. There is no tingling sensation or pain.

Day 29: Bump becomes soft in shower and tears open. A little blood comes out, but nothing else.

Day 29-31 (today): Bump forms scab. Scab falls off. Nothing left.

I set up an appointment with my dermatologist tomorrow, but now there is nothing really left to show him. I'm kicking myself for not taking a photo of it.

Could this have been herpes? I don't recall the woman's inner thigh ever making contact with that part of my cheek. No part of her genitals ever made contact with that part of my cheek, either.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
Hi Brian,
Thanks for writing to our forum.  I seriously doubt that what you describe represents a herpes infection.  First, the location would be very odd if you contracted HSV orally from giving oral sex - I would expect any lesion to be present around the mouth first, not the check.  You don't describe a water blister, you describe some other sort of bump and given the location, I would expect more like a group of water blisters it if was herpes.  Also, the bumps went on for a long time before it changed, while I would expect  herpes lesion to be evolving pretty constantly. 
Have you ever in your life had a cold sore, Brian?

Terri
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42 months ago
Thanks for the response, Nurse Warren.

Yes, I got some cold sores when I was in junior high right at the edge of mouth. They were horrible.

This sore didn't seem like those blisters I had in junior high. That is why I, at first, doubted they were herpes blisters.

I did see my dermatologist yesterday. While there was not much left to examine, he said it sounds like it was maybe an ingrown hair follicle that became infected.

I think I'm OK.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
I'm glad that your doc thinks it was nothing complicated - That's great news!
Please let me know if you have any other questions, Brian

Terri
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42 months ago
Thanks for your help, Nurse Warren. I'm good.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
OK, Brian, you take care now.

Terri
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