Alcohol was involved, and the total encounter lasted approximately 15 minutes. At the end, I noticed significant slipping from the condom, to the point where it was nearly off. 4 days after this exposure, I noticed a red bump in the middle of my pubic hair, about an inch above the base of my penis. I immediately started to freak out, and poked at it, until a white-yellow pus substance came out of the top (almost like pushing through a small pin prick). The bump was then sensitive to the touch. 

The following day, I went to an urgent care facility. The provider was not overly concerned, noting it did not appear like herpes, but agreed that a swab test was in order based on a known exposure.  I am currently awaiting the results. The bump has not blistered or opened into a sore, but I have pushed some more pus out multiple times in the past two days. To put the size in context; the provider had to ask which area to swab; they had difficulty finding it. No additional bumps have appeared. 

This is my only possible hsv2 exposure since my negative western blot. Can you please provide your thoughts on symptoms and what my next steps should be? 

Exposure : 2/7

Bump first noticed and “popped” : 2/11

“Pop” bump again : 2/12 am

Urgent care and culture swab taken: 2/12 pm 

“Pop” bump again : 2/12 pm

A single exposure to a female with HSV 2, on suppressive therapy, is highly unlikely to result in infection.  Also, herpes lesions normally do not contain pus - the liquid inside is most often clear.  And if the clinician has a difficult time even seeing the bump without direction from you makes the lesion unlikely to be herpetic.  I'm glad a swab test was done because if it wasn't, you would always wonder.  And it was done in a very timely way. 

You were curious enough about herpes to get a western blot so my guess is that herpes is a real concern for you, correct?  I'd like to reassure you that I think infection here is extremely unlikely:  suppression, condom, no lesion consistent with herpes, the clinician didn't think it was herpes.  Let me know the results of your swab test, OK?

Terri

Thanks for your reply, it was helpful. My swab test results came back negative for both hsv and bacteria. The lesion has totally healed and is no longer even noticeable. Is there anything I should do from here?

It depends upon how much of a worrier you are.  I myself, am a terrible worrier. But perhaps you are not.  If you are not, and you see nothing else, I think you can safely put this aside.  However, if you are continuing to worry over time, you could get an IgG antibody test and you can order that yourself, if you wish.  Do NOT do an IgM test - very very bad.  Just IgG if you decide you need a bit more reassurance.

Terri