[Question #6930] Test

11 months ago
Hi Drs and nurse,
I tested negative for HSV 1 & 2 about 3 or 4 weeks ago. I’m male. On Apr 20th I tested negative for HSV 1 & 2. I had unprotected oral and vaginal with a female about a week and a half prior. Since the test I’ve had unprotected oral with one person, and protected oral and protected vaginal, all different partners, high risk. About 10-12 days after the unprotected oral and 3 days after the protected oral and vaginal (May 5th or 6th) , I noticed 4 individual bumps on my shaft near the base. One at the 12 o’clock position. The other 3 at about the 3 o’clock position. While the 3 were close they were individual bumps. They all looked like ingrown hair bumps or zits. I popped them after a day or two and  a little bit of whitish fluid came out. It started to scab over but then I showered and a little more whitish fluid came out. While they didn’t look like typical blisters, sometimes when I looked, I feel as if the top might of been wet, like an open sore. 7 days after I noticed them they are almost healed, not quite. But the bumps are down, and the openings are scabbed over. 
I’ve resigned myself that I probably have it and am therefor taking the proper precautions and not having sex with anyone. My question is, if they are already healing, shouldn’t that mean that anti-bodies have formed? And if so, wouldn’t they be picked up by an igg test? Thank you
11 months ago
Also pretty sure for 3 days my right lymph node in the groin was enlarged. I did shave 3 to 4 days prior to noticing the symptoms but I did not notice any hair follicles in any of the bumps. There were some around though. It is possible that during the protected vaginal the condos didn’t cover all the way down to the base, but was definitely more than half way. 
11 months ago
Actually spoke too soon. Was able in the shower to pop them again and a little more cloudy to white fluid came out. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
11 months ago
Your description of the lesions does concern me that you might have herpes.  But you may have other things going on as well - you could look up molluscum contagiosum on the internet.  Does it look like that?  Also, they could be inflamed hair follicles from shaving.  It would be have been great if you had gone in to see a clinician when they were still present but too late for that now.  At this point, I would recommend that you re-do the IgG test at about 6 weeks out from the sores showing up and see what you get - if negative, repeat at 12 weeks.  Between now and then, if you see any sores, you should be seen so a swab test can be done.  The good news is that normally, the fluid in herpes lesions is clear, not white, but there are exceptions.  Let me know what other questions you may have, oK?

Terri
---
11 months ago
In my non pro opinion they don’t look like MC. At least not the pictures I’ve seen online. If it were Folliculitis I would expect to a hair in at least one of them but I don’t. I do plan on getting tested, several times. I spend a lot of money on testing for everything. Right now I’m just assuming I have it until I determine otherwise. 
I guess my question is if it is HSV 1 or 2, and I test Monday, 2 weeks after my last possible exposure, and after the sores heal, wouldn’t an antibody test be positive? I’m assuming I need the anti-bodies to heal the sores. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
11 months ago
Antibodies don't heal sores - they heal on their own with help from multiples aspects of the immune system and skin healing properties. 
Testing two weeks after an encounter for HSV is way too soon for accuracy.  You could test again at 6 weeks - 70% of those who are going to test positive for HSV 2 will be positive by 6 weeks out from an infection.  And if you get another lesion, be sure to have it swab tested right away, preferably with PCR, not culture.
Probably wise to act as though you have herpes until you get a clearer answer but not great to take antiviral medicine now as it will interfere with the results of an antibody test.  But surely use condoms with all encounters.  Good decision

Terri


---