[Question #7193] Herpes or something else?

8 months ago
24 days ago I had unprotected vaginal intercourse with my boyfriend (over a span of two days).
We probably had sex a total of seven times those two days.
Prior to this, all our sexual contact was protected (condoms).

Two days ago, I had terrible itching and burning in my vagina (interior and exterior).
I wasn’t able to get in to my doctor to be seen, but did a telehealth visit and was prescribed Diflucan, which I took last night. It eased the itching and burning greatly, and is helping stop the cottage cheese discharge.

I did notice, however, lots of small red dots on the exterior of my labia minora- they don’t seem like ulcers, but are definite red dots. They don’t necessarily hurt, but definitely are there. Could these be from a yeast infection, or is it more likely herpes?  They’re not blistery, but look like red pinpricks.

There are no dots or sores on my inner labia, if I unfold it and look in at my vagina. Just the exterior. I have never seen these before, and they seem to get worse the more I poke and prod down there (which is a lot). I’m also not sure if they could be irritation from a recent Brazilian wax, since the hairs are just starting to grow in and poke everything there, which is always uncomfortable.

So... Is it possible for a first herpes outbreak to happen this many days after the sex, and would it be this mild? Is it too soon to screen my blood to find out? Can yeast infections make these kinds of dots appear on the labia? What is my actual risk of contracting herpes from these unprotected encounters? 

I know it was foolish. I am so regretful.
 Thank you.


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
8 months ago
It sounds like the dots are part of a yeast infection - they are common with a yeast infection and your response to the Diflucan sounds like it was indeed  yeast that caused your symptoms.  Or they could be a reaction to the Brazilian wax, but it does not sound like herpes to me. 
Do you know your partner's herpes status?  That is, has he ever been tested to know if he has herpes or not?

Terri


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8 months ago
Thanks for the quick reply.

I really do hope the dots are from the yeast infection or Brazilian, and not herpes. 

Since it's been almost 48 hours since taking the Diflucan, the cottage cheese discharge is gone, and the itching and burning has definitely subsided. I still can see the red dots a little, but I'm also not sure if my continual touching and stretching of that skin  and slathering it in coconut oil is irritating them further. 

If they were herpes, this would be a first outbreak, since prior to this partner, I had a screening and I didn't have hsv 1 or 2 in my blood (and didn't have sex for 2 years prior to the blood test). 

Could a first outbreak be this mild? Would it happen 22 days after the unprotected sex?

I think I'm stressing because I DO NOT know his herpes status... He said he's never been tested- and herpes is a worry of mine. 

I had my blood taken yesterday. Will it show up, or was that too soon?

Thanks again for your response.  

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
8 months ago
Again, I doubt that this is a first herpes infection, especially since you were negative for both HSV 1 and 2 on your last test.  Generally speaking, and there definitely are exceptions to this, people who have no antibody to either HSV 1 or 2 might have a bit more remarkable lesion presentation, especially if they are paying attention to their symptoms .
It's too early for a definitive test for you, but maybe not for him?

Terri
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8 months ago
Ok, thank you for the reply.

I had my blood screened on Saturday, 25 days or so from contact, and it still showed negative for hsv 1 and 2. I still feel a little burning of the vulva tissue. I'm wondering if it's more anxiety about the situation than anything else, but then I read internet horror stories about how some people can get hsv and not ever have sores. Hopefully that's not me, and the burning is something else.

Again, thank you for your help.
This service is really appreciated.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
8 months ago
So that's good.  By three weeks after infection 50% of those who are going to test positive, do so, so that's great.  I do feel that the burning is something else.  It's also been going on too long for a typical herpes outbreak.  I know you are worried, but to be certain, you may wish to test again, several weeks out.

Terri
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Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
8 months ago
I strongly suspect the burning is due to something else, given the white discharge, the duration of the symptoms. It's good news that you are negative at this point, but you need a retest in several weeks to confirm the negative.

Terri
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