[Question #7308] Worrying symptoms

4 months ago
The short version of my story is I had unprotected sex in December 2019. 4 days post exposure I developed a thigh rash, diagnosed and treated as a fungul infection that faded away with antifungul over the next month or so. In the ensuing weeks I experienced tingling sensations in my butt and thighs, leading to fears of HSV. I tested negative at 7 and 11 weeks post exposure. I know the recommended wait is 12 weeks but COVID was hitting and I wanted to test before places closed down. After that second negative test I felt very confident I had no infection. However, I have noticed a slightly troubling trend. Over the past 6 months every few weeks I'll notice a red bump paired with an uncomfortable sensation in my upper butt when I sit. It's happened maybe six times since March . And it seems to accompany usually a single red bump in that same region (right around my pants waistband). These recurring bumps have all looked like pretty much like pimples, usually 1 singular red dot or two max. But their recurrence, location, and sensation have raised some alarms. 

If there was only three weeks between the two most recent times I experienced a bump, would they be too close together to be HSV outbreaks? 

How much can HSV resemble something like a pimple or a bug bite? The internet has warned that they can mimic these things. 

How often can HSV present as just a single bump that never changes, breaks, or scabs rather just develops and fades away? 

I've also read varying opinions on the chances of a false negative IGG test at 11 weeks. What are your opinions on that? I've seen numbers that say they can miss up to 12 percent of infections and others have said they only miss 1 percent. 

I recently started dating someone and always use a condom but still fear accidentally spreading something to her especially through unprotected oral sex. Is this something I should bring up or am I worrying myself over nothing

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
The bumps that you are experiencing on the buttocks sound nothing at all like herpes to me.  Many people get bumps on their bottom - I would go so far as to say most people.  And they aren't herpes.  I personally don't think herpes looks like either a bug bit or a pimple.  More like a water blister that breaks, ulcerates, and scabs.  As you may know, the IgG test misses 8% of HSV 2 infections, compared to the gold standard herpes western blot.  So a test at 11 weeks out is about as good as it is going to get, but it's not perfect to start with.  I think you can bring up with your partner that you've tested negative for HSV 2 - how about her?

Terri
---
3 months ago
Sorry for the delayed reply here. Thanks for the information! I think the pimple/bumps recur because it’s my waist band area and it probably retains sweat. That makes sense right? I discussed with my partner and told her I’d tested negative for hsv. She is negative also. So I assume you’d say we’re safe to proceed relatively worry free? Also,  there’s no sense in any additional IGG testing right? The odds of testing positive now after testing negative at 11 weeks must be slim?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
3 months ago
I agree that there is no reason for additional testing at this point, no.  If you and your partner are both truly negative, then herpes should not be a worry for you.

Terri
---