[Question #7335] HSV outbreak lengths

4 months ago
Morning Terri-


Had a quick couple questions. Last time we spoke, we made a plan only to see a Dr if i had some type of sore, not a red bump. I’ve been seeing a new girl and we’ve been intimate, both oral and vaginally. Using condoms during vaginal sex. Quite frequently. Last Friday in the shower i had masturbated. When i got out of the shower i noticed a very tiny little sore/abrasion/cut on the under side of my penis. It was very small and circular but a little irregular in shape. It only really was uncomfortable if i touched it or it rubbed against my underwear, but didn’t really hurt a lot. I thought okay i really hope this is nothing, probably a scratch/abrasion from rubbing  there a lot during sex/masturbation, if it’s still there tomorrow i will go get it checked out. The next morning i woke up and the sore/cut was gone. If i went to the doctor there would’ve been nothing to show them other than a little dry skin in that spot. The following day there was absolutely nothing there at all. To me, would that have been too fast for a herpes sore to come and go, primary or subsequent, without me being on an suppressive medication? I want to get past this but because i waited to the next day and it was gone, i feel bad for no going to the Doctor at that very moment. It may have started the day prior, so from start to finish, it didn’t even last 3 full days of me noticing. Should this be something that I am concerned about? Thanks. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
Remind me of your antibody testing results please.  I think it is unusual for a herpes lesion to heal that quickly. 

Terri
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4 months ago
Last june when I did the blot HSV1 was indeterminate and HSV 2 was neg. I tested the again 3 months later with the regular HSV 1 and 2 test, twice, and both were negative. And did HSV2 again this summer and it was negative as well. I never noticed a blister. Just the sore/cut spot was that very small. And it was gone, other than that little bit of dryness the next day. There’s a tiny chance it started a day earlier but i don’t remember seeing anything. No other symptoms. I was fully ready to go to the doctor that next morning but there was nothing really to show the doctor so i just didn’t go. I also have bad callases on my palms from the gym which the first though that came to my mind was i scratched myself from masturbation/sex. So i only really noticed it for 2 days totally. MAYBE a third but by then it was all gone. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
I don't know what your sexual history has been like since June (was it 2020 or 2019?).  Have you had new partners that could have newly infected you with HSV 2? 
What you describe sounds nothing like HSV 2 to me.  Way too short. 
Did you follow up with another blot after the indeterminate HSV 1 result?

Terri
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4 months ago
hello-

i have had two sex partners. no history of hsv. no i didn’t follow up with  another blot. just the two regular hsv1&2 igg tests. when we spoke last you mentioned that you felt it was unlikely i had an HSV1 genital infection because of lack of remarkable symptoms that i had mentioned. taking the blot was extremely difficult for me the first time. i had to go to another state to have the blood drawn because NJ doesn’t have many labs that will do it. my doctor didn’t understand why i wanted to take the test anyway and wanted me to find another doctor if i wanted more tests. and getting a positive hsv1 blot would just throw me into a spiral because i would never know if it was oral or genital. this last little issue seems like it was also so short and not really painful or blistery that i don’t really even how to asses it. it feels like my anxiety is triggering this when for a while  i had a really good grasp at it. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
I still don't think this symptom represents a new herpes infection - I believe the duration would be longer and the symptoms somewhat more remarkable.  If you can't let it go, I know a lab very close to Trenton, NJ that will draw the blood for the blot.  But I hope you can let this go without the expense of another test.

Terri
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