[Question #7627] STD Risk from encounter (possible symptoms)

 
2 months ago
Hi there,  I am very concerned from a recent encounter.  6 Days ago I had sex with someone who used to be an escort.  After she shared with me that someone she very recently she had sex with hard burning while they pee caused by a rare muscle spasm condition but my first thought was it could have been from an std.  This girl also has a rare immune disease which concerns me because if she is a carrier of hsv2 her immune system might not suppress it enough.  During our sexual encounter I wore a condom and I took a shower immediately after as well(not sure if this helps).  She did perform oral on me unprotected for one second.

3 Days ago I started feeling a lot if itching underneath where my thigh and butt cheek meet.  

I went to the doctor and they said it could be jock itch and prescribed a cream.  My concern is the timing of this jock itch does not make sense and it scaring me.  The doctor said she did not see any redness.  Also I have been feeling fatigued but this fatigue could be from the tremendous anxiety around this event.  The girl also about 4 weeks ago had sex with another man that she did not know very well while she was drunk.  In her history she shared she only once had discharge from her vagina that she thought was an std but her doctor said it was due to her iimmune disease.  

I also developed what looked to be an abscess on the back of my neck and I hope that isn't related.I would like to know my risk of catching herpes from this encounter because I feel itchy on the inside of my thigh and the past 3 days and am truly terrified.  I read on the website herpes can be mistake for jock itch.  She had no visible signs of any STDs and seemed pretty forthcoming about as much information as she is aware.  I also read that 90% of people with HSV2 have no idea.

  Her history of an escort means she had a lot of sexual partners and is worrisome.  Could I resume a normal sex life after this one encounter? What are my chances that I have HSV2? 

 Thank you for your time
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
2 months ago
There is no reason to believe that the thing on the back of your neck had anything to do with herpes.
Good for you for using a condom, first of all, that will go a long ways toward protecting from you a sexually transmitted infection. 
It's alone is not a sign of herpes.  and without redness or sores anywhere, I think a new infection with HSV 2 is really unlikely.  That, combined with a single, condom protected encounter reassure me that herpes is unlikely.  While it is true that sometimes a yeast infection is confused with herpes, you've had no real symptoms of either - itching alone doesn't qualify in my book.  The thing with yeast infections is that sometimes they get so advanced that the skin breaks down and it looks like sores are present.  That's not you. 
I know you are worried, but I don't think you need to be.

Terri
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2 months ago
Thank you for getting back to me. 

1.I am still feeling itchy and it seems to be spreading downward (away from my penis) and spreading in my  inner thighs What do you think this could be? I never had jock itch before and the timing is concerning.

2.How likely is it that I have herpes? Like percentage chances (I’m terrified because these symptoms showed up on the 2-12 day window but it’s just itching) she did have sex with 2 men these past 2 months and was an escort for about two years and no longer is. Also her vagina was sore from recent sex while we had sex she said after with one of those men.  That man had complained about pain while cumming and urinating but she said that was cause he has a rare muscle disease which he does have.

3. Does her immune disease cause more chances of her spreading hsv2 to others?

4. If she recent caught hsv2 how long would it take her to be able to give hsv2?

5. I have a lot of pubic hair and right after showered, does this help me?

6. This is my 4th day of itching, do people with herpes ever have 4 days of itching or would something else usually happen by this long?


Thank you again for your help with this.  I am trying to give as much information as possible.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
2 months ago
1.I am still feeling itchy and it seems to be spreading downward (away from my penis) and spreading in my  inner thighs What do you think this could be? I never had jock itch before and the timing is concerning.

This does sound like Jock itch to me, but I can't see what you are talking about and can't make a diagnosis in this way.  You could try applying an over the counter antifungal cream twice a day to the area and see if it improves.


2.How likely is it that I have herpes? Like percentage chances (I’m terrified because these symptoms showed up on the 2-12 day window but it’s just itching) she did have sex with 2 men these past 2 months and was an escort for about two years and no longer is. Also her vagina was sore from recent sex while we had sex she said after with one of those men.  That man had complained about pain while cumming and urinating but she said that was cause he has a rare muscle disease which he does have.

A single protected intercourse with a condom is a low risk for acquiring herpes.  I have no percentages for you, but very low. 

3. Does her immune disease cause more chances of her spreading hsv2 to others?

Since I don't know what her immune condition is, I can't say whether it would have any impact on the frequency of HSV 2 shedding.

4. If she recent caught hsv2 how long would it take her to be able to give hsv2?

People who have recently contracted HSV 2 give off virus more often than those who have well established disease. 

5. I have a lot of pubic hair and right after showered, does this help me?

Showering may have helped you

6. This is my 4th day of itching, do people with herpes ever have 4 days of itching or would something else usually happen by this long?

People who have herpes have some itching and lots of people who don't have herpes have itching.  You are jumping to some conclusions here that probably aren't correct.  If you continue to be worried about this, have you thought about offering to pay to have her tested for HSV 2?

Terri


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