[Question #805] herpes "questions"

53 months ago

Regards,

I am including my link from medhelp herpes community forum as this was the information as it was happening many details. Abridged version is I developed herpes symptoms, I never had before of which I was aware. The outbreak in December was horrible for lack of a better term, there were multiple clusters of lesions all over my penis and then the lesions appeared on my left buttocks.

My testing was positive  PCR for HSV 2 and a definite negative IGG HSV 1 and 2 . 

My partner and I are  still together she was never tested, however I finally got her in for the blood test yesterday. The reason for this is that we engaged in unprotected oral sex and the next day I started having what I would consider my third outbreak. So all of the fear and shame is back to center stage. We are trying to put this together, my interpretation from my testing is that this was a new infection but the lesions on the buttocks would indicate existing infection / recurrent outbreak.

To my question..... What do the experts think? Was this a new infection in December and is it possible to have lesions on the buttocks during a primary out break? Also I believe that shedding is pretty intense just prior to an outbreak, the doctor prescribed Acyclovir for my partner but only said don't take it prior to giving blood for the test which is done. Should my partner start the Acyclovir now?

http://www.medhelp.org/posts/Herpes/is-this-consistent-with-primary-outbreak-of-HSV/show/2803312#post_13535368

If you require more info I will provide.

Thank You,

Olddummy

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
53 months ago
In my opinion, you could certainly have outbreaks on the buttocks as part of a new outbreak because you also had genital lesions at the same time - that is completely with the range of normal.  In addition, you had an antibody test that was negative for HSV 2.  If you did another test now, I believe you would be positive for HSV 2, suggest what we call a seroconversion - going from negative to positive.  Were you with this same partner when you had what you believed was your first outbreak?  I personally think it would be fine to wait and see what her blood test shows before beginning treatment UNLESS she starts to have symptoms and then she would want to treat for sure. 

Terri
---
53 months ago

Terri,

Many thanks for your speedy response. Just small follow up please, I assume you were able to access the thread on Medhelp. To your question yes I am still with the same partner. I guess we were holding out for a "miracle of nature" in that I did not get the infection from her meaning of course that she is not infected, and my last hope was that the buttocks lesions meant that I had an old infection that just became active (I don't know if that is even realistic but one can always hope). So last question and I will let it be and wait for her test results; If I in fact I got my infection  from her meaning that she has it, would it lessen the possibility of her developing oral symptoms since she has antibodies to the exact same virus? Please say yes haha. Once again thank you!

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
53 months ago
And the happy answer is yes!  If she has it genitally, then she is very unlikely to contract it orally from you. 
Of course the lesions could be from a recurrence, but the lack of HSV 2 antibody combined with the positive PCR is essentially the definition of new infection.

Terri
---
53 months ago
Thanks, please keep doing what you do!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
53 months ago
I plan on it Phillip!  Thanks for using the ASHA website.

Best
Terri
---