[Question #8171] Scared about Herpes Transmission

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48 months ago

Back in June of this year I tested positive for HSV-1 (2.519 / IGG) and HSV-2 (2.59 /IGG). Back in November of 2020 I remember getting this breakout in my pubic area. It was a bunch of bumps that took over 2 months to completely go away. No other symptoms during the outbreak. I went to my urologist for a random check up and he told me that it looked like mulluscom contagiosum. I'm not sure if maybe this was the initial HSV-2 outbreak. As of late, I feel as if I get warm tingling sensations in my pubic area. Nothing ever on penis or testicles. I've only noticed it since I found out about being HSV-2 positive. What concerns me is an encounter that I had with a sex worker this past weekend. I'm fearful that I may have transmitted the virus to her. I had shaved a little over a week earlier and had some red bumps develop were I had shaved. They went up as high as my belly button. Her and I had PROTECTED sex, but her pubic area (not genitals) and buttocks (not anus) made contact with the bumps in the limited positions we were in and while cuddling. Nothing was aggressive and the friction was minimal. She had no open cuts or sores. Is our interaction enough for me to have passed on HSV-2 to her? Can HSV-2 penetrate her intact skin in her pubic region and buttocks?  Or does it have to be with her mucous membranes. Dr. Hook answered the question for me on post #8150 and he says that contact with her intact skin could be enough to transmit the infection. I'm worried for her. Help. 

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48 months ago
Hi Team,

Just following up on this.

Thanks! 
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Terri Warren, RN, Nurse Practitioner
48 months ago
So you have what we call low positive values for both HSV 1 and HSV 2.  These may be false positive results and the CDC says you need confirmatory testing - either the Biokit or the herpes western blot.  The blot is done only at the University of Washington but any clinician can order this for you.  Or I can help you get the test at westoverheights.com.  You will need a kit from them - you can call and get it at 206-685-6066.  Do not accept that this is a true positive at this point.  There is about a 50-50 chance that this could be a false positive.
Your rash sounds exactly like Molluscum, yes, herpes outbreaks don't last two months but molluscum surely could.

Terri
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48 months ago
Hi Terri,

Thanks for the response. Will you please address my questions about the possibility of transmission to the female that I had intercourse with? I'm not so much concerned about myself. I can't do anything about it if I have it now. Here are my questions from the original message. This is all that I care about. 

What concerns me is an encounter that I had with a sex worker this past weekend. I'm fearful that I may have transmitted the virus to her. I had shaved a little over a week earlier and had some red bumps develop were I had shaved. They went up as high as my belly button. Her and I had PROTECTED sex, but her pubic area (not genitals) and buttocks (not anus) made contact with the bumps in the limited positions we were in and while cuddling. Nothing was aggressive and the friction was minimal. She had no open cuts or sores. Is our interaction enough for me to have passed on HSV-2 to her? Can HSV-2 penetrate her intact skin in her pubic region and buttocks?  Or does it have to be with her mucous membranes. Dr. Hook answered the question for me on post #8150 and he says that contact with her intact skin could be enough to transmit the infection. I'm worried for her. Help. 
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Terri Warren, RN, Nurse Practitioner
48 months ago
Condoms reduce transmission from males to females by about 96%.  If the condom stayed on and stayed intact, I think the risk to her is extremely small, as you can see from this statistic.  The bumps that you describe may well be just folliculitis from shaving. 
You are assuming that you have a lifelong infection that can be given to other people.  You may not care so much for yourself in this particular situation but in general, you need to know if you really have this or not.

Terri
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48 months ago
Thanks, Terri. 

1. Can HSV-2 penetrate her intact skin in her pubic region and buttocks?  Or does it have to be with her mucous membranes. Dr. Hook answered the question for me on post #8150 and he says that contact with HER INTACT skin could be enough to transmit the infection. 

2. Assuming I have HSV-2 and am asymptomatically shedding (no lesions), are my shedding areas susceptible to HIV even if there AREN'T any breaks in MY skin? I always use a condom, so I'm basically referring to areas of skin that the condom doesn't cover. 

3. HSV-2: I've actually never had a sore down in my pubic region. It was just that original outbreak, which actually lasted more like 3 months. It took a LONG time to go away. When I google molluscum, the bumps that I had looked exactly like the photos that appear. 

4. HSV-1: Never had a sore on my lips either.

5. I'm interested in really finding out if I have HSV-2 or not. What do you recommend? Biokit or Western Blot? Will I be able to contact you at westoverheights.com?

Thanks!!!
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Terri Warren, RN, Nurse Practitioner
48 months ago
1.  I don't see a post by the number of 8150.  The skin of the pubic mound and the buttocks is too thick for the virus to penetrate unless there is a break in the skin.  I would be surprised if we disagreed on this point.
2.  There can be microscopic breaks in the skin caused by herpes, breaks you cannot see or feel, that could be vulnerable to HIV infection.
3.  Herpes outbreaks don't last 3 months, I think you did have molluscum
4.  About 70% of those infected with HSV 1 don't have symptoms that they recognize
5.  You can contact me at westoverheights.com, yes, to arrange a western blot.

Terri
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