[Question #9155] Risk Assessment
35 months ago
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I am a 40 yr old female and AA. My ex-partner is 54, AA. We
discussed testing and STIs. I shared my test results for all STIs including HSV
and HPV. My ex-partner also got tested and shared his results. His doctor did
not test for HSV. His doctor said without symptoms, there was no reason to test.
He does get cold sores from time to time, however, he claimed he never had
sores on his penis. We limited kissing and oral sex if he had a cold sore, which
was two occasions in 10 weeks.
We have engaged in
sex a total of 11 times. 8 instances were protected with unprotected oral. The
first instance of unprotected sex occurred because he thought he was in the
clear with his test results. The next morning, I bought Plan B and I informed him
that I am unwilling to have sex without condoms. He complied. I began a regimen
for birth control in July.
Two days ago, I was
intoxicated and we engaged in sex. He admitted that he did not wear a condom,
twice, he is only sleeping with me and he is negative for several STIs. I broke
up with him because I feel disrespected.
I am just in need of a quick assessment of my risks for both
pregnancy and HSV from the last two occurrences of unprotected sex. I did take
an additional regimen of Plan B. I am experiencing vaginal itching on my labia
major, not on my labia minor or in the vaginal opening. I have not seen any suspicious
bumps; however, I was told that HSV does not always present symptoms. I really
did what I could to avoid being irresponsible.
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Terri Warren, RN, Nurse Practitioner
35 months ago
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35 months ago
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Good Morning NP
Terry,
I looked you up on Google and perused your
Westover heights site. I read a story where a woman had unprotected sex about
4-5 times and developed HSV. It scared the crap out of me. I thought oh man,
this is me. This must be me. https://westoverheights.com/forum/question/test-results-interpretation-please/
Per my medical history, I was tested for both
HSV I and II and HPV this past May. I had not had sex in over 15 months;
however, I went to the doctor because I continued to have these weird itchy and
red flareups on my labia majora and minor. Along with some discomfort in the
vaginal opening. The NP in the OBGYN office was thorough with testing for HPV,
HSV I and II, trich, BV, yeast, and a UTI screening. The UTI and Yeast came
back positive. The NP said this was an ongoing infection, I did confess that I
had been having problems for over a year, but my GP did not see anything
concerning. The NP believed the UTI and Yeast infection was caused by not being
able to use the bathroom as needed with my demanding job working with at-risk
youth. I can't leave students unattended until my shift was over. The
antibiotics relieved the pressure for the UTI, I did not have intense pain,
just consistent pressure, and mild discomfort. The Yeast infection was treated
with two Diflucan pills. It cut the itching quite a bit. Not 100%. I was told
to give my body time to heal.
Suffice it to say, I did start having sex in
June and we did exchange test results. My ex-partner and I only had sex on the
weekends because he has his young son during the week. He had not been tested
in three years and was negative for the majority of STIs, his doctor did not
test for HSV I or II was he did not see any concerns on his penis. I have heard
that many doctors avoid HSV testing, not sure why.
I did
reach out to him, however, he is pissed that I broke things off. I was shocked
because he had sex, without a condom, twice, while I was passed out from too
much alcohol.
My main symptoms have been consistent itchy
spots on my labia major, especially within the top crease. The itching happens
in different spots at different times throughout the day. The labia minor is
sometimes red. Sometimes there is a mild burn during urination. I don't want to
keep running to the doctor, however, could the yeast infection really have not
been knocked out with Diflucan? Realistically, do I need to run back to the
doctor for another HSV I and II test? I know in some instances that HSV I and
II can be mild and mistaken for other things. Aside from persistent itching in
different areas of my labia, those are the main symptoms that have plagued me
this summer. PS-total amounts of unprotected sex (three times) along with unprotected
oral between both parties. No presence of sores on my lips or labia. No noticeable
discomfort near the vaginal opening. Keep me posted.
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Terri Warren, RN, Nurse Practitioner
35 months ago
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35 months ago
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Terri Warren, RN, Nurse Practitioner
35 months ago
|