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Dermatology  (Expert Forum)
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Another Herpes Questions (Dr. Rockoff only reply)
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Another Herpes Questions (Dr. Rockoff only reply)

by veryconcerned123, Jun 14, 2004 12:00AM
History:  10 1/2 months ago received brief oral at massage parlor.  Since then I have been scared to death, but no breakout.
I asked you a few questions about bumps on my scrotum that I was concerned could be syp. or herpes, and you said you thought they were zits.  

I went to a GP and told him the story and he tested me for everything EXCEPT herpes.  (everything neg.) He uses the old style test that doesn't distingish between 1 and 2.

You told me that if it was a confusing test I was better off without it.  In February I came down with shingles on my face. This was confirmed by my Dr. I am in my early 30's and he told me that he thought I came down with them due to the stress that I had been under because of the guilt and anxiety I was feeling due to the fact that I cheated. He said he thought that I didn't have genital herpes and that if I did I more than likely would have had an outbreak by now(due to the stress).  Is he correct?

My question concerns my wife. For the past 7 to 8 days she has had complaints. First two days abdomen pain. She thought it could be her Appendix. Then the abdomen pain got better, but she said that she started having a "pins and needles" pain in her vagina. She said it would come and go and wouldn't hurt all the time. She then told me yesterday (day 7 or 8) that it was a "tingling" feeling. When she wipes after urination she said it is a little sore.

My heart sank when she said "tingling" I know that you have that BEFORE the blisters. It has been 8 or 9 days today and she told me that she felt better. She said that it hasn't felt funny since yesterday.  

Herpes hasn't crossed her mind because of course she doesn't know that I cheated.

I told her to go to her OB/GYN, but she said she wants to wait and see. I can't confess to her. She will divorce me if I do. I don't want this to be herpes. She said it is probably just some sort of female thing.

She hasn't had any problems urinating, or anything at all other than the abdomen pain in the beginning and then the pins and needles and tingling feeling.  

If she never blisters or develops lesions does that mean that it probably ISN'T herpes?

I am scared to death. I am sorry I made a mistake, but I just can't tell her.  I don't think it can be any other std because I tested clean.

1) Does this sound anything like she has herpes or any other STD?
2) Do you think what my Dr. said about my shingles is correct
in the fact that they were due to stress, and if I had genital herpes I would have had an outbreak due to the stress?
3) If I do have genital herpes would my outbreak feellike my shingles outbreak? They hurt. It was not something that could be easily missed especially if on the genitals.

Please give me your opinion.

by Alan Rockoff, MD, Jun 14, 2004 12:00AM
1.  It does not sound like any herpes or STD.
2.  I do not agree.  Zoster ("shingles") is inflammation of a nerve, but it not caused by "nerves."
3.  Nothing you've told me suggests you have genital herpes.

You really need to get past this.  One thing to do is to get a specific herpes 2 test any way you can--go to another doctor or an STD clinic.

Second, once you find out you don't have herpes--and I think that's what you'll find--you have to find a way to deal with your anxiety and guilt.  If you are correct that coming clean is not a good idea, then you should work with a counselor or some other adviser to pursue a way that will help.  But first get the facts.

Best.

Dr. Rockoff
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