Aa
Clymidia and Herpes! Hiv too??
I got involved with a guy on November 12th 2009 on the 26th of December I first saw symptoms of Herpes in my genital region. I was tested for all STD's on the 28th and my urine sample tested positive for Chlamydia and the pap smear confirmed the HSV2. All other tests including HIV was negative. At the beginning of January I noticed a small pimple like thing on the roof of my mouth and it has been going and coming often. It will go down today and two days later it will return. I did an HIV test using the OraQuick Oral test on the 5th of February and it came back negative. I am still constantly worrying over this situation. I know you have repeatedly stated that 6weeks is sufficient but this recurring bump (in the same spot) inside my mouth is bothering me. Is there a possibility I could have HIV as the Oral test is not as accurate. I look forward to a prompt response as I am on the verge of losing my job due to my lack of performance which is being caused by my depression! Thank you
MEDICAL PROFESSIONAL
Thanks for the thanks. Glad to have helped.
Presumably you mean that a viral test from the genital area was positive for HSV-1? If you're talking only about a positive HSV-1 blood test, your infection may or may not be genital. In any case, assuming you do have genital herpes due to HSV-1, you can expect to have few if any recurrent outbreaks and low risk for future transmission to sex partners.
You can trust your ObG and your dentist to monitor the HPV situation and your oral health, respectively.
Presumably you mean that a viral test from the genital area was positive for HSV-1? If you're talking only about a positive HSV-1 blood test, your infection may or may not be genital. In any case, assuming you do have genital herpes due to HSV-1, you can expect to have few if any recurrent outbreaks and low risk for future transmission to sex partners.
You can trust your ObG and your dentist to monitor the HPV situation and your oral health, respectively.
Just to keep you updated...It turned out to be HSV 1 genital and the HSV my Ob/Gyn says he will just monitor for the next year and wont perform the colocscopy. The recurring pimple apparently was not a mucocele because I had it removed and a another one popped up on the same side. LOL He believes it could be tooth related which I am scheduled to go do an xray for. I guess due to the stress I have also developed geographic tongue which three dentists and an oral surgeon have told me it's nothing to worry about. Thank you once again!
Just wanted to say thanks again. Everything you have said was definitely on point. Thank you once again!
MEDICAL PROFESSIONAL
"Cellular changes...consistant with herpes simplex" is exactly what I meant by pap testing for HSV being unreliable. You definitely should not assume you have herpes if that is the only evidence of it. If you indeed had genital ulcer(s) that were examined by a professional who suspected herpes, then you may indeed have it. If so, it is equally likely to be HSV-1 as HSV-2. (Half of all new genital herpes infections are HSV-1, acquired by oral sex.) Be sure and follow up with the blood test.
The word you're looking for is colposcopy. Cervical HPV and colposcopy are routine, bread-and-butter business for all ObGs. Most likely your own primary care clinic is just fine for this. It's fine to find a specialist if you wish, but perhaps not worth the time and inconvenience of restarting with a new doctor for this problem.
Don't be bummed out by the "high risk" designation of your HPV. Most cervical HPV infections involve high-risk types. Although HR HPV is more likely to progress to cancer than low-risk types, it's still uncommon; the large majority of high-risk HPV infections don't progress to that point, even without treatment. And with proper management, starting with the colposcopy, there is virtually no chance of a bad outcome. You're just like the millions of other women who have had, or who will get, high-risk HPV infections of the cervix. In the long run, your HPV will fade into an unpleasant inconvenience, nothing more.
The word you're looking for is colposcopy. Cervical HPV and colposcopy are routine, bread-and-butter business for all ObGs. Most likely your own primary care clinic is just fine for this. It's fine to find a specialist if you wish, but perhaps not worth the time and inconvenience of restarting with a new doctor for this problem.
Don't be bummed out by the "high risk" designation of your HPV. Most cervical HPV infections involve high-risk types. Although HR HPV is more likely to progress to cancer than low-risk types, it's still uncommon; the large majority of high-risk HPV infections don't progress to that point, even without treatment. And with proper management, starting with the colposcopy, there is virtually no chance of a bad outcome. You're just like the millions of other women who have had, or who will get, high-risk HPV infections of the cervix. In the long run, your HPV will fade into an unpleasant inconvenience, nothing more.
The pap smear results
stated that the cellular changes were consistant with herpes simplex. The hpv results returned positive and it's high risk. I am trying to remain positive but everything just isn't going my way. I have to go do a cocoscopy or something of the sort tomorrow. In the mean time I have decided to go seek specialist care as I have been going to a clinic in my area. I plan on retaking all the tests. We' ll see what happens.
stated that the cellular changes were consistant with herpes simplex. The hpv results returned positive and it's high risk. I am trying to remain positive but everything just isn't going my way. I have to go do a cocoscopy or something of the sort tomorrow. In the mean time I have decided to go seek specialist care as I have been going to a clinic in my area. I plan on retaking all the tests. We' ll see what happens.
MEDICAL PROFESSIONAL
If you had a genital ulcer, then herpes is likely. The pap smear itself is very unreliable in diagnosing herpes, and cannot distinguish HSV-1 from HSV-2. Maybe a culture or PCR test for HSV was done on the pap specimen? Clarify exactly what test was done and perhaps I can comment further. If the negative blood test was collected when the genital ulcer was new, the nurse is correct: it takes several weeks to become positive. Most newly infected people have positive results within 6 weeks, so you could be restested any time now. If still negative, have a final test 3-4 months after your last contact with your former partner.
Thank you so much for your prompt response. He has however been imprisoned for two days on a minor offense but as you have said the results speak the truth. Thank you so much and when my pap smear results returned it stated that HSV 2 was present on my cervix. The blood test for the the herpes however returned negative(due to recent infection) and the nurse was unable to take a sample of the herpes sore as it had already begun to heal. I am still awaiting my HPV results. Thank you once again and my money was definitely well spent!
MEDICAL PROFESSIONAL
I meant to comment further on the bump in your mouth. No infection can come and go so quickly. This sounds like a mucocele -- essentially an intermittently blocked mucus gland. If you can examine it when the bump is prominent, you'll probably see a bubble-like thing with clear fluid. For sure it isn't herpes or any other infection, and nothing related to HIV. But if in doubt, show it to your doctor or dentist.
MEDICAL PROFESSIONAL
I saw these comments before I replied above.
MEDICAL PROFESSIONAL
Welcome to the HIV forum. I'll try to help settle your HIV fears. Clearly you were not infected.
Having acquired chlamydia and perhaps herpes and HPV from your recent partner, I understand your concern about HIV. But if you are in the US or other industrialized country, and if your partner is not an injection drug user and has not been in prison, the chance he has HIV remains very low despite those other STDs. Even more important, test results tell the truth; symptoms do not. A recurring bump in the mouth is definitely not a symptom of HIV anyway -- and the test result proves you were not infected, with over 99% reliability. Negative oral fluids tests are just as reliable as the lab-based blood tests. If you want still further reassurance, you could be tested yet again, but you can continue to expect negative results.
I don't have much to say about your herpes. You don't provide enough information for me to know whether or not you actually have it. Was a lab test positive? What kind of test? What was the detailed result?
As for chlamydia, the standard tests are highly accurate, so you can assume that diagnosis was correct. Presumably you were treated with doxycycline or azithromcyin. You should have a follow-up test ("rescreening") after 3-6 months.
HPV is virtually the only cause of ASCUS. Even if your HPV test is negative, you can safely assume you have it (although not necessarily from your most recent sex partner). Follow your doctor's advice about follow-up pap smears, but otherwise don't worry about it; it will clear up on its own with very low chance of anything serious coming of it. Also talk to your doctor about getting the HPV vaccine, which will prevent future infections with the most common types that risk warts or future cervical cancer.
Best wishes. Don't worry about HIV.
HHH, MD
Having acquired chlamydia and perhaps herpes and HPV from your recent partner, I understand your concern about HIV. But if you are in the US or other industrialized country, and if your partner is not an injection drug user and has not been in prison, the chance he has HIV remains very low despite those other STDs. Even more important, test results tell the truth; symptoms do not. A recurring bump in the mouth is definitely not a symptom of HIV anyway -- and the test result proves you were not infected, with over 99% reliability. Negative oral fluids tests are just as reliable as the lab-based blood tests. If you want still further reassurance, you could be tested yet again, but you can continue to expect negative results.
I don't have much to say about your herpes. You don't provide enough information for me to know whether or not you actually have it. Was a lab test positive? What kind of test? What was the detailed result?
As for chlamydia, the standard tests are highly accurate, so you can assume that diagnosis was correct. Presumably you were treated with doxycycline or azithromcyin. You should have a follow-up test ("rescreening") after 3-6 months.
HPV is virtually the only cause of ASCUS. Even if your HPV test is negative, you can safely assume you have it (although not necessarily from your most recent sex partner). Follow your doctor's advice about follow-up pap smears, but otherwise don't worry about it; it will clear up on its own with very low chance of anything serious coming of it. Also talk to your doctor about getting the HPV vaccine, which will prevent future infections with the most common types that risk warts or future cervical cancer.
Best wishes. Don't worry about HIV.
HHH, MD
Christmas day 2009 sorry about the typo!
Oh I should also state that My last sexual encounter with the guy was on Christmas day 2005!
Oh I should also note that I my pap smear came back ASCUS and I am awaiting my HPV results. Could the ASCUS pap smear be due to Herpes being present at the time the pap smear was performed?
You are reading content posted in the HIV - Prevention Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
