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Avatar universal

HSV-1 or HSV-2 or neither?

Hi there. I have had some symptoms that have left me confused and in extreme anxiety over the past week.

I had unprotected sex with a girl that was within my "friend circle". I say this because this comes with some trust to each other. We intitally met and hit it off pretty well. The first day we had sex with a condom. The next few days we had oral and intercourse without a condom. A week and a half since this happened I have had a few symptoms. In the genital region I have felt somewhat of a pain while urinating. I have had UTI's in the past, took cystex for the pain and eventually went away. This occurence is very similar except it hasn't been as painful. The head of my penis was somewhat tender with clothes on at the orifice. The pain while urinating seemed to just be from the pressure at first through the urethra, urinating somewhat frequently. I would like toinclude that my diet and water intake has been sporadic and the urine is fairly concentrated. After taking cystex for the pain over the course of the 2 days this persisted, the pain is now gone. That is it for the genital region.

I also had some dead skin on an old scar just below my lip that had been irritated and bitten countlessly in the past. I had been examining my ilps and penis for other signs, and found this dead skin (looking almost like a blister full of pus) along the lines of this scar. I scraped it away and has been okay ever since. Then, just today at work I noticed a small bump on the inside of my bottom lip that was kind of tender. It is not blistered (looks almost like an ulcer rather than a blister. It was somewhat painful at first. Throughout the day the pain has subsided, and it seems like it might almost be healing. No scabbing, no pus, no fluid coming off.

I went last week to get tested (blood, urine) for a majority of STD's, unfortunately HSV is not part of the test. I saw a EM doc the other day and he said there is nothing to be concernecd with, however, this was before this sore came on my lip. I now have an appointment to see my FP today. I will consult with him, hopefully get him to perfomr the HSV blood test, as I do not have any ulcerations or anything to take a swab from my genitals.

Beyond this, I just want to get another point of view/perspective on my case and whether or not I should be as concerned as I am. This has caused some pretty intense anxiety on my part. Any advice/opinions would be much appreciated.

Thanks

6 Responses
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101028 tn?1419603004
glad you have followed up on this and are getting answers!
Helpful - 0
Avatar universal
Quick update...

Urine test/culture.. negative for UTI, gonorrhea, chlamydia. Haven't recieved blood results yet.

Follow up with physician... asked for referral to Urologist. Digital Rectal Examination performed with confirmed prostatitis. Doubtful it would be bacterial because the urine culture showed up negative. The most common type of prostatitis is Chronic non-bacterial prostatitis, which is what I assume I have. Definitely relieves my anxiety issues.

Thanks for your comments/help.
Helpful - 0
1174003 tn?1308160819
The genital stuff could be just a UTI.  If it was herpes it would have lasted longer.  The lip thing could be anything.  Doesn't sound like herpes.  

You will need to wait 3 months for accurate testing on Herpes.  Use an type specific hsv igg test and not the igm testing.  IGM is a worthless test.  
Helpful - 0
101028 tn?1419603004
chlamydia and gonorrhea testing is accurate at this point but none of the other testing is. You need to wait 6 weeks post encounter for syphilis testing and 3 months for herpes and hiv testing.

oral herpes symptoms will not come and go that quickly.  

I'm not a fan of self treating for urinary symptoms. depending on their cause, they can cause long term issues. certainly if you get a return of the urinary symptoms, see an urologist for a proper work up. having long term reoccurring issues like this is a reason for further work up.
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Avatar universal
Grace,

It has been about 3 weeks from the first time we had sex. From my previous post, I talked about and was concerned about the bump/ulcer on my lip. It presented in the morning while I was at work. I saw my FP that same day, explained all the Sx I described in my previous post. He gave me meds for gon and chlam just as precaution. However, when I was in there I attempted to show him the sore on my lip. It was pretty much non existent anymore. I could feel the bump still but it had pretty much subsided, no pain... nothing. Seemed kind of bizarre, especially because I put so much stock in it, and all of a sudden it was gone. I guess my prior description was as an ulcer.. to be honest that was the best way to describe it, but it never actually ulcered. Other than that, my FP reassured me that the Sx don't seem to be related to HSV, but of course he reminded me that it is always possible, but highly unlikely.. same as what all the other health professionals have said. At this point I am reluctant to say that I have extreme anxiety over this, and in reality there is no concern. The Sx of dysuria have subsided. I want to note that urinating was really never that painful, and I think it may have been anxiety that was causing me to believe it was something more than what it actually was. Still, I show no signs of any sort of rash, sore, ulcer in the genital region... which keeps me optimistic, plus that all of my Sx other than the dysuria have lasted no more than 1 full day.

I have talked with her since.. several times. I never brought up the issue, because to be honest I do not want to bring on something that isn't necessary until the evidence is there. Maybe I am wrong to do that..

Any thoughts, ideas, suggestions? Any steps that I should take that I haven't already?
Helpful - 0
101028 tn?1419603004
how long ago had you last had sex with this partner?

have you talked to her to see what testing she's had and when?

grace
Helpful - 0
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