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Herpes in Anus
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Herpes in Anus

I am a heterosexual male. I have never received anal sex.  Is it possible to have herpes lesions/sores/rash/symptoms/itching in my anus from an experience that was me receiving unprotected oral sex from a woman? It also involved her licking my testacles, but there was no activity near by anus.

Starting about 3 - 4 days after that unprotected experiance and ever since, I have had a rash/itching/redness in my anal area for several weeks, but no real lesions or sores that i can see. I also had broken skin in the area/fold where my leg connects to my testeacles about 3 days after the experience, but that was after a lot of walking during a very hot day the day before.

I went to my primary care doctor 3 - 4 days after the experience, and he said it was not herpes and he thought it was fungal. I then went to the ER when i had the broken skin/bleeding 5 - 6 days after that experience but after I had walked a lot, and they said it just looked like irritated skin and not herpes. After 2 weeks of applying the antifungal ointment my primary doc gave me, and the itching/redness in my anus not getting better, he sent me to a dermatologist. The dermatologist also said its not herpes and gave me pramosone which has helped with the itching, but not the redness. Its like a round red rash that just has not gone away. I am freaking out...Please help.
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13 Comments Post a Comment
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Avatar_m_tn
i guess i am having trouble with the fact that all the healthcare people I have seen essentially telling me in so many words, without really saying it, that this rash is purely a coincidence, in terms of being right after this sexual experience. How can that be?

one doc said that it being a coincidence is FAR more likely than it being herpes
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101028_tn?1348750963
These are folks who have seen the actual rash. They don't think it's due to herpes.  Chances are good that they are right.

The best thing to do is to continue follow up with the dermatologist to try to get to the bottom of this.

grace
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Avatar_m_tn
Thanks for your response. With regard to the first part of my post:

Is it possible for a heterosexual male, who has never received anal sex, to get herpes sores/lesions/rash, in the area right around the anus?

Is that possible/likely? I guess I am saying can genital herpes enter your body through skin on your testacles for example, or your actual penis, but then cause the symptoms somewhere else (i.e. the anus) instead, and not on the penis or the original area of where the virus entered the body. Does that make sense?



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101028_tn?1348750963
Yes it is possible. Herpes doesn't just cause symptoms at the area where you are originally infected at - after infection it sets up residence in the sacral nerve ganglia and then when it reactivates - it can travel down any of the nerves in that ganglia to cause lesions anywhere in the "boxer short" area as we call it. That includes the anal area.  No need for anal sex to get symptoms in that area.


grace
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Avatar_m_tn
i understand your point with regard to re-ocurrig outbreaks (you say when it reactivates). what about for the primary outbreak? QUESTION 1: Is it possible/likely for me to have a primary outbreak in my anus, and right around, even though there was NO contact anywhere near there?

i am trying to eliminate this as a possibility, for the rash/redness/burning in and around my anus that started 2 - 3 days after my unprotected sexual experience, and has continued for 3 - 4 weeks since. I have read other places that chances of transmission of herpes from oral sex alone are VERY rare. QUESTION 2: Is that infact true? And tahts assuming the girl has it, which is also 4 or 5 to 1 in my favor that she doesnt...

RIGHT?

I have placed my specific in questions in caps to help you.. thanks so much again. You are truly awesome!
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101028_tn?1348750963
You've been seen and no one thinks it's herpes. I'm not sure why you are letting the idea that it could be herpes worry you so much?

Yes you can have your 1st ob on the anal area even without having had anal sex.  yes you can contract hsv1 genitally from receiving oral sex and it's not very rare for it to happen.  

grace

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Avatar_n_tn
Grace, I'm sorry to keep mentioning this again but what you're saying seems to be contradicted by many Drs. I have a VERY good Dr. who says that it is not possible to receive oral sex only on the penis and then have an OB in the anal area. Other Drs on the expert board here also seem to impliedly agree.

I have also seen Drs on the expert board here seem to indicate MANY times that recurrent OBs DO NOT tend to "migrate" to other areas in the "boxer short area".
I'm wondering whether the boxer short area is theoretically possble but not something that ever actually occurs. we all appreciate your posts and help, but you seem to be the only one who says that herpes is a "boxer short area" disease that can occur anywhere in that region if you are exposed genitally.

both HSV-1 and HSV-2 patients as well as Drs seem to report that this simply does not happen. you get Herpes in one spot and it pretty much stays there and doesn't "move around". Read the experts board on here and you'll see that. And I asked my Dr. and he agreed. not possible.

As I mentioned in another post, my Dr. even said that if one has an anal hepres breakout he CANNOT trsansmit the virus from penis fluids if someone performs anal sex on him.

Lastly, many Drs on the experts boards here have mentioned that contracting HSV-1 genitally is pretty difficult to begin with for a variety of reasons, and the same for HSV-2. You make this type of transmision sound far more common that it actually is.
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Avatar_n_tn
i understand what you are saying about FUTURE OBs being theoretically possible in nearby areas in the boxer short area as the virus goes from the spinal base to one of many possible nerve endings in that area. i guess that can make theortic sense (though many drs seem to disagree). what does not make any sense is someone having received oral sex and getting an initial outbreak on the anus. the outbreak is going to occur at the site of the first infection. there's no travelling to the spine in the first infection, so how on earth could you get infected on your penis and get an outbreak on your anus? this sounds highly unlikely which is why many drs say it doesnt happen.
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207091_tn?1337713093
I've never had anal sex, but get obs on my anus, and on my butt cheeks,  as well as on the labia.

Its possible.

Aj
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Avatar_m_tn
Why is that more than a few people seem determined to prove the Gate Keepers of this site wrong. Grace, Betty, Auntiejessi, Slacker, all monitor these threads and give you the benefit of their experience (Not text book in most cases their real life experiences) Sure the doctors have a great deal of experience dealing with patients but I'd rather hear many points of view from people that are living with this. People that have taken time to learn about this infection and share what they have learned with the rest of us.

More than once everyone on here it has been stated they're not DOCTORS and cannot diagnose all they can do is tell you what it sounds like to them.

In addition if some individuals have all this information from the doctors side of the site, why would you ask for additional information from this side. Would your stress go away if you proved this side wrong??

At the end of the day, Herpes can show up differently in everyone (A classic outbreak is nothing more than a benchmark of what Herpes might look like) all you can do really without classic signs is wait for three to four months go for a IGG blood test and find out your status.

I have found that confiding in a close friend, having a pint at the local pub, and logging on here has helped a great deal getting to the three - four month mark.

To the regulars on this site who help others.....THANK YOU!!
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Avatar_n_tn
i was distressed to read that last post by ineed2knowpls. it makes it sounds like a game, and this is most certainly not a game.

in my particular situation, i received unprotected oral sex from someone who had some blemished on her chin area, but i have no idea what really what a "cold sore" is or looks like. maybe she just had pimples. what scared me was that soon afterwards i developed a couple of small red bumps in my anal area (it hurt when i sat on them) and then later upon inspection it looked like the bumps turned into 4 whitish pimple-like growths. then they healed. scared me because it was 4 of them close together (though not touching). seemed unlikely to be 4 pimples in the same area!

anyway when i went to my dr. i told him about these boards and what he said made me feel much better-- that although he would do the culture and blood tests for herpes and is not sure it was herpes (he said "classicaly" the lesions are touching each other and not just close together, though he said mine was healng already), that a few things i read on here were not true.
1) he said i COULD NOT have gotten it there from oral sex unless the girl touched her lip and then my anus. or, auto-innoculated myself by touching my mouth and then the anus (note: he said all of this because i have never had unprotected sexual intercourse and have only received oral sex).
2) he said if it was herpes the breakouts would occur in the same area, that they dont "migrate"....he said migrating is really not migrating, but rather someone auot-innoculating themselve or getting it from someone touching them in the new area. he said herpes doesnt just migrate on its own.
3) he said i could NOT transmit anal herpes from penile fluids or from receiving oral sex. he said herpes is STRICTLY a CONTACT disease...it is only spread by direct contact with the breakout area, NOT fluids.

All of this obviously conflicts with what the genuinely fine people like Grace, Betty, Auntiejessi have said on here. The thing is, all of these people sound reliable, but my dr. is also someone i think is very good and who i trust very much. so why can't you understand that all we're trying to do is find out the truth.

Yes, my stress would happen to go away if my dr. was right about all these things. but i'd rather just know the truth. isn't that understandable? both sides seem to be so certain about what they are saying, how are we, complete laypersons, supposed to know what to believe? i wish there was a way. i wish there was a way to know for sure whether or not (if i have anal herpes) it could go to my penis one day. i wish there was a way to know whether or not i can infect someone if they perform oral on me when all i have ever had is an anal OB (assumnig it is herpes). i wish there was a way to know these things, but there don't seem to be any clear answers, and it's frustrating, that's all.

sam
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Avatar_m_tn
Hi Sam

It was not my intention to make this seem like a game. I too am in a similar situation to you, and I also want answers.... If it seemed like a personal attack on you it was not ment that way and I apologize.....

The one thing I have learned about Herpes is that it can show up differently in everyone.  Part of what adds to the stress level is the fact herpes can show up as minor skin irritations and be gone or it can be a full blown classic outbreak. If each of us want to know our status we have to wait three to four months then get a blood test. Slacker's right about not spending too much time on the internet it can just add to the stress...

Good luck    
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Avatar_f_tn
Can you please tell me what causes herpes?
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