About three and a half months ago (on June 22) I had an encounter with a female of unknown status. We ended up being intimate and I fingered her while she performed unprotected oral sex on me over the course of maybe 20-30 minutes.
At about the first week post exposure I started having trouble defecating and my symptoms seemed to match those of proctitis, so that scared me a lot. I went in to have myself checked out and though I did have a lot of irritation and constipation my doctor said he saw no lesions. After a flexible sigmoidscopy I was told that there was nothing to imply that herpes was to blame for this issue. The irritation in my anal area as well as constipation (along with itch) has continued and sitting is often uncomfortable. Three and a half weeks post-exposure, I began feeling numbness in my leg and hip as well as into my back. I have also had a lot of stiffness in my joints and tightness and my muscles have been really tight to the point that it has been hard to breathe. I’ve had numbness and weakness on my right side ever since. It starts at my butt/hip and goes up my back which is usually very tense and somewhat tingly and there’s twitching at times in both areas. There is also a part of my right pelvic area that feels very tender and sometimes it stings. All along I’ve felt pretty fatigued. It was more pronounced in the first month after exposure but I’ve grown accustomed to feeling that way. The other symptoms I’ve had from time to time are itching (from the front to back and also perineal itching) and prostadynia which I’m told may be due to anxiety, but with every erection I have I feel swelling and I have had little to no sex drive. I have had small red bumps on my thighs and buttocks but they do not appear to blister at any point. There is also some redness around the crown of my penis and dryness on the shaft (which only seems to happen upon contact or manipuation.
I've tested negative for everything but HSV-1, what could this be?
As a note, I have never had any sores any visible out break, and I am wondering if this could possibly be some manifestation of Genital HSV-1. I have been told not to worry about that possibility after 12 solid weeks of testing (and almost two years of the same results with past partners) but I would like to be sure. Will these symptoms ever go away?
I may have had one many years ago (about 20 years) to my knowledge but I've never been completely sure. Ever since that one potential incidence I don't recall ever having any other cold sores. Until about 2010 I had never been tested for herpes antibodies so I assumed that my +HSV1 result was because of long standing exposure.
I ask about the cold sores because your risk here would be from HSV 1 from receiving oral sex. The fingering would not present a risk.
Once you have been infected at one location (i.e. the cold sore), it is extremely unlikely that you would be infected at a new location (i.e. genital). The immune response that you have to the cold sore virus would likely protect you.
So in summary, my opinion is that infection genitally with HSV 1 is extremely unlikely. Also, your symptoms really aren't consistent with HSV infection genitally. Your symptoms honestly seem more musculoskeletal than herpetic.
I don't think you need to retest because nothing that you did presents a risk for HSV infection.
So the red bumps I've seen in my trunk/thigh area do not seem herpetic to you in this case? They are quite literally red bumps that do not blister or turn into sores. From what I have seen (and felt) there is no moisture coming from them either...would it be possible to swab something like that?
Also, the anal irritation that I've been experiencing, that began only a week after my encounter. Is that ever a symptom of an initial genital infection? (since I know it can happen anywhere below the waist)
Constant itching, persistent lethargy, bumps on the trunk and anal irritation are very unlikely to be symptoms of a new herpes infection. Herpes can recur around the anus, yes, but I would expect genital lesions with a first infection, not anal lesions
Would any other STIs bring about symptoms like this? I have tested consistently negative for HIV but I wonder. I just don't want to spread whatever this is to anyone else. I'm just tired of dealing with these symptoms everyday.
Today I began feeling a dull ache in my testicle (one remaining after cancer surgery). Would that be something to look into? Also, is there no way I haven't already looked into that could help me figure out if this is herpes related? That is why I asked about antivirals before...would it be within reason to assume that I am having herpetic symptoms if antiviral meds helped them in some way?
Yes and no...I'm not aware that Kaiser Permanente covers a HSV Western Blot. I could always ask, but somehow I don't think they offer one. If I already know that I don't have HSV-2, what would the WB help substantiate?
Being that the only testing that Kaiser offers is either one of those two, would it be in my interest to find a way to get a Western Blot? I know you offer them at your clinic, would I have to become a patient of yours in order to arrange for one?
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.