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Herpes possibility?
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Herpes possibility?

I'm a gay male who in the past month or so has had unprotected oral sex (both giving and receiving) and protected anal sex (me being the top).  On Friday, I started to notice a chancre or some kind of sore on the top of my penis, right by the opening/urethra.  It hasn't really developed into anything bigger yet, and there is no puss coming from it, also it isn't like a blister either.  So not really sure what it is.  I'm worried it could be a sign of herpes, and so wondered what people's thoughts were?  Could it be herpes or perhaps syphilis?

I am thinking of going tomorrow to get it checked out, but any thoughts beforehand would be greatly received.  Thanks.
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102 Comments Post a Comment
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1174003_tn?1308164419
This could be anything.  You should be seen by your provider for a proper work up.  It doesn't sound like herpes but it could be.  Herpes testing will not be accurate at this point you will need to wait 3 months for a accurate test.  You should be tested using only a type specific igg test.  The IGM test is flawed and shouldn't be used.
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Avatar_m_tn
Thanks for your response - I noticed last night that there are 3 or 4 small blister type sores on the head of the penis - that would be more herpes related don't you think?
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101028_tn?1348750963
as I mentioned in your post on this in the std forum, it could be many things. going to be seen is the best thing you can do :)  stop back and let us know how the appointment went.

grace
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Avatar_m_tn
OK , just got back from the doctors.  She said that it didn't look typical for herpes, more like a trauma of some sort, and I haven't had any other of the 'typical' symptoms like tingling before the outbreak and any fever, aches etc.  She took a culture of it, so now I have to wait and see.  She said normally there is a round blister type thing with liquid in, which then bursts, and I haven't had that.  The few small sores are already drying up - if it was herpes would it dry up this quickly?

She told me to put petroleum jelly on them, which should help them clear up and also make urinating less painful.

Thoughts?
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101028_tn?1348750963
did you also discuss a herpes igg blood test for you to see what your general status for herpes is?
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Avatar_m_tn
Actually she didn't say that or do any other tests with me.  What are your thoughts on the chances this is herpes based on what she told me?
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Avatar_m_tn
Some more information - I've contacted the two people I had sex with in the last two weeks and both say that they have not had cold sores, so that is a good sign I think?

I've read that a first outbreak normally shows within 2-12 days after exposure - would that be right?
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101028_tn?1348750963
most folks who have hsv1 orally don't get obvious cold sores to know their status.

follow up with a herpes igg blood test at some point to see what your status is bc of the reasons I posted about on the std forum post you made just to cover your  bases while this is on your mind.
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Avatar_m_tn
Thanks Grace - I appreciate you being so helpful.  I'm a little stressed out right now with all this, and feeling very bad about myself.  I will get that test and also post back when I get the result from the culture.  Is there a good website you recommend I could look at to calm my nerves?
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101028_tn?1348750963
well really at this point, only thing to do is to wait for culture results. your provider didn't think that this was herpes going on. follow up with the testing to know your status in general.
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Avatar_m_tn
So new update - I went to the STD clinic as well, and they thought it was herpes.  I still have the spots - there are about 4 of them, which are starting to crust over now.  I've also had quite a lot of pain in my thighs and calves - which I've had before when I was dealing with a virus.  Still haven't got the culture back, but definitely think it must be herpes.

I've just met someone new and obviously need to tell him - if I do have it, will it severely affect my sex life?  Thanks for your help.
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101028_tn?1348750963
call and see what your culture results are. they should've been back by now. don't wait for them to call you.

at this point you and your new partner need to wait for test results to come back.  even if your lesion cultures are negative, you need to wait 3 months at least to get type specific herpes igg blood testing to confirm your status.

has your new partner been tested for herpes?
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Avatar_m_tn
We haven't talked about STD's yet so I've no idea.  As it is most probably genital herpes, I'm guessing that it is ok to kiss?  We have certainly done a lot of that so far but not gone any further.
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101028_tn?1348750963
correct - genital herpes isn't transmitted through kissing.
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Avatar_m_tn
Another question. A few years ago I had impetigo on my neck and the doctor said it herpes simplex was in it. I've never had any other issues since then. Could this be related, and if it manifests on the neck only, never the face or mouth could it be part of the chicken pox virus I had as a kid
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1174003_tn?1308164419
Could be a lot of things.  That is why you have to wait for the culture to come back.  

I wish we could say it could be this or that but really you have to wait for results to come back to get the best idea.  Though chances are this isn't related.  
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101028_tn?1348750963
herpes simplex and herpes zoster ( chicken pox ) are 2 totally different infections. you won't detect herpes simplex in something and have it be because you had chicken pox as a child.

did they culture the issue on your neck to know that it was herpes?
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Avatar_m_tn
Yes they did culture my neck and found it was herpes.  Since then I have never had any symptoms at all - certainly nothing around my mouth.  I've read that you can get the outbreak at the spot where herpes was 'introduced' to the body, so that would suggest perhaps someone kissed my neck who had oral herpes and I contracted it that way?  If so, would I now have oral herpes from the neck?

I also read through the archives on here, that if I had herpes already, that could be why the genital herpes I probably have now didn't manifest too badly - the sores are only about 4 of them, and very localized right at the top of the head of the penis.  Could that be the case?

Is it possible to have HSV 1 in two different places, or the fact I already had herpes and now got another type means I have both HSV 1 and 2?

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101028_tn?1348750963
did you call to see if your recent culture results are back yet?

the nerve group in the neck is a different one from the mouth area.  hard to tell if you also have hsv1 orally or not unless you get an obvious cold sore ( the assumption being you were also kissing the person who transmitted hsv1 to your neck ).  it's not likely you also have hsv1 genitally since you have it elsewhere.
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Avatar_m_tn
I haven't got the results yet, will call tomorrow.  So you're thinking that I probably have hsv 2 genitally?  I've never had an obvious cold sore, so not sure what that means.
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Avatar_m_tn
Ok so just got the results back and there was no virus detected. I'm now not sure what to do as I feel like the symptoms are those of genital herpes. The doctor did say it could come back negative but what is your advice?
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101028_tn?1348750963
wait 3 months and get igg blood testing done ( also cover your basis with syphilis testing at that point too just to err on the side of caution ). if you get a return of symptoms before then, be seen promptly for a lesion culture and typing again.
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Avatar_m_tn
So in the meantime do I presume I have it or not? Just wondering how to deal with physical relationships. I just got back current syphilis result and that was negative.
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101028_tn?1348750963
it's up to you how you handle it.  discuss it with your partner and decide together what to do.

you have to wait 6 weeks post encounter minimum for syphilis testing. had it been that long?

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Avatar_m_tn
I will redo the syphilis testing after 6 weeks then.

Based on what I've told you here, what are the chances this will turn out to be herpes?
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101028_tn?1348750963
no way for me to guess at all .
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Avatar_m_tn
So a good friend of mine is a doctor and I have been taking photos of the sores over the last week.  I sent them to him and as he is experienced with dealing with herpes, he thinks that it what it is for sure.  So that's pretty much diagnosed it for me, and now I have to find out what to do next.  Could you help with next steps?  The biggest worry right now is telling my new date (we aren't partners yet), and whether they will deal with it or not.
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1174003_tn?1308164419
Well if your doctor is diagnosing you via pictures is almost bad medicine.  I mean our doctors here won't do it.  Plus visual diagnosis even by the herpes experts is wrong at least half the time.  Maybe you should wait for that blood test and then go from there.  Also if you have a repeat of symptoms be seen for swab and culture within 24-48hrs.  

What you choose and when you choose to tell your date is your choice.  But you really don't even know you have it at this point.
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Avatar_m_tn
So it's not my doctor who is diagnosing through pictures, it's a friend of mine who is a doctor.

I went to my doctor yesterday and came out feeling rather frustrated.  As the culture was negative, she said I will have to wait and see if I get another outbreak.  Of course if I do, I need to go in and see them right away, which I will.

When I had herpes on my neck several years ago, it has never returned.  She said that could be the case with this one too... is that possible?  She also said herpes tends to return in the same spot, but reading on here, it could be anywhere in the genital area...

So I guess I will just see what happens.  What is now hard is to tell someone I don't know well yet what I'm going through.  I fear rejection, naturally, but hopefully they will understand.

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1174003_tn?1308164419
A friend that is a doctor is still a doctor who is practing medicine on you and is doing so through pictures.  There is more to it then the looks of something.  Regardless I would say though you have to listen to the trained professionals.

Okay here is the deal a culture that is taken after 48hrs of something show up does have a false negative rate.  As does everything.

Herpes tends to be in the same general area but it isn't a perfect same spot.  Herpes outbreaks may happen once and never come back.  

Right now your focus needs to be on your blood testing at 3 months.  If your future partner can't support you then will that person support you no matter what?  This is a skin condition nothing more if you have herpes.  But what happens if you say had a stroke and she had to wipe your butt every day.  Some people will never commit to that level.  
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101028_tn?1348750963
honestly this has never really sounded like herpes going on. continue to follow up as needed for this with your provider.
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Avatar_m_tn
Some other questions for everyone:

1. Is it normal for there to still be pain at the site of the sores 3 1/2 weeks after they appeared?  They have gone, but you can still see faintly where there were and it still hurts there and to urinate sometimes.
2.  If you have/had sores on the penis only, and that is covered up by a condom, can you still pass on herpes through the other parts of the genital area, meaning if you are naked with someone and wearing a condom, can other skin have the virus?
3.  I've read that the virus is transmitted through the mucosal parts, i.e. top of penis, anus, mouth etc.  Can it also go through intact skin, i.e. from leg to leg?

Thanks for the answers - I've told a prospective partner, and now want to make sure that we play the safest way possible.  Although I don't know for sure I have herpes, I'm trying to play safe just in case.  Hence the question about the symptoms too.

Med
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Avatar_m_tn
Do u have any nerve pain in ur tight, legs and buttoaks ?
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Avatar_m_tn
I did have pain down my legs right before I got the 'outbreak' and a little bit during.  Right now everything is normal.  Just have pain in the genital area.
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Avatar_m_tn
do u have a pain in one leg or both legs ?butttoaks ?
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Avatar_m_tn
what kind of pain in genital area ?
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Avatar_m_tn
The pain is just on my penis, no pain in legs.  Before the outbreak, there was pain down the back of both legs.
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Avatar_m_tn
Its a herpes.
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Avatar_m_tn
Its a herpes... Do you have a testicle pain ?
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Avatar_m_tn
No testicle pain.  Can you also answer my questions I posted above?
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Avatar_m_tn
Whats ur questions ?
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1174003_tn?1308164419
Sorry for delay in your questions.  The reply back and forth most of thrown the questions out of my view.

1. Is it normal for there to still be pain at the site of the sores 3 1/2 weeks after they appeared?  They have gone, but you can still see faintly where there were and it still hurts there and to urinate sometimes.

You won't have pain from the sores once they heal.  Something else is going on here and it isn't herpes.  You should be seen by a dermatologist and have them do some looking at your skin.


2.  If you have/had sores on the penis only, and that is covered up by a condom, can you still pass on herpes through the other parts of the genital area, meaning if you are naked with someone and wearing a condom, can other skin have the virus?

The virus infects the nerves that supply nerves to the skin in the "boxer short" region.  So it can come anywhere there.  

3.  I've read that the virus is transmitted through the mucosal parts, i.e. top of penis, anus, mouth etc.  Can it also go through intact skin, i.e. from leg to leg?

Not if the skin is intact no.  The skin is to thick for it to get through unless an outbreak happens.  

You are trying to make this herpes.  Continue to work up with a provider on your issues.  Stop thinking it is herpes until you have the results to prove it.  Symptoms like this can be caused by a number of things.  Just because it is your genital area doesn't mean it is always herpes.
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Avatar_m_tn
Thanks for your help mistakeguy.  The pain I have is at the tip of the penis, where the sores were, now the skin has healed although still a little pinker than the rest of the skin.  

Just another couple of questions regarding how it gets passed on.

1. Say there are no symptoms present on someone (i.e. no outbreak), if you are naked with someone else, and their skin is intact, you are saying it cannot be passed on?  

2.  During asymptomatic shedding, is it likely to shed at the place you normally get outbreaks or somewhere else?  Can it go through thick skin like the buttocks and then pass on to someone else through their intact skin?  Or can it only be passed on if the buttocks touch a mucous membrane?

The reason I'm asking these questions is I'm trying to work out what I can do sexually with someone and avoid the risk of passing it on.  I do know that I am not totally sure I have it, but until I can have the blood test I want to take care of myself and others.

Thanks.
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Avatar_m_tn
Did u have. Apin in both lehs front and back.. did u feel a burn feelings in ur legs when u siting and lay down?
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1174003_tn?1308164419
1.  If the skin has healed after an outbreak then the risk to your partner is low.  Herpes needs friction and heat to be transmitted.

2.  No you shed in the soft tissue areas not in the thick skin areas.

You can read the free herpes handbook at www.westoverheights.com it has a greata load of information.  
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Avatar_m_tn
Thanks for the extra info.  I'm just trying to stay prepared if I do have it, and therefore take precautions should I get intimate with anyone.  

Although you think it doesn't sound like herpes, the fact that I had the very sore butt, legs and calves right before the outbreak, and the sores lasted 3 weeks does suggest it could be that.  I can't imagine what other thing would have similar symptoms.
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Avatar_m_tn
Another question:  how likely is it to have outbreaks back to back with no break in between?  Since the first suspected outbreak, I have felt some strange sensations in my penis.  Now I feel slight pain in my testicles and lymph nodes and around the top of the penis.  Could this be a prodome before another outbreak?  It seems the first is running into the second which worries me that I will be getting a lot of outbreaks in the future.
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Avatar_m_tn
Grace - could you comment on my question?  Thanks.
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1174003_tn?1308164419
The fact it could be HSV and it may not be.  The thing to this is it could be HSV.  It may not.  Sores last longer in the inital phase then reoccurances.  There could be and usually is another outbreak shortly after your inital outbreak.  But typically again with sores.  Prodome is typically itching and tingle feeling along with crawling under the skin feelings.  So no doesn't sound like prodome. But you do need to be seen by your provider so they can rule out things and do a culture if need be.
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Avatar_m_tn
Thanks for the reply mistakeguy.  There certainly is tingling feeling around my penis and on the skin just below my belly button.  Plus pain when I urinate.  This has been for a couple of days now, but haven't seen any sores come yet.  Maybe they are on their way.  Certainly if I get another sore I will go to my doctor for a culture.
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101028_tn?1348750963
if you are having pain with urination, you need to go back and be seen again.

make sure they do urine testing for infections as well as a prostate exam isn't a bad idea either.
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Avatar_m_tn
Hi there,

So I am still waiting to get a definitive blood test but may become physical with someone soon.  Obviously I will tell them what's going on, but I want to know how safe certain things are.  Here are my questions:

1.  If we are naked and cuddling etc - what are the risks of that transmitting the virus?
2.  Would it be better if I put a condom on before we cuddle/frottage etc?  Does that make it safer?
3.  If he gives me a bj without a condom, how risky is that?
4.  If we do anal sex with me the top and I'm wearing a condom - how safe is that?
5.  I've read your statistics for passing on from man to woman and vice versa, but what about from man to man?

Any information would be greatly received.

Thanks.
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101028_tn?1348750963
we don't have stats for transmission in same sex couples unfortunately.  we assume it's similar but we aren't sure. the rates of hsv2 infection in gays males is pretty high in general.

if you are going to be intimate with a new partner, certainly protected oral sex and protected anal sex are in order. make sure your new partner has a full std work up too along with herpes testing.

just cuddling naked is very, very low risk for herpes transmission. keep your boxers on though and it's not at all a risk for either of you if you are going to be doing more than just laying in bed together.
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Avatar_m_tn
Thanks Grace,

I normally wear briefs instead of boxers, but obviously that covers my genitals - will that prevent transmission too?

The guy I'm starting to see is quite young, and so I'm worried he will be freaked out about the possibilities of transmission.  I'm not on medication yet, so all I have to use is a condom.  I just want to be able to have a great sex life without transmitting it to anyone.  Is that possible without medication?  I don't really want to take it unless I need to.
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101028_tn?1348750963
yes briefs are fine too.

definitely talk about this with your partner and go from there.

yes indeed you can have a regular sex life and really should be more surprised if you do transmit it than if you don't.
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Avatar_m_tn
Thanks again Grace - that makes me feel better especially with you saying that the possibility of transmitting it if I'm careful is low.  :)
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Avatar_m_tn
Another question (sorry folks!).

If you have an outbreak inside the urethra, where obviously you can't see it, would it be painful?  I have pain after I urinate and during the day, also there is pain in my testicles too and in the groin area.  Could this be an outbreak?  

Also, if you have an outbreak in a certain place, i.e. the penis, will the virus also shed from any skin in the pubic area?  That question also applies to when there is no outbreak - does the virus shed from thick skin areas?
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Avatar_m_tn
I am waiting to take a blood test for herpes - it's now 2 months since my last encounter.  I was told to wait longer but wondering if I can go now.

I just noticed a small blister in the opening of my urethra, so this looks like it's a small outbreak I would think.

The hardest part right now is telling someone else.  I'm literally collapsing under anxiety from dealing with telling someone.  The guy I like is young and I'm sure will freak out if I tell him...  Plus he works with me so I don't want him to tell other people about what I have.
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101028_tn?1348750963
herpes lesions in the urethra are painful all of the time, not just after urination.

grace
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Avatar_m_tn
Well they are painful quite a lot of the time.

When I feel tingling around the belly button area and just below it, does that mean the virus is active on the skin at that time, i.e shedding?

If the outbreaks are limited to the head of the penis (assuming that the current one is an outbreak), what are the chances of shedding from other parts of the genitals?  I'm still confused if you can shed virus from thick skin to someone else.  Sorry to ask all these questions.  I just want to be able to have a wonderful sex life with someone and not worry all the time about risk of transmission.

Also, in terms of soft tissue (which I've read is the areas that normally it can be transmitted to), where are they on a man - is it penis, scrotum and anus, or more places, or less?
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101028_tn?1348750963
if you have more symptoms, go and be seen. they can do a lesion culture inside your urethra for herpes even.

the free herpes handbook covers the details of transmission for more reading.
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Avatar_m_tn
Thanks Grace - the current outbreak (if it is an outbreak), are so tiny, you can hardly see them, so don't think the doctor would be able to culture it.  Plus it's probably too late now anyway.

The Free herpes handbook on westover has some info, but I'm still unsure as to whether you can shed from thick skin around the pelvic area and where on the other person it will be transmitted.
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101028_tn?1348750963
the virus sheds from obvious lesions when you have them as well as from the anogenital area. your hip area for instance doesn't shed the virus without an obvious lesion there but your anal area and penis does.
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Avatar_m_tn
I just received this piece of information from someone who works with sexual health.  Can you comment on it?  Thanks.

the absolute only source of the virus is the area where the outbreak occurs. This is great news for people who's "danger zone" is covered by a condom. I have never heard nor seen nor read anything to contradict this, I do believe it is accepted as fact. This is congruent with the information given out on the hotline, so it is indeed the official story on this matter.
It does not make sense to me that shedding would occur anywhere else, here is what i'm thinking: the virus is dormant in a specific nerve cell body. the body of a nerve cell is in the spinal cord, and there are long "incoming" and "outgoing" strands... (axons and dendrites are the names of these parts of a nerve cell) which run from the cell body to the skin and muscles, and back. So when the virus is active, it travels along THE SAME strand every time, causing an outbreak is the SAME AREA every time. When asymptomatic viral shedding is occuring, the virus has taken its familiar path down its usual route to the skin, where it is replicating itself in hopes of finding a new home. I dont think the virus would travel one route when on a symptom-creating mission and then take a different route for a shedding mission. Does that make sense?
A persons body fluids do not contain the virus, the entire region is not contagious. So many people get outbreaks where a condom does not cover... but those who do, this should be good news for you!
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101028_tn?1348750963
the person you talked to needs to update their herpes information as does the source of the information provided for their hotline.

I recommend they start by reading these journal articles :

http://jid.oxfordjournals.org/content/201/4/499.full

http://www.ncbi.nlm.nih.gov/pubmed/20088691

http://www.ncbi.nlm.nih.gov/pubmed/17012458

http://www.ncbi.nlm.nih.gov/pubmed/15450382

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Avatar_m_tn
There is so much information out there that suggests worst case scenarios and then others that say it isn't so bad. I don't know what to believe and also what I can now do sexually with another guy. I guess if I just give him oral and he just only uses his hands on me that will be the safest right? Feeling a little frustrated now ...
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101028_tn?1348750963
you don't even know if you have genital herpes yet.

have you and your new partner discussed this? have they been tested to know their status?
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Avatar_m_tn
I haven't discussed it with a potential partner yet. He's young and I'm afraid he'd freak out. I just want to make sure I'm safe with anyone even while I wait until I know for sure.
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101028_tn?1348750963
which is more freaky, a partner being open and honest with you to share that they truly care about you or a partner who is held back because they are trying to hide something?
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Avatar_m_tn
Very good point Grace.  I never want to be that person that holds back anything.  Honest is key as far as I'm concerned.  The biggest question I have is - how many people have been able to have a relationship with a non-h person, and not pass it on...
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101028_tn?1348750963
almost all of my partners have been hsv2 negative and stayed that way.  I did pass it on twice over 20 years ago - once before I even knew I had it and once when I was trying to hide that I had it from a partner.
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Avatar_m_tn
That is encouraging Grace.  I hate this right now, but believe that the right person will understand.
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Avatar_m_tn
A quick question - my friend stayed over last night and we cuddled which was great.  We were both wearing boxer briefs, but it was warm so we were both sweating.  It is possible to spread the virus from above the boxer short line like from my belly button and just below to his back? Thanks.
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101028_tn?1348750963
no it is not.
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Avatar_m_tn
Thank you - just paranoid.
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Avatar_m_tn
OK, I went for a blood test at 3months past most recent exposure.  Here are the results:

HSV1 IGG  0.15
HSV2 IGG  0.56
which they said was negative

HSV 1/2 IGM 0.97
which they said was abnormal

Everyone on here talks about the IGG being more accurate, but I'm confused by these results.  Is it just too early to have been tested?

Thanks
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101028_tn?1348750963
disregard the igm results. they are meaningless.

you are negative for both hsv1 and hsv2 - CONGRATS!
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Avatar_m_tn
Thanks Grace for the encouragement.  Is it possible though that's it too early to be sure?  I've read that some people don't test positive until at least 4 months since exposure.  Although also read that 3 months is a good indication.  I was about 3 days short of 3 months.
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101028_tn?1348750963
your testing is fine dear. don't obsess over things you don't need to obsess over!
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Avatar_m_tn
Hi there,

Another paranoid question!  The doctor said that the iGM test shows a recent infection.  If that is the case, is it possible that mine is just taking a longer time than normal to show antibodies?  She did say that mine was very borderline however.

Her suggestion was to do the iGM test in another month from the last test.  

I really want to go 'woohoo' on being negative, but still not sure about it.

Thanks
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101028_tn?1348750963
sweetie - go woohoo and stop worrying about this. I think it's time to end this post. I'm not going to play the "what if" game with you. we've already given you the most up to date info on herpes testing and your provider is misinformed by still relying on the herpes igm test. don't waste your time with more igm testing.
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Avatar_m_tn
I posted the question on the doctor's forum and this was Terri Warren's response.  Although she thinks I will be negative too, she is concerned - any thoughts?

I also believe it is very likely that you don't have herpes.  I am concerned by your statement that you had sores on the penis.  You specifically said sores, and there aren't very many things that cause sores on the penis, actually, so that comment still concerns me just a bit.  I am also just very slightly concerned about your relatively high negative value on your HSV 2 antibody test. The last thing I am concerned about is is the STD clinician's opinion that the sores looked herpetic.   I actually also believe that you are negative, but if you were my patient, given the three things described above, I would like to see you get tested once more in about 4-6 weeks, and maybe this time with a western blot if you can get it.  You might not live in the US, in which case, the IgG is fine, but absolutely forget the IgM test.  

My response is very cautious here, admittedly.  There is just something about the contents of your post that give me slight concern.

Terri
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We aren't going to play the guessing game.  You can follow up with Terri further.  
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Avatar_m_tn
I have another question - I've had what I'm presuming are sores on the top of the urethra for over 4 weeks now and they haven't gone away.  I also have pain in my testicles and inner thighs, groin area, lymph nodes I'm guessing, and sometimes when I pee as well.  I've read that inner thigh pain is part of the prodomal phase but nothing seems to come up in terms of new sores.  I'm just confused as to what this could be, and would like to ask if it sounds like herpes to everyone here. Thanks.
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Terri is already helping you on the expert's forum, we won't second guess here advice here.
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any further posts will be reported to the moderators for removal. please do not continue asking questions here on this forum as there is nothing else we can tell you.
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Avatar_m_tn
Hi there,

So I got another iGM test back today and it was positive at 1.6.  I had another iGG done which I am waiting for the results.  Am now a little nervous that I do have it.

I'll come back when I get that result back.
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you should've never wasted your time or money on herpes igm testing.
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Avatar_m_tn
That's why I told the doctor I wanted another iGG test.  So that came back today.

On another note, I've read that genital-hand-genital/anus transmission of herpes is pretty low risk - can you confirm this?  Thanks.
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This has been discussed over and over.  

In order to have tranmission you need direct skin-to-skin contact with a herpes being active on the sin such as an outbreak or viral shedding.  

You need to move on from this.  If you can't then you need to seek out professional assistance with dealing this.
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Avatar_n_tn
So what was the result of your Igg now? When was the last time you had sex before the symptoms appeared?
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So got my iGG results back today, which were 16 weeks and 1 day from the last sexual exposure.  They were:

HSV1 - 0.14
HSV2 - 0.47

So my doctor thinks the iGM positive result is erroneous, which I know is what many herpes experts say too.

I'm a little confused still as I still feel like I have some symptoms, but I have to believe the medical professionals.  Trying to say woohoo but not quite there yet!

Thank you to everyone on here for the support and information.
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time to woohoo dear :)
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Avatar_n_tn
as Grace already told you, it's highly unlikely for you not be showing a positive result after 16 weeks. so woo-hoo!

if you need some peace of mind, ask for a WB - it will probably give you a positive result for HSV1, since you had a confirmed culture.

were you ever on suppressive therapy? theorically, that might delay antibody production, but I don't think you should really worry about such hypothesis.
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Hi Bobrope

I haven't been on any suppressive therapy, so I should rely on the results.  Strange though that I didn't get a positive on the HSV1, considering the culture was done over 2 years ago...

I won't worry about that - I'm already a worrier, so don't need anything more.

My doctor is sending me to a urologist to see if they can work out what else is going on.  
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