Rape and Herpes Check

[student2013]

Last year I was raped while being under extreme alcohol  intoxication.
Immediately after this event I had several symptoms including:
- severe vaginal swelling
- pain (soreness)
- 24hours after this event I got strep throat,fever, chills, and sick
- Went to Walk In Clinic (2days after) and got strep throat diagnosis because of a white film and inflammation/swollen tonsils
- 7days later I went to my Gynaecologist and he examined me physically (looked at my vagina) for any concerns. He said everything was normal and healthy and I should not be concerned.
- 9days later of the original event I received a cold sore on my lip (small clear bump) very small. - Went back to the Walk in Clinic and got a Swab for throat culture and sore culture but both came up negative.
- 1month later went back to my Gynaecologist to express some concerns regarding an itch and feeling uncomfortable with my vagina. (He physically examined me,and looked with a video camera to address concerns)
-1.5month later I went to the Gynaecologist again and demanded a swap for STI and he called back saying I was perfectly healthy and I should not let this event cause any psychological stress or facilitate depression. STI Check came back negative.
- My friends were involved in this situation, the male said he tried to go inside me multiple times but he could not fully go inside. (Genital contact) One of my friends involved with this situation has had a past clinical history of herpes on (cold sore location)
- Cold sore (on lip) is a concern for me because I have never had one until 9days after being raped.
- I am wondering if I should be checked for any other STI's or skin conditions, yeast, or HSV1 and 2 transmission?
- What are the percentages of transmission to both locations or both strands of Herpes ?
- I had safe sex only before this event with only 2 partners.

My health history:
- PCOS and Congenital Adrenal Hyperplasia Non Classical Salt Loosing
- Had a labiaplasty and clitoral reduction the year before this event
- Hormonal imbalance. Testosterone levels are higher.
- I do not masturbate and have only had sexual intercourse 2 times before being raped
- I am extremely sensitive during sexual intercourse and do not enjoy it because of pain which was there before being raped.
- Not too sure if the results of my labiaplasty contribute to wear it is itchy because of some cosmetic vaginal features that did not necessarily have the results that the doctor had planned.

What should I do? I need a medical professional's opinion? Because the herpes transmission possible to the genital location causing me depression which is affecting my overall health. I need to go back to my previous state of health and heal from the rape but this transmission issue is a problem for me.

[gracefromHHP]

HIPAA laws are if you ask to see test results, you must be shown them. you need to know what you were tested for and cover the rest of your  bases.  

the pcos and high testosterone that goes with it, won't cause sticking issues. really sounds like you need to see a new gyn dear.  do you treat your pcos with any medications?

go and be seen somewhere new and get all the care you should've had originally!! your future fertility can depend on this so it's well worth doing.  make sure that they also test you for yeast and bacterial infections vaginally too while you are there.

[student2013]

Hi Grace.
I contacted the university about the incident.
I asked to know what I was checked for but he would not provide the results.
No I haven't gotten the HPV Vaccine yet.

Does anyone understand the percentage of transmission for HSV1 and HSV2? Because 9days later after this event a cold sore like thing appeared on my lip not on my genital area. Is it possible I was given this in 2 locations?
I got the sore cultured and it came back negative for herpes. But it probably was it...

No I haven't because he said it was fine and Im unnecessarily sensitive to that particular area. He also thought any pain or discomfort or itching were related to psychological sense because he knows I worry about things.

The doctors really did not do anything for me. Other than I had to demand to be tested. And they said I had no symptoms and the tests came back fine.

So I haven't checked for bacterial or yeast infections. Because my doctor wasn't concerned.

I had to take a topical estrogen cream after my surgery. I think there is something wrong with the sticking as well as my testosterone levels are too high so this could be a contributing factor to itchiness. However my vaginal has been very different after surgery which was only 2 years ago and after being raped which was a year ago...

Btw thanks so much for all your help.

[gracefromHHP]

your provider erred greatly in recommending that you move forward and not properly covering your bases with std testing :(   did you contact a rape crisis center at all during all of this?   If you haven't, even though it's been a year, I highly recommend contacting one. They are terrific at what they do and I think it's always worthwhile to speak to them.  

you need full std testing done since you had unprotected sexual contact. Far better to err on the side of caution than to listen to a provider who tells you to sweep this all under the rug and just move forward.   I am guessing your swab covered gonorrhea and chlamydia testing. you'll need to ask to be sure. If you weren't tested for trich, you'll need that testing done too. you also need tested for hiv, herpes, syphilis and hepatitis. we unfortunately don't have proper testing to fully cover your hpv risks. have you had your gardasil shot series for hpv yet?

have you ever consulted a 2nd gyn for opinions on your surgery that didn't turn out right? if you have a lot of itching issues, have they tested you for yeast and bacterial infections vaginally too? have they tried barrier creams or topical estrogen cream?

grace