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Risk Assessment / exposure

Terri,

Thank you for the wonderful service you provide. I am hoping you can help me assess my risks / symptoms for an enormous mistake I made 9 weeks ago. 9 weeks ago I received a 2 second blow job from a girl at a massage parlor. After she went up and down on me twice I immediately told her to stop. Here are my questions:

Symptoms:

15 days after exposure a "rash" appeared on my buttocks only. The rash lasted from Wednesday through Sunday and was essentially healed on Monday AM. It has left a faint scar.

The rash (potential outbreak) literally popped up overnight and was about 3 inches in length, red, and was in a bit of a straight line (a thin line). Two days after it "erupted" it seemed to dry out and by Sunday much of the scabbing was finished. It was very dry with very little oozing (although some was present). Mildly painful, but nothing like what a cold sore would feel like, look like or act like. As I said it left a thin scar that 60 days later still exists.

At no moment have I have any type of breakout in the area that came in contact with her mouth. She wen up and down on me 2x (4 seconds) and licked my testicles briefly.

To the best of my knowledge I did not have a fever, but i was fatigued. The fatigue could also have been from stress.

A few days of a very odd symptom: burning in urethra after ejaculation and some burning in urethra throughout the day, but never when I urinate.

At day 60 (day before yesterday) I ejaculated and have had some burning in my urethra again, but no discomfort at all when I urinate.

Testing
3 week from exposure antibody test from labcorp 5 days from outbreak/rash (negative)
6 week from exposure antibody test from labcorp 26 days from outbreak (negative)

Questions:
I already had hsv-1 (cold sores) and wondered how likely it is I would acquire hsv1 or hsv2 genitally from the 4 second blow job I received?
Do my symptoms Indicate ghsv?
How often do antibodies show up after a potential breakout?

Thank you.
5 Responses
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55646 tn?1263660809
1.  The most likely form of oral herpes is HSV 1.  If  a person has HSV 2 orally, it rarely sheds (is given off from the body) and rarely recurs.  
2.  If you received only oral sex, then the herpes that you would acquire, if indeed you would acquire anything at all from 5 seconds of oral sex, is HSV 1, which you already have
3.  When you have HSV 1 in one location on your body (cold sores), then it is highly unlikely that you would ever acquire it in a new location on your body (genitals).  
4. the incubation period from infection to symptoms (if they are going to appear) is 2-10 with the average being 5.5.  You don't fall into that time frame.  
5.  I have never seen HSV 2 passed from the mouth to the genitals.
6.  Your antibody tests are great so far.  I would stop now.  You already have HSV 1 and the chances of your acquiring HSV 2 are very tiny.

Hope this helps!
Terri
Helpful - 1
55646 tn?1263660809
See my other response

Terri
Helpful - 0
Avatar universal
Hi Terri,

Thank you for your response, you absolutely did answer my questions  - thank you!

Last question:

My herpes test was done with herpeselect, and the first herpes test I had was done 8 days post exposure and recorded a score of 2.75H. I am only asking because if this represents an old infection (which I am assuming it does since I have had cold sores going back 10 years now) I can safely assume that I did not contract hsv1 genitally from this unbelievably brief exposure.

Hearing you say you have never come across a transmission of hsv2 from someone receiving a blowjob was incredibly reassuring as was the typical incubation period / rate to first outbreak.

Thank you again for being such an incredible resource for us!
Helpful - 0
55646 tn?1263660809
I believe these questions are answered above.

Terri
Helpful - 0
Avatar universal
A few more comments about my rash:
They looked like a series of bug bites, def more like bug bites than what I would see when I have a cold sore orally.

This would be my first outbreak and it occurred 15 days (exactly) after exposure

Additional questions:
Is further testing needed?
How often (if ever) have you seen hsv2 being passed orally to someone with hsv1 from insertive oral sex?
Helpful - 0

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