herpes question

[hh2015]

Hello,

I received unprotected oral sex on February 31st 2013 for about 5min and we kissed as well. The person that performed acted had no visible cold sore or bumps on her lips and month. According to her, she has never had any cold sores or symptoms of herpes at any point of her life that she can remember and in October of 2012 she tested negative for all STD’s. She recently test positive for HSV-1 IGG score of 6 on February 8th 2013.

My question, if she has in fact recently been infected with HSV-1 but yet has not had any outbreaks/symptoms how contagious is she. Is there a percentage?

I am concern that I have acquired HSV-1 from her. Since Monday the 11th I have experience FLU like symptoms and other things but have not had any rash, bumps or blister anywhere on my body. I am not sure if the symptoms are due to the panic and anxiety attack I had ever since I found out she tested positive on February 11, 2013 or me reading all the typical symptoms of herpes online or maybe I just have the FLU.

Yesterday, February 18th I spent the day walking at a event and apparently have developed a rash going down my groining. Right on the crease of skin where the inner thigh meets the start of my groining. There is no pain, it is dry, pink in color, flat and no bumps or blisters. Does this sound like a herpes outbreak or the begging of one or is it just a coincidence ? I have not had any other symptoms the last couple of days only a ill of a panic when I start thinking that this maybe a sign of an outbreak.

I had a STDs test on December 2012 before my encounter with this woman and was negative. When would you recommend for me to take the Hsv-1 IGG test? I was thinking of taking it on February 20th 2013.



Any other information you may have on the possibility of me acquiring HSV-1 from this incident.

[Terri Warren, RN, Adult Nurse Practitioner]

It is difficult to know if she was recently infected or not.  The best way to know that for certain is to see if she actually had herpes testing included in her  STD screen in October 2012.  Most STD screens don't include herpes - this is something she needs to check.  

You need to also check to see if your testing in December included herpes testing or not.  Do you know?  You could certainly get a baseline HSV test if you want to.  If you already have HSV 1, then you wouldn't get it again through a sexual contact.  You also won't know if you have it orally or genitally if you are positive and have never had a cold sore, and also, you don't know for sure if her HSV 1 is oral or genital.  

The symptoms that you describe sound nothing like herpes to me.

Terri

[Terri Warren, RN, Adult Nurse Practitioner]

You are most welcome

Terri

[precious27]

Thank you for the feedback. It was very helpful.

[Terri Warren, RN, Adult Nurse Practitioner]

Herpesvirus 6 and 7 are not the same as HSV 2, I guess you know that.  I don't know what you are referring to as HSV 3.  

If you are positive for HSV 2 by swab test, this cannot help you determine how long you have been infected, nor does the timing of recurrences.  

He can order the HSV 2 antibody test online if he wants to know if he has HSV 2 infection.

Terri

[precious27]

That he wasnt infected with hsv2. If a clinic misdiagnosis you after two doctor visit and says you are not positive for hsv2. How can you go back to the clinic with your positive results and show them that there methods of testing or trying to figure out a diagnosis are inconsistent?

[precious27]

Thanks Terri. Thats was a test taken for the humanherpesvirus 6/7 that my partner had taken to discourage me that he wasnt infected eith hsv 3. But I did plenty of research to insist that he see another doctor (mines) and take a hsv 2 igg specific test and he is truly positive. I dont have any results. My nect question is that I was recently found with a genital lesion that prompted me to get tested which I was positive for herpes2. Then a few weeks later I get another lesion. Does this recurrence mean that I am recently infected?

[Terri Warren, RN, Adult Nurse Practitioner]

HSV 2 by antibody test is not an IgM.  The numbers that you have listed are not familiar to me.

Terri

[precious27]

Can a person be tested for herpesvirus 7 IgG/ IgM Antibodys test (IFA) to determine if they have HSV-2?
A test for HSV-7. (IFA) was taken and the reference range for IgG was > 1:320 and the result was <1:320, what does the result mean?

[Terri Warren, RN, Adult Nurse Practitioner]

Nothing you have described sounds like typical herpes to me.
This will be my last post on this thread.

Terri

[hh2015]

Good Morning,

I have been experiencing a mild sore throat on the right side of my throat for the last couple of days. Last night, I felt a tiny tiny cut on the right side corner of my bottom lip. It is located more at the top of my bottom lip close to the inside of my month(right side). My lips are no itching or swelling or red, when I touch it with my tongue it does not hurt but it does feel different than the rest of my lip. Since I noticed it last night it has not grown in size.

I know, I have been paranoid about the possible herpes exposure that I encounter 4 weeks ago but I would like your thoughts regarding any connection between the sore throat and lip cut.

Thanks,

[Terri Warren, RN, Adult Nurse Practitioner]

My thoughts are that if you are having concerns about the skin changes in your genital area, you should have it evaluated by a professional that can actually see what you are describing.

Terri

[hh2015]

Good Morning Dr.

Sorry to keep asking you questions.

For the past week or two I have noticed what seems to be a tiny tiny cut on in the middle of my shaft were the foreskin seem to meet(I am circumcised). Last night, I noticed that there seem to be a white dot in the middle of that cut. I started playing with it and tried to pop it. I am almost sure that it did not pop but I did feel that I enlarge the cut with my fingers. It does not hurt, itch and is not red in color. Next to that cut that I just described, there seem to be a tiny circular of dry skin and foreskin around it. Again no pain or itch. Before I went to sleep last night I put some Neosporin. This morning there was no scab and both area look the same as they did last night and for the last couple of days. They white dot can be a hair follicle but I am not sure.

Also, on the bottom of the tip of my penis, I found a tiny tiny dot that looks more like a tear. Again no pain or icth.

Does this sound like herpes?


Please let me know your thoughts.

Thanks,

[Terri Warren, RN, Adult Nurse Practitioner]

A test at 8 weeks post exposure will give you about 75% certainty about your herpes status.  

Terri

[hh2015]

Last questions, if I take the Igg test at 6/8 week mark of exposure and it comes in negative and I do not have any visible symptoms. Do you believe I will be in the clear?

Sorry for the “what if” question but doing research online about this topic will drive you crazy!!

Thanks again for your help.

Have a great day!

[Terri Warren, RN, Adult Nurse Practitioner]

I do not believe you are at high risk from a single exposure, no.

I think she should clarify what her previous test included.

Terri

[hh2015]

Thanks you for your response. My test did included an HSV-1 & HSV-2 igg test and both came back negative. I have never had a cold sore or anything of that nature.

As far as  her test in October, I am not sure if her STD test included HSV-1 and HSV-2. I know she was donating her eggs which is why she was tested. She told me that she has never  had a cold sore, so it maybe kind of difficult to determine if she has oral or genital, I would assume. Is it possible that she was recently infected and still have not have had an outbreak but still shows positive on the igg test?

Do you believe I am in high risk do to this exposure? Or at high risk do to the chance this may be a new infection for her?

Thanks again for your help.