possible atypical hsv?

[vworried9999]

On Nov 2 I had sex with a 22 yr old college senior, I am male she was female. The condom broke. I had just broke up with girlfriend of 8 months.  The girl I slept with is of unknown std status.  Guilt set in and I began to worry about exposure. I had azithromycin on hand and took 1g a day or two later and stopped worrying. That is until I thought about herpes. I've had oral hsv1 my whole life so am pretty experienced with how that manifests itself. About 12 days after the possible exposure I had unprotected sex with a different ex gf.  We were both kind of drunk and it was pretty rough. She had performed oral on me prior to sex and used her hand a lot too, she may been wearing a ring. Immediately after sex I went to restroom to pee and instantly noticed a red spot on my glans no bigger than a match head if that. It looked like a layer of skin had been removed, no bleeding or anything. Never had this happen before. Next day woke up and a small scab had formed in this spot. Scab was very typical and healed very quickly. Each day it got 50 percent smaller, taking maybe 4 days to heal completely. This was maybe a week to 10 days ago. There is still a small faint red spot where the scab was.

There never was any pain what so ever, the spot was nothing I would describe as a blister. It didn't appear anything like a cold sore outbreak I ever had. Was not raised, tender, did not crust or have any symptoms I would associate with a oral cold sore outbreak that I am familiar with.  I am just kinda freaked out by the exposure and the timeline of this happening. This saturday will been a month. I plan on getting a igg herpeselect test at the 6 week mark. Until then I was hoping to get somones opinion if I a am letting my anxiety getting the best of me. I am very sure there was no abnormality present prior to the rough sex I had afterwhich I noticed the spot. Don't remeber a specific inicident of trauma but I was drunk and my sensation was dulled. I do know I was hitting her cervix the whole time during sex and I'm sure her teeth rubbed my penis during oral. I've read on here how people can mistake their symptoms for other things and Dr Hatfield has stated that most all lesions on penis are herpes when people think it is trauma. Not sure if there is selection bias in that observation however. Thoughts?

[catinbarefeet]

No.

90% of people who carry either type of the herpes virus have no idea they have it, because they don't have recognizable symptoms. So 90% of H+ people don't have the "typical presentation for an initial outbreak." They don't present at all, or they present in ways that aren't obviously herpes.

I dislike statistics, because there is never a zero probability for anything. We have to consider that though 70% of people develop their antibodies by 6 weeks, 30% of carriers don't.

The only way to know for sure that you didn't contract the virus is to be tested with a reliable blood test 16 weeks following suspected exposure.

[vworried9999]

I'm just nervous because it did scabbed, was on glans,and was 12 days after exposure. Had plenty of sex in life and never had it happen before. I feel better that it isn't herpes because it was just one small spot, was painless, healed rapidly,and had no symptoms that I recognized as herpes from my experience with my own oral cold sore outbreaks.  Keep telling myself that I have anxiety and it was just a abrasion from friction or soemthing. Just wanted to see if knowledgable people agree. I know the igg test isn't 100% at 6 weeks, but 70% of people who develop antibodies willl have by this point. That statstic combined with the very atypical presentation for initial outbreak would make a 6 week negative igg result inidicate it is highly unlikely it was herpes. No ?

[catinbarefeet]

You didn't specify in your original post that the exposure you were worried about was from the 11/2 encounter.

I don't think there's that much conflicting information among the reliable sources. However, there are a lot of websites out there that claim to know more than they actually do.

[vworried9999]

I think you may have misread my statement or I was unclear. The exposure I was concerned about was the one 12 days prior to the rougher sex I had with my ex after which I had noticed the spot. I was not concerned with the exposure with the ex, well only that I may have given her something. I agree I am most likely over thinking things. It was a one night stand and condom broke. I do have the girls phone number and could text her to ask her status but I don't even know her and I doubt she would respond to it.

Herpes has so many conflicting things you can read. Especially regarding when symtpoms will show and how they can present themselves when you read things like x percent majority of people do not know they are infected or don't have symptoms. Then you read symptoms show within 7 to 10 days.

[catinbarefeet]

The red spot was not caused by contracting herpes from your liaison. Symptoms don't show up that quickly. The extent of its effect on contracting the virus would have been that it created a larger point of entry for any virus she may have been shedding. However, these points of entry are created in the form of microscopic tears by the act of intercourse itself.

The IgG may be pointless to take at 6 weeks, as it may easily return a false negative. The test looks for antibodies, and it may take up to 4 months for these to form enough to return a positive result.

Have you thought to ask her about her STD status since?

[Fleetwood20]

I think you have been reading very selectively. Our genitals are like the rest of our body and maybe even more susceptible to pimples, scratches, dots emerging, fordyce spots etc.

What you describe is scarcely aligned with a herpes lesion and if it is, would most unlikely be a primary infection as opposed to a longer term one.

If you are concerned then the IgG test will tell you your status, you should repeat this at 12-16 weeks after the exposure. Note that condoms are not full protection against herpes infection.