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HERPES SCARED!!!!

I am a 25 year old male with type1 herpes; I had 3 sexual encounters 10 weeks ago with a friend.  All 3 where protected vaginal and unprotected oral. The 3rd encounter the condom had broken. It was only broken no more than a minute. Once I realized it broke I replaced it with a new one and continued for a few more minutes but then stopped. All 3 encounters the girl was dry vaginally and caused her pain. She said it was the condoms. 5 days after last encounter my inner thigh muscles and groin were sore, not sure if this was from running 2 miles up and down hills the day prior, or from herpes symptom. 9 days later I noticed a tiny open lesion on left thigh just outside of pubic hair region, not sure if there was a blister before that because it didn
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Almost any genital area sore "could" be herpes.  But almost certainly not one on the thigh.  Even if you were exposed to and caught HSV-2 from one of the exposures described, the initial lesions would be at the point where the virus entered the body -- which is almost always a place of direct friction during sex, i.e. where the virus is rubbed into the exposed tissues.  Therefore, initial genital herpes is rare on the thigh, buttocks, etc; these can be sites of recurrent HSV, but rarely if ever the initial outbreak.

So this information doesn't change my opinion or advice.  You are at little if any risk for herpes from the sexual exposures described.  Try to put it in your past and move on.
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Avatar universal
Im am not going to keep nagging you. Just to clearify my herpes type 1 is oral i have had an occasional cold sore since i was a child. i was concerned about herpes type 2. You said that the lession could be herpes, but do the other symptoms sound like herpes? Also if it were a herpes lesion, how did it show up on my thigh. Would it be through asymptomatic shedding on her or would it have to come from comming in contact with a lesion on her. Not sure where asymptomatic shedding occures. I never seen any lesion on her.  Thank you
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  I'll try to help.

You're overreacting.  First, since you already have HSV-1, you can't get it again, anywhere on the body.  And oral sex only transmits HSV-1, almost never HSV-2.  Since your vaginal sexual exposures were condom protected, the risk of HSV-2 was very low.  Even without a condom, the chance would have been under 1 in 1,000, if one of your partners has HSV-2 -- and you don't know that they do -- and with the very brief exposure after the condom broke, your risk is well under 1 in 1,000 even if that partner had HSV-2. Finally, your symptoms do not suggest herpes.  To your questions:

1) You can't have lymph node inflammation due to herpes without also having multiple painful sores.  If you had it, the main symptoms would be obvious tender swellings in the groin, not pain without swelling.

2,3) The lesion, as described, could be herpes -- but it also could be any number of other things.  If it's herpes, perhaps it's just a recurrence of your HSV-1 (although you don't say whether that problem is oral or genital).  All things conisidered, your symptoms are not suspicious for herpes.

4) There isn't much difference in HSV test performance between 11 and 12 weeks.  Around 90% of people with new HSV-2 infections would have positive results by then.

5) As noted above, less than 1 in a thousand -- lower in your case, since that figure is only if the partner is known to be infected.

6) Based on all you say, I see no need for HSV testing.  You can go on with your life with great confidence you did not acquire a new case of genital herpes.  But if you like, you could be tested; it's up to you.

I hope this helps.  Best wishes--  HHH, MD
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