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HSV1 and oral sex
I have posted on this forum more before. My main concern was regarding an exposure which happened on July.25/2010. I received oral sex from a sex worker, and it was unprotected. Immediately after I panicked and definitely let my fear take over, I was depressed and anxious for months. I had my first HSV blood test approximately 8 weeks after the exposure. It was an IGG type specific test. The reason I had this test was because I had three small bumps form on the shaft which persist to this day. They were classified as genital warts and were frozen off I had another hsv test nearly 6 months after (2 days short of 24 weeks).
Test at 8 weeks and 23 weeks 5 days yielded the same results.
HSV1 - Positive
HSV2 - Neg
My question is simply, I did not notice any classic herpes lesions, however 4 months after the exposure i received a small scab that developed overnight I attributed it to my long nails which came in contact with my penis. The scab was over an apparent papercut like trauma on the skin. It took 2 days to heal entirely. There was no prodomal sign or such so I thought nothing of it, however recently I received another 2 scabs on the underside of my shaft close to the head. Once again no prodomal sign and they occured over night. These scabs formed after I masturbated 3-4 times in my underwear. I thought the friction had caused these cuts, however I am not sure anymore. I do not feel any pain from the cuts or in general down there.
1.What is the possibility that the HSV 1 is actually genital, and causing these scabs?
I want to really believe its trauma from masturbation but its happened twice since the exposure, and I've never had this happen before the exposure.
2. Is a 5 nearly 6 month timeframe sufficient to rule out hsv2 even though I have hsv1?
3. Is it possible to cause cuts on the penile skin cause of rough masturbation? (I was in my underwear during masturbation and think the button might have cut me, i did not feel any pain)
Test at 8 weeks and 23 weeks 5 days yielded the same results.
HSV1 - Positive
HSV2 - Neg
My question is simply, I did not notice any classic herpes lesions, however 4 months after the exposure i received a small scab that developed overnight I attributed it to my long nails which came in contact with my penis. The scab was over an apparent papercut like trauma on the skin. It took 2 days to heal entirely. There was no prodomal sign or such so I thought nothing of it, however recently I received another 2 scabs on the underside of my shaft close to the head. Once again no prodomal sign and they occured over night. These scabs formed after I masturbated 3-4 times in my underwear. I thought the friction had caused these cuts, however I am not sure anymore. I do not feel any pain from the cuts or in general down there.
1.What is the possibility that the HSV 1 is actually genital, and causing these scabs?
I want to really believe its trauma from masturbation but its happened twice since the exposure, and I've never had this happen before the exposure.
2. Is a 5 nearly 6 month timeframe sufficient to rule out hsv2 even though I have hsv1?
3. Is it possible to cause cuts on the penile skin cause of rough masturbation? (I was in my underwear during masturbation and think the button might have cut me, i did not feel any pain)
MEDICAL PROFESSIONAL
"...you seem to think that the overnight scab, was most likely due to masturbation". YOU think that. I said it couldn't be herpes, but I don't endorse any other conclusion.
Finger and hand warts are not transmitted to the genital area. The hand and genital HPV types are different, and with rare exceptions, neither one takes hold in the opposite location. I cannot say it is impossible, but it's unlikely.
Your dermatologist is probably more of an expert on genital warts than I am, and from what you describe, I agree with him entirely. It is common for warts to be effectively treated but with the skin to continue to be raised or discolored afterward. I see no reason for you to take any precautions of any kind going forward. The chance your gf will get oral warts is low, and the chance of RRP is zero or close to it. My advice "going forward" is for you to drop all concern and worry about both herpes and HPV and live a normal life. These problems are minor inconveniences, not serious health issues, and are not worth the amount of time and emotional energy you have devoted to them.
That will be all for this thread. Take care.
Finger and hand warts are not transmitted to the genital area. The hand and genital HPV types are different, and with rare exceptions, neither one takes hold in the opposite location. I cannot say it is impossible, but it's unlikely.
Your dermatologist is probably more of an expert on genital warts than I am, and from what you describe, I agree with him entirely. It is common for warts to be effectively treated but with the skin to continue to be raised or discolored afterward. I see no reason for you to take any precautions of any kind going forward. The chance your gf will get oral warts is low, and the chance of RRP is zero or close to it. My advice "going forward" is for you to drop all concern and worry about both herpes and HPV and live a normal life. These problems are minor inconveniences, not serious health issues, and are not worth the amount of time and emotional energy you have devoted to them.
That will be all for this thread. Take care.
Well you have been as clear as can be. But you seem to think that the overnight scab, was most likely due to masturbation. I feel the same, but wanted to be sure since I was diagnosed with genital warts.
On the topic of the warts, after I stressed for months my girlfriend indicated that she had warts on her fingers, and shes had them for years. The same hand she has been masturbating me vigourously with. Is it possible to get her hand warts on my penis (they're barely visible on her fingers, but they are apparent once inspected closely,(diagnosed by a doctor)
Furthermore I have gone through cryotherapy however the bumps have still not resolved they are still there, my dermatologist said that since he stretched the skin and theres no bump that means its resolved and its most likely stands out because it has a different pigmentation now, and it would take 6 months for normal pigmentation to return.
1. Is he right?
2. Should there even be a bump after freezing? Even if it is discoloured?
3. What are the precautions I should take moving forward? (its been three months since my last cryotherapy session)
4. How likely am i to cause my girlfreidn to get RRP through giving me oral sex?
On the topic of the warts, after I stressed for months my girlfriend indicated that she had warts on her fingers, and shes had them for years. The same hand she has been masturbating me vigourously with. Is it possible to get her hand warts on my penis (they're barely visible on her fingers, but they are apparent once inspected closely,(diagnosed by a doctor)
Furthermore I have gone through cryotherapy however the bumps have still not resolved they are still there, my dermatologist said that since he stretched the skin and theres no bump that means its resolved and its most likely stands out because it has a different pigmentation now, and it would take 6 months for normal pigmentation to return.
1. Is he right?
2. Should there even be a bump after freezing? Even if it is discoloured?
3. What are the precautions I should take moving forward? (its been three months since my last cryotherapy session)
4. How likely am i to cause my girlfreidn to get RRP through giving me oral sex?
MEDICAL PROFESSIONAL
Welcome back to the forum. I scanned your prolonged (2 month) discussion with Dr. Hook from a few months ago. You really got your money's worth! It was clear then, and remains clear now, that you are obsessed with STD risk, especially herpes. There is no need; your concerns have no realistic basis.
An overnight scabbed lesion cannot be herpes. HSV lesions cannot take less than a week to progress from red bump to blister to open sore to scab to healing, and usually it's 10-12 days. As you learned from Dr. Hook, it is highly likely your positive HSV-1 blood test result reflects a distant past oral infection, and has nothing to do with the oral sex event that started your mind spinning a few months ago.
To the specific questions:
1) For the reasons above, I very much doubt your penile scabs were herpes.
2) You can't get genital HSV-2 from oral sex (or at least too rarely to worry about). And yes the 5 month test result is definitive; having HSV-1 does not alter the time to positive HSV-2 test results.
3) Of course penile sores or cuts can result from masturbation, if the contact was sufficiently vigorous. You're a better judge of that possibility than I can be.
Let's consider the worst case scenario, that you indeed have genital HSV-1. I doubt it, but I cannot rule it out. The blood test says nothing about when or where on your body your HSV-1 infection is located, so it's possible -- if not from the recent oral sex event, perhaps one sometime in the past. You're never going to know for sure, and you'll just have to face that fact. But let's say you did. What would it matter? The recurrence rate for genital HSV-1 is low (almost half of all infected persons never have a recurrence), and asymptomatic viral shedding is uncommon. Both of these factors are very different than for HSV-2. The bottom line is that genital herpes due to HSV-1 usually is a trivial problem that is rarely transmitted to sex partners. So if you have it, what's the big deal?
I stress that I do not believe you have genital herpes due to either HSV-1 or 2. But the fact is you are seriously overreacting to both a low probability and to a condition that shouldn't be nearly as big a deal as you are making it.
Here are 2 other threads that go into the details of genital herpes due to HSV-1.
http://www.medhelp.org/posts/STDs/Recently-diagnosed-with-Genital-Herpes-HSV1/show/969931
http://www.medhelp.org/posts/STDs/HSV-1--devastated/show/1159077
Let me know if you have a brief follow-up comment or question, but there won't be the prolonged discussion like last fall. Really, mellow out. This business simply isn't worth the time and emotional energy you have devoted to it.
Regards-- HHH, MD
An overnight scabbed lesion cannot be herpes. HSV lesions cannot take less than a week to progress from red bump to blister to open sore to scab to healing, and usually it's 10-12 days. As you learned from Dr. Hook, it is highly likely your positive HSV-1 blood test result reflects a distant past oral infection, and has nothing to do with the oral sex event that started your mind spinning a few months ago.
To the specific questions:
1) For the reasons above, I very much doubt your penile scabs were herpes.
2) You can't get genital HSV-2 from oral sex (or at least too rarely to worry about). And yes the 5 month test result is definitive; having HSV-1 does not alter the time to positive HSV-2 test results.
3) Of course penile sores or cuts can result from masturbation, if the contact was sufficiently vigorous. You're a better judge of that possibility than I can be.
Let's consider the worst case scenario, that you indeed have genital HSV-1. I doubt it, but I cannot rule it out. The blood test says nothing about when or where on your body your HSV-1 infection is located, so it's possible -- if not from the recent oral sex event, perhaps one sometime in the past. You're never going to know for sure, and you'll just have to face that fact. But let's say you did. What would it matter? The recurrence rate for genital HSV-1 is low (almost half of all infected persons never have a recurrence), and asymptomatic viral shedding is uncommon. Both of these factors are very different than for HSV-2. The bottom line is that genital herpes due to HSV-1 usually is a trivial problem that is rarely transmitted to sex partners. So if you have it, what's the big deal?
I stress that I do not believe you have genital herpes due to either HSV-1 or 2. But the fact is you are seriously overreacting to both a low probability and to a condition that shouldn't be nearly as big a deal as you are making it.
Here are 2 other threads that go into the details of genital herpes due to HSV-1.
http://www.medhelp.org/posts/STDs/Recently-diagnosed-with-Genital-Herpes-HSV1/show/969931
http://www.medhelp.org/posts/STDs/HSV-1--devastated/show/1159077
Let me know if you have a brief follow-up comment or question, but there won't be the prolonged discussion like last fall. Really, mellow out. This business simply isn't worth the time and emotional energy you have devoted to it.
Regards-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
