LabCorp results , help pls

[confusedNY]

Hi everyone
I am having hard time and going through some rough times with the high possibility of having genital herpes. I am more frustrated with test results.
I month ago I had sex with a prostitute and I used a condom, and I felt her vaginal liquid over the skin of my penis in the areas where condom didn’t cover. The intercourse didn’t last long very short.
Two days later I started feeling tingling sensation on my penis, itching but definitely no causes visible sores.
Exactly 7 days after intercourse I had blood drawn for std test. I just found out the LabCorp HSV I/II is 31.4 high which means I am being exposed to herpes but not sure if its HSV 1 or 2. Doctor draw blood again and will request specific test for HSV 1 and 2, but until next week I am going crazy. Doctor also suggested that antibodies don’t usually appear that early I might already had HSV 2 earlier although I last time I had sex before the encounter with the prostitute mentioned above is 2 years ago and never felt the symptoms I mentioned above.
So my question is about LabCorp results is it very high that definitely is HSV2 or can HSV1 virus create antibodies that are 31.4 or is it 7 days after exposure to early for antibodies to be formed ?
Any comment is welcome
Thank you In advance

[H. Hunter Handsfield, M.D.]

First, I agree with your doctor: the only thing known from your current blood test result is that you are infected with HSV-1 (like half the adult population in the US), or with HSV-2 (like 20% of all adults), or both.  And indeed 7 days is much too soon for antibodies to develop; it takes at least 6 weeks and often 3 months or longer.

You overreacted.  Your risk for herpes from the exposure you describe was zero, for practical purposes, and the symptoms you describe do not suggest herpes; they sound like genitally focused anxiety, nothing more.  If your HSV-2 test is positive, it will be from some previous exposure, not the commercial sex event you describe.

Good luck--  HHH, MD

[confusedNY]

it has been almost 4 weeks since the intercourse and still no visible sours or anything of that matter in my genitals
during the day once in a while I feel itching, maybe tingling – but I have a feeling this is mostly because I am thinking of it to much.

[confusedNY]

When I was a kid I am sure few times I had a cold sore in my mouth
As per the area of genitals I never had anything to suspect, especially the last 4 weeks I've been inspecting the area around my genitals 5 to 10 times a day
For the first 2 weeks after intercourse I felt tingling and burning sensation on the top of my penis inside urethra- and I don’t think I felt any burning feeling when I urinated. Right now on and off I feel a little burning sensation on the top of my penis inside urethra, but when I urinate I don’t have any burning feeling
thank you again for support and comments
will see what next week brings

[H. Hunter Handsfield, M.D.]

Cold sores do not occur "inside the mouth".  Sores in the mouth probably are canker sores, which are not herpes.

The vague burning sensation of your penis doesn't suggest herpes.  If you're not having sores, you don't have herpes.

[concerned66]

what about asymptomatic herpes?

[confusedNY]

the blood test after 4 weeks  revealed that I am positive for HSV 1 and negative for HSV 2. Also I tested negative for HIV.
I am not sure should this be a sign that HSV 2 definitely is out of question just to make sure everything is OK I think I should do another blood test for HSV 2 between next 4 to 8 weeks. Since I still have this on and off burning sensation on the top of my penis inside urethra and sometimes itching sensation I am going to be tested for chlamydial infection or nongonococcal urethritis.
Thank you.

[confusedNY]

and the issue I am facing is with my girlfriend , she wants to have sex
I delayed for a month now, but after I told her about my negative results I don’t think I can persuade her to wait another month
so is it safe to some extent to start being sexually active again?

[Notsure25]

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