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STDs (Expert Forum)
Possible HSV 2/UTI or both?
Answered by
Edward W Hook, MD - HIV Prevention, stds
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
Possible HSV 2/UTI or both?
by invictus1110, Nov 09, 2009 01:39PM
Doc,
so around 20 days ago I had sex with a new partner that has HSV-II but due to the fact we were drinking, we didnt use a condom and she was having an outbreak....if only i had known....The outbreak was on her groin so i dont think there was much direct skin contact but does that matter? SO on to symptoms...
1. I had a slight sore throat and slightly inflamed lymph nodes on one side of my neck, no fever or anything just that and it lasted for about 3 days. But with that I had kissed a girl who fell really ill that week as well so i was wondering if that could have caused it because I know its not very typical for lymph nodes in the neck to be affected but in the groin area. Plus I work in a casino so I am around thousands of people each week that could be ill.
2. I know the symptoms for herpes is a tingling or burning feeling while urinating but I have it all the time and I feel like I have to urinate constantly but when I try to go its either very little, a few drops or nothing at all will come out. The thing is when I wake up in the morning it wont burn but after my first urination it progressively gets worse throughout the day until I go to bed. As well with that girl I kissed we did sleep together but the condom I used was very old and it was lubricated with spermicide etc. I was wondering if that could cause this urination problem?
3. I have diarrhea not too bad but its soft stool and is creating a lot of gas.
4. I dont believe I have any lesions on my penis anywhere from HSV...But then again cant it look like a rash?
Thank you for your time doc
so around 20 days ago I had sex with a new partner that has HSV-II but due to the fact we were drinking, we didnt use a condom and she was having an outbreak....if only i had known....The outbreak was on her groin so i dont think there was much direct skin contact but does that matter? SO on to symptoms...
1. I had a slight sore throat and slightly inflamed lymph nodes on one side of my neck, no fever or anything just that and it lasted for about 3 days. But with that I had kissed a girl who fell really ill that week as well so i was wondering if that could have caused it because I know its not very typical for lymph nodes in the neck to be affected but in the groin area. Plus I work in a casino so I am around thousands of people each week that could be ill.
2. I know the symptoms for herpes is a tingling or burning feeling while urinating but I have it all the time and I feel like I have to urinate constantly but when I try to go its either very little, a few drops or nothing at all will come out. The thing is when I wake up in the morning it wont burn but after my first urination it progressively gets worse throughout the day until I go to bed. As well with that girl I kissed we did sleep together but the condom I used was very old and it was lubricated with spermicide etc. I was wondering if that could cause this urination problem?
3. I have diarrhea not too bad but its soft stool and is creating a lot of gas.
4. I dont believe I have any lesions on my penis anywhere from HSV...But then again cant it look like a rash?
Thank you for your time doc
Doctor's Answer
by Edward W Hook, MD, Nov 09, 2009 05:06PM
, Nov 09, 2009 05:06PM
Welcome to our Forum. I hope that I can help to address your questions. The fact of the matter is that most exposures to sexual partners with herpes do not lead to infection and if they do, lesions typically appear at the site of contact between 4 and 10 days following the exposure. If you have not yet had lesions or a rash at sites where you were in contact with your partner's outbreak, it is most unlikely that you caught HSV. If lesions do appear, since the appearance of herpes lesions can be rather variable, I would suggest seeing a health care professional so that they can take a look and perform either a culture or PCR test for herpes if it is appropriate (not a blood test).
Let's now address your specific questions:
1. If you had a herpes rash at a site of exposure you might get a sore throat along with it but from you history there have not been lesions. Given your history of kissing a partner with a sore throat and your work exposure to so many people when the flu is virtually everywhere this is a far more likely cause of your sore throat than HSV.
2. I wouldn't worry about this. the tingling and burning of HSV is associated with lesions and doesn't occur unless lesions are present. On the other hand following unprotected sex you might have gotten something else- chlamydial infection or NGU in particular. My advice would be to go get this checked at your local STD Clinic. For such an evaluation you need a swab or urine test, preferably one take at least an hour after the last time you have urinated.
3. Not HSV but consistent with other flu-like, non STD viral infections or even anxiety.
4. See above, HSV can mimic other kinds of rashes. If you have a penile rash, you should have it cultured or otherwise tested.
Hope these comments are helpful. Take care. EWH
Let's now address your specific questions:
1. If you had a herpes rash at a site of exposure you might get a sore throat along with it but from you history there have not been lesions. Given your history of kissing a partner with a sore throat and your work exposure to so many people when the flu is virtually everywhere this is a far more likely cause of your sore throat than HSV.
2. I wouldn't worry about this. the tingling and burning of HSV is associated with lesions and doesn't occur unless lesions are present. On the other hand following unprotected sex you might have gotten something else- chlamydial infection or NGU in particular. My advice would be to go get this checked at your local STD Clinic. For such an evaluation you need a swab or urine test, preferably one take at least an hour after the last time you have urinated.
3. Not HSV but consistent with other flu-like, non STD viral infections or even anxiety.
4. See above, HSV can mimic other kinds of rashes. If you have a penile rash, you should have it cultured or otherwise tested.
Hope these comments are helpful. Take care. EWH
Post Comment
back to the numbered bullet system....
1. With the burning while urinating and not, I drank about a quart of water every hour for about ten hours and I urinated frequently...since my post the burning has either subsided or will come back with little feeling...any advice?
2. In regards to HSV-II, it requires "Direct skin to skin contact" as in if its on her groin i'd have to rub against it with my skin or is it the viral shedding happens in her genital areas? Because I have a slight rash on the crown of my glans penis on the right hand side but I was wondering if it was from anxiety, and the over examination of my penis (i.e. irratating the skin by constantly pulling the skin back and looking)? Because that partner went to the doctor and there were no lesions inside of her vagina just externally....so if it requires direct contact then that part of my penis did not make contact with that area...doc please help...the anxiety is getting to me like you wouldnt believe...its affecting my everyday functions and thoughts...i have never done something this stupid (no condom) with a sex partner....thank you for your time sir. Kind regards.
2. I really don't follow this question. My sense however is that you are over thinking this. Direct contact means touching.
EWH