Testing time-frame/spot

[worrywart41]

First off, 26 year old male, i recieved unprotected oral sex from unknown female 11 weeks ago. Had an STD test 10 weeks ago for herpes, HIV, Clamidia, sysphilis, etc.  I was told it was too early to tell for herpes and HIV.  When is a good timeframe to go (ive heard 12 to 16 weeks for herpes). Ive set up an STD appointment in 2 weeks (would be 13 weeks since risky behavior at this point). I was shaving my public region (so doctor can clearly see area approx. 3 weeks ago, accidently "nicked" a fordyce spot with razor on my foreskin, which subsequently "grew" so i popped it, squeezing it hard and then scraped it with my nail.  Now this area is swollen (on my foreskin just below head of penis),  and fordyce spot came back.  Is this fordcye spot or herpes.  It looked like all the other fordyce spots before it was "nicked" and then tampered with.  I washed it out with alcohol, then put neosporin on it.  Also, i had 5 to 6 "grouped" fordcye spots on my foreskin underneath penis.  They look like all the other fordyce I have located on penis shaft (according to pictures on internet), but appear to be closer to surface and almost connected.  Is this because it is on my foreskin which at one time was cut-off (as a baby).  They are right on the scar portion. I hope these questions can be answered.  Also, do i have to show doctor my "squeezed sore mark", or would it automatically show up as herpes on urine/blood test anyway.  Thanks

[Edward W Hook, MD]

Testing for HIV at any time after 8 weeks is reliable and should be accepted as such unless one has a very high risk exposure and the exposure you describe is closer to no risk than to high risk.  You do not need further HIV testing.

The answer regarding herpes is similar.  Herpes leads to positive blood tests in about half of people about two weeks after acquisition of infection and the rest accumulate steadily over time up to about 4 months.  In your case, with no typical outbreaks and negative tests, in my opinion, you do not need further testing and certainly do not need further testing beyond week 13.

Regarding the "nicked" lesion, this really has little to suggest it is herpes.  The lesion has an obvious alternate cause and the problem you describe appeared long after the 4-10 days following exposure when HSV lesions typically appear.  Instead however , it sounds as though it has become infected and as such may need antibiotics to help it heal.  While I would not worry about herpes, I would suggest you have your doctor take a look so he/she can assess if antibiotics are needed.

Hope this helps.  EWH

[worrywart41]

last thing, also, where the "nicked" fordcye spot is.  It is sore now cause i have pinched it and scraped it (it bled).  Its swollen and i see a "small clear sack/blister on this swollen area.  I dont know if thats herpes, or if its the part where i pinched the skin and made it swell.  it never did hurt before i messed with it.

[worrywart41]

That may have been a little "choppy" of a narrative.  The one "nicked" spot i was talking about is just one pimple there by itself.  I have multiple fordyce spots on penis shaft and scrotum, which look like pictures from the internet.  The 5 to 6 "fordyce spots" i talked about have been there for approx. 10 to 11 weeks (when ever the first time was i first started examing the area).  These 5 to 6 grouped fordyce spots have not changed at all during this time frame.  they arent raised like the pictures of warts ive seen on the internet.  Do you think they are just fordcye, or is it more.  thanks again