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Genital Herpes

Dr HHH
7 months ago , i had been to a stripper club & had a HJ . She used saliva in the beginning & then  i ejaculated .
I have had similar kind of exposures at the club may be around 7-8 times over the past 2.5 yrs .
The current exposure was 7 mths ago .

1) Between 2-4 days after the that exposure when i was masturbating i saw that there is an open wound below the head.I was not aware of herpes .I don't know if it ulcerated or scabbed .My guess it took around a wk to get healed .
2) After a month i had a wound almost at the same place this time i'am sure it did'nt scab nor crusted . It healed in 2 to 3 days . This was milder than the first .

3) After 2 months i saw a very minute  bump on shaft .This was 1 inch below the first wound. I regularly checked it for about 3-4 days .There was no change in the size and did'nt check it afterwards .Around 4 days after that for two days i had tingling sensation when  i used to walk i thought it was because of anxiety .
After two days after tingling i saw a big white bump .
But i'am not sure if the initial and this were same .I assumed they were same as i could'nt remember the exact spot and there might be around 10-12 days gap .The bump was filled with something . I went to my school's Dr she said it's not Herpes.
The next day i saw that there was a small hole on the dome of the bump . The next day after this the white dome or covering had fallen off  and there was white covering or flake on that skin .
2 days after this that area had completely become red . No culture was done .
At 11 wks 6 days  i had HSV1 0.17 & HSV2 0.04 .
1) Are there any cases of HSV getting transmitted by saliva .She inserted her finger in vagina 3-4 times before giving HJ .
So what are the chances of me having HSV1 &HSV2
2) Should i test now or at 12 mths would be good .
3)She used a towel on my penis to clean up when i ejaculated .Shud I worry on this.
4) Can WB increase accuracy ?
5) Is this atypical HSV ?
5 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Most likely it was a pimple, nothing more.  I can't speculate any further on possible causes.  If any abnormality persists, have it professionally examined.  Should you turn out to have a wart or any STD, it will not be from the hand job described above.  Otherwise forget about it.

That will be all for this thread.  I can't help futher.
Helpful - 0
Avatar universal
Thanks Dr .
It all started with a small hard nodule inside the skin of the shaft of penis and probably after 10-12 days i saw that nodule as superficial white colored pimple . The dome or the pimple fell off in a day or two . Once it fell off a small flaky skin was there for two days and then  and left  reddidh rash which became normal after few days .
I went through MC threads as you suggested but they all said that they are in groups and slightly pink in color .After that single bump i have'nt seen anything . This does not  match with MC .

1) I hope its not a wart considering that i got a wart in my toe after that exposure  as she did massage my feet .

2) I hope i don't need tests for any other STD's  like syphilis ...etc ?

Thanks a lot for patiently replying .

These are my last questions .
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back.  These comments indicate you have focused pretty much exclusively on your penile lesions themselves.  Please note that my conclusion that herpes is unlikely is not based only on that, but on all the information available, i.e. the lack of plausible exposure and the negative blood tests as well as the nature of the penile lesions.  Taken together, it is not a realistic possibility you have herpes.

1,2) It is true that some herpes presents atypically, with single lesions etc.  But most atypical lesions are not herpes, and HSV cannot cause painless skin bumps that persist for more than a few days; and all herpes lesions heal with scabs.

3-5) Not knowing what you have, I can't speculate about the course of events you describe.  However, I now wonder whether you had molluscum contagiosum.  Here is a thread that discusses this condition; you can find about 140 other threads by entering "molluscum contagiosum" into this forum's search function.  If any lesions are persisting, or if new ones develop, visit a health care provider for diagnosis (and don't manipulate them before being examined).
Helpful - 0
Avatar universal
Happy New year to you too Dr .
Thanks a lot for all your replies .

1) I have seen most of your advice in this forum where u have mentioned that unexplained genital wounds are Herpes and also single lesion could be Herpes . But  you mentioned here that it's atypical of herpes ??

2) And also the bump that i had surely some sort of liquid in it . But i did'nt see whether it was pus or something less . Is it necessary that all herpes bumps have to form ulcer /scab . Can it not be behave the way i have mentioned .In the beginning the bump was small and  was inside the skin but after 10 days the bump above the skin and was big  .  Since i had tingling sensation just two days before  i saw the big bump , is it not like prodrome of herpes ??

3) The surprising part was once the dome or bump fell off there was small flaky skin at that spot and after a day or two that area had become red . I could not quite understand why it happened that way ??

4) I assumed that initial small bump and the final big bump was the same later on(10-12 days )  .Will your assessment change if they were different as i could not recollect the spot .
5) Is there any other STD tests you would suggest other than herpes , as after this encounter i had a wart after 2 months in the one of the toes .She did massage my feet .....

Thanks once again  .
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.  I'll try to help.  The bottom line is good news:  almost certainly you do not have genital herpes.  You can stop worrying about it.

Herpes is not transmitted by hand-genital contact, even when genital secretions or saliva are used for lubrication.  And all the lesions/symptoms you describe are very atypical for genital herpes.  And the blood test result confirms that you are not infected with either HSV-1 or HSV-2.  To your specific questions:

1) I have never seen a patient, nor heard of one, who acquired genital herpes by hand-genital contact.  It probably can happen, but too rarely to be a serious consideration.

2) Your negative HSV-1 and HSV-2 blood test results confirm you weren't infected.  If you had experience symptoms that truly suggested herpes, or if you had an exposure that carried a realistic risk of transmisison, I might suggest another test at 6 months or more after the exposure.  But I see no need fo rit.

3) HSV is not transmitted by towels, clothing, toilet seats, etc.  If a bare penis is not inserted into a partner's vagina, rectum or mouth, the chance of HSV transmisison is zero for all practical purposes.

4) The IgG tests like you had become postive sooner than Western blot.  The main purpose of WB is confirm an atypical positive result, not to confirm a negative.  I see no need for WB testing.

5) I'm quite certain you don't have genital herpes.

I hope this helps you stop worrying about herpes.  You don't have it.

Good luck and happy new year--  HHH, MD
Helpful - 0

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