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std?

On February I had unprotected oral sex and protected sex. I developed a big single pimple with seem to be yellow/clear puss on shaft around early April. On April 7 went to get std test all came back negative. On June 27 went to get test for herpes igg hsv specific test. Came back positive on hsv-1 and negative on hsv-2. i poped the pimple now there a dent(small hole) where the pimple use to be. I feel burning on my penis that comes and goes don't know if it might be from the hot summer weather or std related? Before i remember the head of my penis itches for 2 day then it went away. I never had a cold sore when i was a child. Did i get ghsv-1? I feel burning on the spot where the pimple use to be that comes and goes and little pain on foreskin that also comes and goes. It not painful just kinda worried if it std. Did i get any other std that im not aware of ? Could this be HIV because i notice i toke the test for HIV too early 1 month after encounter. Am i high risk of std i remember the girl i encounter genital smell nasty and wet. I can't see a doctor close by because i work all week and no insurance.  thank you for taking your time to read my story and your help.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I agree in part with your doctor.  He is correct that genital HSV-1 infections recur infrequently; even if you have it, you may never have another outbreak.  H is also right that the only way to know for sure is if a new lesion appears and is tested and found positive for HSV.  If and when that happens, see your doctor for testing immediately (within a day or two) for examination and accurate testing.

But if your doctor is saying that your HSV-1 is likely genital, just because you had genital pimples and no past cold sores, he is mistaken -- but I explained that above, so I won't repeat it.

Please re-read all my replies above, very carefully.  They were intended for reassurance; it remains unlikely you have genital herpes.  The world is full of people like you, who have positive HSV-1 blood tests due to past oral infection and do no have genital herpes.  They go through life assuming they do not have genital herpes.  I suggest you adopt that perspective.

That will have to end this thread.  Take care.
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Avatar universal
I went to my family doctor today and explain my story. He examine my genital say no sign of herpes or blister since the pimple went always. But he said they symptom i explain to him might be hsv-1 or hsv-2. He said mostly you have hsv-1 since you were negative for hsv-2 and don't recall of having cold sore in your life. He said i got it from unprotected oral sex. I thought oral sex low risk since i didn't see cold sore on my partner lips. He said hsv-1 usually don't reappear but if it does come back to get examine. So i do i have ghsv-1?    
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239123 tn?1267647614
MEDICAL PROFESSIONAL
As already offered, let me know the outcome after you have been professionally evaluated.  Until then, I won't have any further comments or advice.  In the meantime, from this additional description I doubt the earlier lesion was due to HSV-1 and I still believe you do not have genital herpes.
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Avatar universal
Thank you doctor. I do remember i had a red pimple with no puss about 3 week or less after encounter, then it grew bigger with puss that look clear  and yellow. It might be ghsv-1 due to the symptom i had: little pain and tingling that aren't constantly happen to for a few second and then goes away. I never had pimple near my genital before.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

I reviewed your discussion with Terri on the herpes professional forum and, in less detail, the ones on the herpes and STD community forums.  I agree with the advice you had there.

Your blood test results show you definitely have HSV-1 and not HSV-2.  The majority of positive HSV-1 blood tests, especially in persons your age, are due oral herpes, often acquired in the distant past, i.e. in childhood.  Absence of cold sores doesn't mean anything; the large majority of persons with positve HSV-1 tests do not have obvious recurrent oral herpes and have no recollection of past outbreaks.

As for your penile pimple, almost certainly that's what it was.  Most important, 6-8 weeks (February to April) to much too long for an initial genital herpes outbreak.  Usually it's 2-5 days and never more than 3 weeks.  Further, as you were told, a single lesion that drained yellow pus is not typical for herpes.

As for other STDs, they are equally unlikely.  You had safe vaginal sex, and oral sex is low risk for STDs.  And no STD is a likely explanation for "burning" at the site of the previous pimple or for "pain on foreskin that also comes and goes".  My guess is that that your mind is focused on your genitals and your anxiety about the sexual exposure and your worry about herpes and STDs is magnifying normal body sensations that you otherwise would not notice.

As for HIV, you are at absolutely zero risk.  The chance your partner had HIV is exceedingly low, and you can't catch HIV with protected vaginal sex; and oral sex is exceedingly low risk for HIV, if any risk at all.

So all the evidence is strongly against any STD, including herpes.  But if you want additional reassurance, you'll need to find a way to see a doctor or clinic.  I'm sure you can take off work to do it if necessary, and your local health department STD clinic would provide expert care at little or no cost.  Feel free to let me know the outcome if and when you have been examined.  But in the meantime, you really shouldn't be worried.

I hope this helps.  Best wishes--  HHH, MD
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