worried about having contracted hsv2 from a prostitute from receiving oral

[jim from philly2]

Sat morn prost performed fellatio w/o condom. she licked both balls my head and shaft.i ejaculated into her mouth.i felt no teeth.asked if she was on drugs or was sick and she said no.Immediately washed pee hole, penis and testicles soap&water.that night i poured rubbing alcohol in my pee hole&smothered my balls and shaft with the rubbing alcohol.the scrotal burn persisted until today. the pee hole turned black and blue and is now red and white.  the pee hole has what looks to be small cuts that are symmetrical on both sides of my penis head.this not present immediately after the incident and i believe it was caused by the alcohol burning.no burn today.i see no red bumps in my 5th day.what are the chances of HSV-2 from oral sex withhout any visible symptoms on the female offering the oral?i have read that hsv2 antibodies and not the disease live in the mouth.what would a blister look like and what size would it be? the woman did not have any visible sores on her mouth.in mouth,i dont know.please tell me if there are no visible signs of sores on the outside or lips, that sores in the mouth?PCP didnt notice anything on the second day and mentioned that it could take up to 3 wks show blisters.if there are no blisters by then, what are my chances of not having hsv2. earliest testing time?if i take a test in 4 weeks and it shows negative, what% in the clear?

[H. Hunter Handsfield, M.D.]

Oral infection with HSV-2 is rare; the large majority of oral herpes infections are due to HSV-1.  You have misunderstood something you read about HSV-2 virus versus antibodies in the mouth; what you say makes no sense.

That said, I don't know the cause of the 'small cuts' you describe.  It doesn't sound like herpes, and apparently your PCP didn't see anything that looks like herpes.  Based on what you say, I see no reason to test you for HSV infection unless you develop symptoms that suggest a new HSV infection.  In the off chance you were infected, a test at 4 weeks is too soon to detect it; 12-16 weeks are required for the HSV blood test to become positive.  Further, if you have a positive test for either virus, whether in 4 weeks or 12 weeks, it won't mean you caught it during the event you describe; it could just indicate past infection acquired any time.  For these reasons, I recommend against HSV testing in cases like yours.

Bottom line:  Don't worry about herpes unless you develop more typical symptoms.  Continue to follow up with your PCP and follow his or her advice.

Regards--  HHH, MD

[jim from philly2]

thank you for your prompt reply.
this is event the only event i am concerned with bc i had a girlfirend for 7 years prior to this encounter and she was my only sex partner.

what about the idea of sores, can someone have herpes sores in their mouth and not show any on lips or mouth area?

it hurts slightly when i first urinate, but only slightly and it could be from the alcohol burn.  How long should these symptoms persist before the idea NGU or urethritis or syphillis can come up.  gonorrhea is likely out because of no pus in the stream.

i have had nausea and slight of appetite, no fever,
the more i read online, the more stress i have and sleep i lose.
i wake up in the middle of the night with stress.
i am taking lexapro and zanax.

how about the likelihood of saliva traveling into the pee hole and carrying the herpes disease. is hsv 1 the disease that causes painful lesions in the genitals or is that exclusively hsv2?

if no red bumps or lesions show by week 4, how likely am i in the clear?

if the person that gave me fellatio has the hsv2, how low are the chances after one encounter.  how often is the virus shed in the mouth?  what if the person has poor dental health?  no blood was shown on anything.

is it hsv 1 or 2 or both that causes damage to infants? thank you doctor. i commend your work.

[H. Hunter Handsfield, M.D.]

Too much information, too many questions.  You're over-analyzing the situation.  Yes people can have oral herpes without recognized sores.  I agree your urethral pain could be from the alcohol; that wasn't a smart thing to do.  You can't catch HSV-2 by receiving fellatio, because the chance someone has HSV-2 in the mouth is low (which I already said above).  Newborns can be severely infected with either HSV-1 or HSV-2, but HSV-2 is most common.

Search the forum or look at any of several reliable websites for answers to your other questions about herpes, such as www.ashastd.org or www.cdc.gov/std.  See your health care provider if you have symptoms that concern you.

I won't have any further replies.  Best wishes.

[jim from philly2]

tonight i felt the most awful lower back pain ever sitting in an uncomfortable car seat.  i then heated up, but had no fever.  is this the anxiety, or h1?
the back pain has gone away,
on herp1 symptoms is the back pain constant or does it go away?

if a woman has h1 and no sores, is there a negligible risk?

please answer,

[H. Hunter Handsfield, M.D.]

I told you I will have no further replies.  Any more follow-up comments and I will delete the entire thread.