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Avatar universal

Type 2

Dr,

I have type 1 genital.  I got tested prior to dating a month ago (type 2 - .05). I still wore a condom each time we had sex to be safe except a few seconds the very last time and the very last time was a week ago Sunday.  I let her rub the tip with her privates and slide in once.  I went to the bathroom and took 1000 mg of famvir and washed my penis with rubbing alcohol.  The next morning I took another 1000 mg of famvir.  Then 4 days later my pain started.   I started having left testicle pain and urethral pain.  I went to the ER (thursday) and the Dr said epididymis and gave me a shot of rocephin and doxycycline pills. I went two days later complaining (saturday) of pain and he gave me the same treatment again. I had a tender epididymis and burning urethra.  I went to the next care clinic from the ER and asked for a herpes test.  Today's blood test results:

Igm - 1.26 (My common score, except my initial type 1 from 5 years ago was 5.00)

IgG type 1 - 1.69

IgG type 2 - .34 (I've never  scored above .10)

Dr at clinic said that I'm trending positive and this is going to be positive.

I have had headaches, leg pains, shocking pains, horrible urethral pain and testicle pain and it's getting worse.  Tonight the shocking pain is bad all over my boxer short region and down to my feet. Doesn't hurt to pee but the urethra has a pain like a rash.

So I had 20 or 30 seconds of unprotected sex. Could I be that unlucky?

I was shocked to see the quick rise in my IgG type 2 to .34 in just 6 days.

Is this type 2?  I've been on heavy antibiotics since last Thursday.  At first I hoped it was type 1 flaring up.  But then I saw the IgG score for type 2.  My type 1 flare ups last about a day. No OB, just pain.

Does famvir block infection?
6 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
If there is no redness or rash, "my penis is on fire!  No sores but it feels terrible" sounds like a psychological symptom.  I see no reason for you to be suspicious your partner has HSV-2.  If her blood test is positive, it still won't explain your symptoms.  Your symptoms were not an appropriate reason for her to even be tested.  Please tell her that I'm sure she hasnt' given you herpes and that she can expect a negative test result.

Whatever is going on, there is nothing at all in your story that suggests you have caught HSV-2, which cannot cause pain without first causing overt blisters/sores.  Continue to work with your doctor about yoru symptoms if they persist.
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Avatar universal
The last HSV 2 test was done 6 days post exposure.  I fear with my symptoms now that it is certainly type 2 and the blood work is just too new.  .  My penis is painful and burning.  No sores but lots of pain and shocking.

Sorry to write on the wrong board but it was your guidance that I sought.
Helpful - 0
Avatar universal
I think so.  I basically said I had sex with a girl and took famvir right after sex and you said something about studies on animals showed it helped.

Bottom line is I'm waiting to see if my girlfriend is in fact type 2 positive.  She's sitting right here now and my penis is on fire!  No sores but it feels terrible.  The pain for days was centered on testicles and urethra.  Now it's bouncing around.  My penis is hurting :(. I'm so scared.  I barely touched her without protection.  
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I find no other threads with your username.  Did you have another one at that time?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  However, it should be in the STD forum, not this one.  Therefore my comments are brief and there won't be an opportunity for follow-up comments.

Based on your numerous comments in the herpes forum and other MedHelp forums, it seems you are quite fixated on HSV-2.  All evidence is that you don't have it, and I disagree with your doctor's comment about a "trend" in your blood test result that will eventually become positive.  Either s/he doesn't understand HSV testing or you misuderstood. Your result is weakly positive for HSV-1, which of course is consistent with your prior diagnosis of genital herpes due to HSV-1.  However, your HSV-2 result has been consistently negative.  As long as the result is below the postive cut-off value of 0.9, there is no meaning in varying numbers on repeat tests.  If the very same blood specimen were tested 10 times, it would give 10 different numbers -- meaning nothing at all.  It's in the nature of the test and has absolute nothing to do with having small or varying amounts of antibody to HSV-2.

On top of that, it is clear that something other than HSV-1 explains the genital symptoms you describe.  No herpes outbreak can last only a day, and there is no such thing as pain due to herpes without an outbreak.  And genital HSV-1 recurrences rarely are more frequent than once or twice a year -- and most people have only 1 or two recurrent oubreaks, then none for the rest of their lives.  You may indeed have a genital HSV-1 infection, I can't say.  But it isn't the cause of the symptoms you have described.

So for sure you don't have HSV-2 -- and maybe not genital herpes due to HSV-1 either.  I hope you find this good news.  That's how I intend it.

HHH, MD
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Avatar universal
Dr Handsfield,

I was referring to our conversation a year ago in this question.  Thanks for your time.
Helpful - 0

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