Desperate for Answers

[whmag]

Dear Doctor(s): Thanks for the opportunity to post this question; I sincerely hope one of you can assist me in gaining absolution.  

To the point: Aug. 2009 - received brief (< 3 seconds) unprotected fellatio from female w/ no visible sores - odd feeling in testicles next day and slight discoloration on glans penis - continues 2 weeks - Sept. 2009 see my GP he says slight balantitis and epididymitis - Azithro + Doxy for 10 days + test for HSV 2 IgG = .03 neg - continues another week - see GP he prescribes Cipro for 10 days + test HSV I/II IgM = neg. - see urologist he says nothing abnormal & tell him my testicles are burning and glans feels itchy / pinching - he tests chlamy. gonn. & syph. = neg. - visit 2 dermatol. they say not herpes and prescribe anti fungal & steroids & diflucan - stays same - back to urologist for HSV I/II IgG @ 6 weeks = negative - pain in testicles and groin (burning in both legs) discoloration still present - back to GP checks prostate says prostate infection and prescr. Levaquin for 2 months - symptoms still present - back to urologist @ 4 months (Dec. 2009) post exposure for HSV I/II IgG = negative & cystoscopy = normal - so back to GP for repeat HSV I/II IgG = .1 negative (wanted to make sure using same lab company)

So here I am in month 5 still having testicle pain, glans itch and pinching, periodic burning in groin down inside both legs and abdomen - just got GP to order HSV I/II western blot or PCR and waiting on results - all the docs (8 in all) say I don't have HSV because of 1) minimal nature of exposure and 2) my IgG results @ 4 months but I am still symptomatic and desperate.  they say it's psychosomatic but I disagree.  

I know my docs have good intentions but I am so frustrated  In your professional opinion(s) - does this sound like HSV? Could I have contracted it with that limited exposure?  If not what could be wrong with my body? thanks so much for helping me.

[whmag]

Ok - Yes, I had the blood drawn last Friday morning and I am anxiously awaiting the results.

Thanks so much for the information - again, I know you here this often but I will reiterate - your knowledge, kindness, support & willingness to aid is a tremendous asset - I can't thank you enough.

Hopefully I will here from you within the next couple of weeks with some good news!

Take care

[Terri Warren, RN, Adult Nurse Practitioner]

No, a negative combined test just tells you that you have neither one NOR two.  No, we will go by the western blot as a final result.  He did order the wrong test, because if it had been positive, we would not have known if you had HSV 1 or HSV 2, but since it was negative, I think we are fine.  But the western blot will be the final test.  Did you have the blood drawn yet?
Terri

[whmag]

Hey Terri - hope you are doing great.  I have a quick question regarding IgG tests that I was hoping you could help me with.  

I read a thread from Dr. Hansfield stating that all HSV IgG tests are not the same (i.e. HSV I/II IgG test is not the same as HSV I / II Glycoprotein IgG).  I am worried because the IgG my doctor ordered back in Dec. just says HSV I/II IgG = 0.1 with no reference to Glycoprotein.  Did he order the wrong test?  If so, even though you ordered the WB for me can we still order another IgG?

Thanks and let me know if I should repost this question with the fee - no problem.

[Terri Warren, RN, Adult Nurse Practitioner]

1) All go to UW
2) about 2 weeks
3) I will call you with results.

Great, I'm glad they got it, good news.
Terri

[whmag]

Got it - thanks a million -

1) Does quest do the test locally or do all WB's go to the Univ. of Wash?
2) Do you know what the turnaround time is?  
3) Will you call me or should i make an appt. to call your office for results?

Just let me no...have a great weekend.

[Terri Warren, RN, Adult Nurse Practitioner]

Nothing wrong, of course not! I re-faxed, lets see how it goes.  Do contact me again if it doesn't go through, OK?
Terri