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HSV False Positive?

Hello.

On Dec 28, 2021, I went to a massage parlour and the female masseuse gave me masturbation for about 5 minutes where we are in naked conditions. After that, I did oral to her female genital (cunnilingus) for about 30 seconds to 1 minute maximumly. Then, the head of my penis (glans part) was inserted into her vagina accidentally for about 10 seconds. I pulled it out afterwards and there was no ejaculation inside. But I guess that there might be some transparent fluid in her vagina and on my penis which are produced by arousal naturally. I didn't use condom or any protection. After 29hrs exposure, I took PEP. The HIV result came back negative on 38th day after PEP completion date.

Regarding HSV, I tested HSV 1&2 IgG on 69th day after exposure and result came back with 6.60. I don't have any lesions or cold sore developed throughout the days between the exposure and test date. I encountered with candidiasis (along with few small red spots but not lesions) after few days which are healed by Clotrimazole. Only pale redness on my penis remains up to present time. I am feeling pain around my lower abdomen and testicle sometimes. My urine examination test also came out with few bacteria in urine.

So I kindly would like to know the followings;

1. Can the HSV 1&2 IgG test result be false positive because I have no lesions or fluid-filled sores?

2. Are the pains I am feeling stated above could be due to balanitis or bacteria in urine?

Thank you very much Sirs/ Madams.
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207091 tn?1337709493
COMMUNITY LEADER
So the HSV 1&2 IgG tells you that you have type 1 OR type 2 OR both.

You need to get a type specific IgG test. If they are able to give you the test you had, you should be able to get a type specific test.

Globally, 67% of people under 50 have oral hsv1 - think cold sores or fever blisters on the mouth - and 90% never get symptoms. Your test may simply mean that you have that, and not genital herpes type 2.

Your risk for hsv2 is very, very low. Your exposure time - if this is your only encounter - is very brief. Your genital symptoms cleared up with the Clotrimazole, suggesting that it was indeed fungal.

I don't know why you are getting lower abdominal and testicular pain, but have you seen a doctor for that? Maybe you have a hernia.

I know you are very scared, but even if your partner had an STD, your exposure was very brief. I don't see a lot to worry about here. See if you can get a type specific test, and we can figure it out then.

Have you tested for other STDs, like gonorrhea and chlamydia?
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8 Comments
Hello Madam. Thank you for your explanation.

The test I did is named as "HSV IgG". They do not have separate test. The lab told me that it was a combine test and since it is positive, it can be considered that I am positive for both HSV 1 and 2. However, I am doubting that I could be only infected with one type instead of both.

The masseuse is tested positive with 6.99 for HSV 1&2 IgG today.
I had tested Chlamydia, Gonorrhea, and Syphillis which all came back Negative.

I went to Urology specialist today and he told me that my abdominal pain and testicular pain could possibly be due to HSV infection and prescribed me Acyclovir lotion and suggested me to go to Haemotologist next week.

May I also know the followings as well please;

1. Can HSV 1 and 2 infected person have no blister at first stage and can he encounter a lot of blisters occurrence after years? Because I am very scared that blisters and sores might happen after years even though I have no blister right now.

2. Taking Acyclovir medication during outbreak can reduce transmission rate when the outbreak is over and symptoms are gone?

3. Is HSV easily transmitted through sex even though there is no blister or sore during having sex? Because I am very worried that I could not have sex with my girlfriend anymore :((

Thank you very much once again Madam.
"it can be considered that I am positive for both HSV 1 and 2" - this is not true. It doesn't different between hsv1 and hsv2 antibodies, so you could have antibodies for both, or either.

The same goes for the masseuse - you both could have had type 1 orally for years, and not transmitted anything to each other.

You don't need a Hematologist - herpes is not a blood infection. But go see him - maybe he can do a type specific IgG blood test.

1. Can HSV 1 and 2 infected person have no blister at first stage and can he encounter a lot of blisters occurrence after years? Because I am very scared that blisters and sores might happen after years even though I have no blister right now.

Yes, this can happen. It's not that common, but can happen. Don't sit around and worry about it, because I'm not convinced you have type 2, and think it's very possible that you only have type 1 orally.

2. Taking Acyclovir medication during outbreak can reduce transmission rate when the outbreak is over and symptoms are gone?

To reduce transmission, you need to take acyclovir pills every day, 400 mg twice a day. If you have an outbreak, do not have sex. Acyclovir lotion will do nothing to reduce transmission.

3. Is HSV easily transmitted through sex even though there is no blister or sore during having sex? Because I am very worried that I could not have sex with my girlfriend anymore :((

If you have hsv1 orally, you can transmit this through kissing or giving oral sex.

If you have hsv2 - which again, I'm not sure of - you can transmit this through sex.

Has your girlfriend ever been tested?


I wish you were getting better information and better testing where you live.

https://www.healthline.com/health/serum-herpes-simplex-antibodies#results - this explains that there are tests that differentiate between hsv1 and hsv2.



My girlfriend has been tested negative. I will check out the link you mentioned Madam. I will also try to test HSV PCR Test since there is no separate specific HSV IgG test reachable in my country.

Thank you very much Madam.
Good luck, and keep us updated. :)
Hello Madam. I have tested HSV 1,2 PCR Test and the result will be known on May 14, 2022 as my country does not have very advanced technology and the blood test will be sent to neighbouring country to do lab work.

On April 20, I went to an oil massage and my penis was in contact with the massage bed and towel they provided to cover my private parts. I did nothing related with sex during massage as well. Just an ordinary oil massage this time. After that day, the red spots appear back on my glans and redness on my glans becomes worsen. Since yesterday, the red spots become pale (turning to disappear I guess) but the redness still remains red.

1. Can it be HSV/ Genital herpes ?

2. Can an infected person does not have any blister/fluid-filled lesion but red spots and redness like mine? (Because some people say an infected person will have fluid-filled blisters definitely few days after infection, and some say an infected person can have no fluid-filled blisters but redness and red spots signs like mine.)

3. Is genital herpes really contagious/easily infected just by being in contact with infected person for short time? (Several seconds to 1 minute of grinding - which I rub my penis on her vulva with no insertion + 10 seconds glans part inserted into vagina on Dec 28, 2021 which I stated on my very first post)

Thank you very much again.
Was the PCR test a blood test? If so, it will be negative. The PCR is a viral DNA test and herpes isn't found in blood.

1. Can it be HSV/ Genital herpes ?

It doesn't sound like it. It could be an allergic reaction to something on the towel - the detergent, oil, etc.

2. Can an infected person does not have any blister/fluid-filled lesion but red spots and redness like mine? (Because some people say an infected person will have fluid-filled blisters definitely few days after infection, and some say an infected person can have no fluid-filled blisters but redness and red spots signs like mine.)

Not usually. That sounds more like an allergic reaction or eczema or something along those lines.

3. Is genital herpes really contagious/easily infected just by being in contact with infected person for short time? (Several seconds to 1 minute of grinding - which I rub my penis on her vulva with no insertion + 10 seconds glans part inserted into vagina on Dec 28, 2021 which I stated on my very first post)

Herpes is very contagious, but it takes time and friction to transmit. The chances that you got herpes from that encounter in Dec are quite low.

Yes. It was PCR Blood Test. Because that test is the only available option which detects HSV 1 or 2 specifically in my country. They don't have specific IgG test for 1 or 2 but only 1&2.

Thank you for your detailed explanation and answers Madam. It really relieves me.
You're welcome. :)
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