Herpes Exposure Concern

[HKpete]

I had an encounter about 6 weeks ago with a CSW while on a business trip.  It was a really stupid thing as I am married with kids.  About 1-2 days after the encounter,  I had a burning sensation in my scrotum and inner thighs.  This lasted for about 2 weeks on and off,  I also had a feeling that I needed to urinate frequently and some minor pain with urination.  As I was worried about the risk to transfer anything to my wife,  I went for STD testing about a week after the incident (before I started reading this forum and realized most things would not show up).  I tested negative by Igg for both HSV1 & 2 but had an equivical result on an IGM blood test at 0.95.  This has really concerned me. About 25 days after the encounter, I noticed several red bumps on my butt cheek,  off to the side below my hip. They were not painful but would itch slightly.  I have had some slight tingling in my butt on both sides, but not always where the sores are.  A couple of them were about the diameter of a pencil. They stayed about the same (just red bumps) for over 2 weeks.  One of them then appeared to have a head and I poped it (like a pimple).  No fluid came out,  but it did bleed a little.   I have not seen any symptoms on my penis or scrotum.  I went again for HSV 1&2 testing at 6 weeks and tested negative by igg again (did not do the IGM again after reading this forum).  Does this sound like it could be a Herpes outbreak?  

[Terri Warren, RN, Adult Nurse Practitioner]

The initial outbreak usually occurs on the genital area.
It could be either - both sides or one side.  Recurrences are more commonly one side only.
They can do either  - same site or move around.

Terri

[HKpete]

Terri,

Sorry,  A couple more question based on reading some old information on this site:

1) Does the initial HSV2 outbreak typically occur on the genitals or anywhere in the "boxer shorts" area.  
2) I also read on some older posts responses about symptoms only occuring on one side of the body due to how the nervous system works.  Is that typically the case or can symptoms occur on both sides?
3) Do outbreaks usually come in the same location repeatedly or move around within the "boxer shorts" region?  

I just want to make sure that I am looking for the right symptoms.  Since the equivical igM test, I have been hyper sensitive to any bump, spot or feeling in the area and understanding more about it may help me understand when I need to worry!

Thanks for all of your great information on this site....it is a great resource.  

[Terri Warren, RN, Adult Nurse Practitioner]

The chances that the IgG is correct is about 70% at this point.  If the bumps come up freshly again, you should go right in and have them swab tested.  Your sexual experience sounds low risk to me, actually.

Terri

[HKpete]

One more question.  What is the likelyhood of the igg test still not showing over 0.9 6 weeks after exposure?
Thanks!

[HKpete]

I did not have them tested as I thought they were just pimples.  They are still visible but reducing in size.  They started to reduce after I popped the one.  I did use protection except for receiving unprotected oral briefly (about 1 min).  I have had bumps like this in the past, but not several in the same general area that I can remember.

[Terri Warren, RN, Adult Nurse Practitioner]

No, it really doesn't sound like a herpes outbreak, but I can't tell clearly over the internet.  Did you go in and have the bumps evaluated or swab tested?  That would have been good to do, and would be good to do if they come up again.  Was the intercourse protected with a condom?  Do you think you've ever had bumps like that before on your butt check?  

My advice:
1) if they come up again, go in and have someone evaluated them
2) retest 4 months after the encounter for IgG only, no IgM.
3) let me know about the condom use.

Terri