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Herpes Proctitis or Fissure?

Hello, I had unprotected anal sex (I'm gay) with a friend who I didn't realize at the time still had a cold sore that was healing. It was hardly noticeable. We hooked up last Tuesday, Thursday, and Friday. Received receptive intercourse on Thurs and Fri, with rimming. My partner was tested for HIV in Feb and we went together as well last week, both were negative.

The sex was slightly rough and without lube for a short time, so I was sore immediately after. By Sunday, my rectum was still sore. I went to an STD clinic on Monday where they swabbed my rectum -- though the results won't be back for two weeks. The physician noticed what looked like a tear inside the rectum. There is only one tear just on the inside of the rectum. It's a line tear, not a circle ulcer. It hurts all day when I'm sitting at work and is extremely painful when trying to have a bowel movement.

I've also noticed that my genitals are more sensitive than usual, just a constant dull ache, and my buttocks feels numb. I have not had any other symptoms, no fever, chills, or swollen glands. No bumps near my rectum on the outside. And, it doesn't hurt to urinate.

Is this what a primary herpes proctitis infection would look like? Or, is it possible that it's just a fissure caused by the rough sex?
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Avatar universal
I've lost hope.  The stinging nerve pain.  Intense burning followed immeditaley by tiny red spots some are tiny raised bumps, some look like pus filled pimples the size of a mosquito bite  1 or 2  here and there spread out over my arms neck thighs and buttocks and even my face.  Nothing like classic lesions/blisters/sores.

There is a fever heat emanating from my tailbone with body aches and a dull fever.  All this from being digitally penetrated with an infected finger.

The swab I got was on an anal fissure that was rather healed not fresh.  I have to wait out another 2 months to get an accurate blood test.  The std screening for everything else was negative.  I am having a hard time coping...
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15249123 tn?1478652475
They really are not hsv symptoms. Good luck at the Dr's and let me know how it goes
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1 Comments
Thank you.  I'm having the burning/  tingling pins and needles all over the body sensations now.   Sharp shooting nerve pain every soo often. Stiff sore neck and slight fever.  I will update with the results.  Thank you again.  Trying to be strong.
Avatar universal
kmc2010 hi.  I'm having similar symptoms to you. The person I was with spat in their hand and digitally penetrated me and I received oral sex.   Tingling and tenderness in the genitals and buttucks. Pain during urination.  No blisters but i did develope hemmroids.  I was given antibiotics.  The pain while urinating went away.   Tenderness and pain in genital area went away.  However I still tingle/have pins and needles feeling and shooting nerve pain and developed an anal fissure after a bm.

Did u end up getting any blisters?  We're they just inside your rectum/outside near the anus?  How long did your symptoms last until you were treated?   Did you develope any other symptoms?  Thank you.
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2 Comments
This is an old thread and you probably won't get a reply. Saliva as a lubricant for a finger is a no risk event. Hsv is not concentrated in saliva and it's flat out not an efficient way to spread the virus.  
Since this would be hsv1 I highly doubt you would have any symptoms without painful lesions.
Thank you for your reply.  I'm in the doctors office now about to be swabbed.  Just reading what you've said gives me some sort of comfort despite the disconcerting symptoms.  Thank you.
Avatar universal
Thanks Fleetwood20! It's crazy how quickly it transferred to me after just a couple times together. It just proves that you don't get this virus by being a "*****" or sleeping around. I rarely ever would hook up with anyone because I was always afraid of catching something like this. Meanwhile, I have friends who hook up every other day and catch nothing. It doesn't make any sense.

I just wish everyone had to get tested so that everyone was aware of their status and the stigma would go away.
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Avatar universal
That is a little surprising, but there is little doubt your partner's oral infection transferred to your genoanal area.

You do join over 60% of the population with this virus. It is a virus that is incredibly unlikely to transfer to people already with the virus. Your partner for example is most unlikely to obtain a genital HSV1 infection given the oral infection.

You may not experience a further outbreak as unpreferred as this location is.
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Avatar universal
It has now been 24 hours since my diagnosis. Just in one day I feel like I've been through a rollercoaster of emotions. I'm trying really hard to stay strong and not let the magnitude of this overwhelm me. It's difficult to look at myself in the mirror, I feel ashamed and disappointed in myself. I've talked to a few close friends about the diagnosis and it has made me feel slightly better, though I think I'm still just hoping that this is all just a nightmare and that it will go away.

With that said, I found some really inspiring and uplifting videos on YouTube from 'Herpes Opportunity'. I don't know if I will ever be ok with carrying this virus for the rest of my life, but I'm trying to at least not hate myself because of it. I've always been confident and proud of what I've accomplished, I don't want this to change me.

I'm not sure what the purpose of writing on this forum is anymore, but I hope others can somehow learn from this whether they're just having their own scare or if they've too just been diagnosed.

Would still really appreciate some words of wisdom from others on the forum on getting past this difficult stage.
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Avatar universal
Sadly, I must be a statistical oddity with my symptoms. My doctor called today with bad news. I tested positive for HSV-1 from the culture. :(

I'm devastated by the news and not really sure what to do or how to even process this life changing news. It all seems surreal right now.

I'm told that this is not the end of the world and that all will be fine, but the fact of the matter is that it really is the end of the world as it was. I now have to deal with a lifelong thing that I will always be discriminated against for. As if dating weren't already hard enough, this just made the dating pool even smaller.

I realize that life will go on and I will adjust, but it's certainly not going to be the life that I dreamed of and have worked really hard at building.

I'm all ears for advice that anyone has to offer. I could use some encouraging words and stories of overcoming this depressed stage. I've never been to a therapist but I think that's likely my next step as I can't handle dealing with all of this myself.
Helpful - 0
101028 tn?1419603004
do your symptoms sound like herpes going on? no they do not. sounds like a anal tear which can happen without adequate lube.  the tingling and numbness you are feeling in general down yonder is referred pain from all that is going on.  try simple things like a sitz bath ( your local drug store will carry the set up ) with some epsom salts thrown in for soaking. do that 3x/day if you can.

you had unprotected sex which means you need to follow up with full std testing. rather naive to believe someone who is willing to have unprotected sex with you as well as it sets you up for hpv infection too!  have you had your gardasil shots? has your partner?   you can get tested for chlamydia  and gonorrhea after 1 week post encounter if you weren't already tested for it. syphilis testing can be done after 6 weeks post encounter. herpes and hiv testing can be done after 3 months.  

always protect yourself in the future and use a good sex lube as well as condoms!! it's not worth the risk!!  also all forms of oral sex - including rimming should be done with barrier protection.  why worry like you are now in the future when some simple precautions will protect you so much more?
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Avatar universal
Another question, I mentioned the numbness before. I also feel tingling through the buttocks. Unfortunately, this does seem to be a problem that is exclusive to a herpes infection from what I've found. Is it normal that I'd be feeling this days after the anal fissure started? The tingling/numbness has been going on for a couple days now. Most experts seem to only mention this as happening prior to an outbreak.
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Avatar universal
First of all, thank you so much for commenting! I just want you to know that your feedback is appreciated. I'm sure that there are hundreds/thousands of others on here that are just as anxious and worried as I am, and it's comforting to know that we're not in it completely alone.

I've done quite a bit of research now (driving myself crazy Googling!) and can't find any pictures of herpes outbreaks similar to the tear that I seem to have. I'm hoping that means that it really is just a fissure due to the sex, and nothing more serious. And, I'm hoping that the other burning/numb senses that I'm feeling are simply caused by the stress and anxiety.
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Avatar universal
If he has oral cold sores then only analingus would pose a risk.

Although helpers can present as very fine slits, this usually occurs in the very fine skin areas such as the penis and not the thicker skin areas. The slit is just that, it looks like a bloodless razor cut rather than a tear.

A first presentation is indeed more typically an outbreak of sores rather than a slit.
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Avatar universal
Anyone know more about this and can kindly give me some feedback? I'd really appreciate it. Couldn't get a Dr appt till Monday and am driving myself crazy.
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No, but he's had cold sores his entire life.

If this were herpes proctitis, would I be seeing multiple sores and other symptoms? Just curious, what makes you lean more toward it being a fissure?
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Avatar universal
Yes it will, but really only if it is positive. Has your partner tested for HSV?
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I've done blood tests previously and was negative. They took a culture of the fissure for testing, so that should tell me if it's neg/pos and the type, right?
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Avatar universal
Much more likely this is a tear from sexual activity. With unprotected sex though, you may consider both obtaining a blood test, IgG antibodies type specific for HSV1 and HSV2.
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