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Was this NOT ACTUALLY HERPES? Hsv 1 positive but what's going on?

Long story. Let's make it short. Used a dating site and hooked up with 3 different girls. The 1st girl gave me oral once, and had protected intercourse once, at the same time. The 2nd female gave me oral twice, and we had protected sex about 6 times. The 3rd girl we had protected sex 3 times.

Anyways, it all started the final time I was having sex with the 2nd female (about 2 and a half months ago). The condom ripped and I realized this happened about 2 minutes after it had happened. I immediately put a new one on. About a week after this, I noticed I started having a slight burning/stinging sensation off and on inside my urethra. It wasn't PAINFUL but just annoying. After about two weeks of this sensation I thought something might be wrong and went to get my std checkup for chlamydia and gonnherea. BOTH NEGATIVE. The doctor who tested me thought it was probably a yeast infection.

Around the time the test results came in (this was about 2 months ago), I noticed a bump on my upper right thigh/groin area that I popped and it turned into a rash that looked like a million little bumps in a circular fashion around the big original pustule. I started putting random ointments on it not knowing what it was. Wasn't painful at all. About a week later, as this one was clearing up,another bump formed on the left upper groin, and started getting bigger.

At this point I was damned worried so I went to a different doctor and she immediately said the first rash (the circular one) looked like a fungal infection, and thought the second sore may have been some type of ingrown hair. I was relieved to hear it wasn't herpes. This was about a month and a half ago.

The burning sensation inside my urethra was still present at this point.

About a week later, as this SECOND sore was healing, but still present, I started feeling a stinging sensation under my scrotum. I looked under there and noticed two very small flat circular areas where the skin was kind of peeled and slightly crusted around the edges. These were about the diameters of pencil erasers.

I ignored these because I was under the impression I did not have any herpes because the doctor told me. A few weeks passed and these flat circles of peeled skin were bigger in diameter. I went overseas and didn't have any treatment for these for about 2 weeks and these became shiny colored and sort of raw. It kind of spread in that FOLD area between my bottom of my scrotum and my left thigh. After sleeping in a sleeping bag a few nights and not giving this thing air, it got really messy and stung. It stunk like there was a weird odor coming from that area. There were bumps like razor burn in between the fold.

As soon as I returned from vacation I went to the doctor and he took a look and said it didn't necessarily LOOK like herpes, and could have been some type of secondary bacterial infection, but wasn't sure because it was so inflamed. I told him I thought it was so inflamed because I neglected to take care of it on vacation and it just got to its worst point. He suggested a herpes test and prescribed me antifungal steroid cream, along with antibacterial cream.

The CREAMS WERE WORKING which made me think it wasn't herpes. I heard steroid cream makes
It worse. However, 3 days later he called and said my iGg blood test was positive for hsv 1. And it was a value of 1.22.

I was scared and he didn't really help, and just said "oh maybe the groin rash wasn't necessarily herpes, it could have been something else, but your blood test was positive for hsv 1..just wrap it up next time and don't have sex if you have an open sore" -_- (no ****)...

Anyways, I came to terms with the fact that I along with 70% of people have hsv1. I'll do fine living with it.

However, today I started researching false positive numbers, and I suddenly realized my result value of 1.22 is in the false positive range. The burning in my urethra that started 2 and a half months ago is still present, and apparently this isn't normal for an episode of herpes to last this long, even for an initial outbreak.

In conclusion. Could this rash have been something like severe jock itch ( I also noticed a painful pimple on my elbow and one on my knee that looked the same as the kind of pimples that were in my groin), and I still have hsv1 but maybe just got it when I was younger and never had an outbreak?

Could it have been jock itch and had a false positive test for hsv1 altogether not having herpes at all? I've talked to the 3 females I was involved with and have no reason to believe any of them are irresponsible sexually. They all told me they've been recently tested, although they don't routinely test for hsv, one of them told me she recently went on birth control and got tested for it along with all other stds. Another of the girls works for the Center for disease control and recently got tested as well.

What are your thoughts? Thanks.

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Avatar universal
Okay thanks so much. So if I never develop another sore for them to swab, I guess I'll just forget about the whole thing, as maybe this wasn't even ever  a herpes outbreak, and I've had it my "entire life". In that case, I can't really tell partners I have genital herpes because I have no idea if I do or not? Thanks.
Helpful - 0
3149845 tn?1506627771
continued... i can say they dont appear herpes related but that does not confirm anything. youve been sexually active on a dating sites which increases your exposure risk.
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3149845 tn?1506627771
The only way to ease your concerns about genital hsv is a swab of a sore taken within 48 hours after appearing. even if you have a blood test it wont detail where you have it. Its the only way. And at that not  a culture but a PCR  test offered at lab corp or quest diagnotics.
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Avatar universal
@Life360

Thanks so much for the input you've added, as I'm sure you're helping others too who have similar questions and making a big impact on peoples' lives. Amazing job.

These weren't "sores" per say, but looked like whitehead pimples, just a little larger in size. I wouldn't see clusters of them though. More like there would be one, and an inch away there was another one. Sometimes only one at a time, and they'd be there and gone overnight or within 2 days, as if they had popped in the shower or something like a regular pimple.

Does this sound like herpes or something else like bacterial or fungal? I've never heard of something like this before with these big whitehead pimples.

I just want to get this resolved and I'm actually trapped, because if I DO have hsv1, and had it since I was a child orally, then my second blood test will come up positive, but if I never have another rash/outbreak in my genital area, I have no way of testing if it's genital Hsv1, or oral hsv1. This worries me because I don't want to have sex with someone and spread it from genital to genital.

Thanks.
Helpful - 0
3149845 tn?1506627771
Herpes sores are not puss filled and dont jump all over the place.
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Avatar universal
Okay, so you're in fact saying that it's not the trait of a herpes outbreak to do what I have described? In other words, the fact that I first had a sting in my urethra, then a week later developed a single sore surrounded by a rash on my upper right groin, THEN, before this one even got a chance to fully heal, developed another pimple that grew bigger into a sore on the parallel left side about a week later, THEN BEFORE THAT ONE even got a chance to heal, started to develop this different looking rash underneath my scrotum....in essence, is not typical of herpes outbreak?

In essence, there are 4 different spots which the "culprit" whatever it is, caused a problem. 1 in the urethra, and the 3 different rashes in my genital area, but not directly on the penis, ever.

I do want to mention that last week there was a yellow/whitish filled pimple that looked similar in size to the spread out pimples that I saw in the infected area under the scrotum (these were never clustered, just 1 or 2 spread out and would appear overnight pus filled), and this week there is one above my left knee cap. Weird? thoguhts?
Helpful - 0
3149845 tn?1506627771
Sores appear at the point of contact with the first exposure. If this was vaginal or oral sex from her it would be on your penis shaft not your leg. It would be on your leg if you already was diagnosed with herpes and had outbreaks before. Also it doesnot often jump from one side to the other but prefers to outbreak in the same spot as prefers the path of least resistance.

Test again in 2 months or have a new sore swabbed to confirm you hsv status.

If you had a herpes sore in your urethra it would be very painful not just stinging.
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Avatar universal
@Life360

I should also mention that, I fear that if this was not actually a herpes outbreak, then there wont be another sore that can open up and allow for a swab test. Then I'll be left with the idea that I have hsv1 somehow based on the blood test, and I'll kind of be living based on assumptions
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Avatar universal
@Life360

Okay well this whole thing started with the stinging in the urethra. That was the first thing I noticed, that's when I got tested for chlamydia and ghonnerea. About 2 weeks later the first sore on my upper right thigh formed (the one that the doctor looked at and immediately said looked like a fungal infection). It looked exactly like this (non explicit picture I found on google):

http://assets.babycenter.com/ims/2010/05may/rashes_princ_3y1588_ringworm_424x302.jpg

Except it had a sore in the middle.  That was the first rash, and then the second one was on the left thigh above the pubic hair area it came about a week later, but it was just the sore, not surrounded by a rash.

The stinging in my urethra isn't VERY painful at all, and hasn't been this whole time. It's obviously some pain, but not the kind that hurts. More of an annoying kind. Something that is definitely more mild than strong.

It doesn't matter about the last exposure and the test time, because the symptoms started happening BEFORE the most recent exposure to sexual contact.

The symptoms started almost 3 months ago now (probably like 2 months and 2 weeks, maybe more), (starting with the off and on stinging in urethra), and I got the blood test about a week and a half ago, with a value of 1.22.

Thanks
Helpful - 0
3149845 tn?1506627771
Herpes sores can appear as most anything but most often are a single blister with clear liquid that breaks open and forms a cluster in the immediate area. In the genital area they can be quite painful and take about 2 weeks to heal after scabbing over. When we speak of rashes with herpes, this is most associated with shingles and again most often only flare up once in a lifetime. When you mention "this long" outbreaks can occur every month or so but most often just a few times a year with those with established herpes. Those with newly acquired herpes can have more recurrent outbreaks.

What was time test time period between your last exposure and the blood test. Conclusive results would be at the 3 month mark.
To eliminate herpes from this concern, retest at the 3 month mark or even better have a newly developed rash swabbed with in 48 hours after appearing.

I think you can rule out a herpes sore in your urethra as would be very painful esp when toxic urine comes in contact with it.
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Avatar universal
@Life360

Thanks for the reply. The doctor said there was no point in swabbing because the skin was raw and a lot of infectious items would have probably popped up.
Another question. Is it normal for the symptoms to be lasting this long (going on 3 months now), namely the overlapping rashes in different areas AND especially the stinging sensation in the urethra?

Thanks
Helpful - 0
3149845 tn?1506627771
Hi, it would have been best to have the sores swabbed. The blood test only shows positive for hsv1 which could be oral and you contracted it at a young age BUT with a low positive its either a sign of a false positive in need of retesting or a recently acquired infection.
Helpful - 0
Avatar universal
By the way, the rash that developed under my scrotum has slowly been healing. I was only told to use the creams for 7 days, so I stopped about 7 days ago. The skin has been peeled from under the scrotum so of course it will take a while to heal, and is still very slightly raw and discolored redish compared the regular skin, but is not painful
Helpful - 0
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