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Avatar universal

HSV-1

A girl performed unprotect oral sex on me 5 and a half weeks ago.

One week after we interacted my lips started to dry and burn.  For the past 4.5 weeks 3 different dermatologists have told me they don't think I have oral herpes, or at least visible signs.  About a week ago I started to receive on and off invicible swelling in the left part of my upper and lower lip but nothing ever showed up (I did panic and take 2 g of Valtrex my doctor gave me just in case).

12 days after the encounter I had my yearly physical and told my doctor about my oral herpes worries.  He did a herpes blood test.  The HSV IgM AB Titer came out negative and the IGG came out negative but the HSV IgM AB Screen "Detected A".  My doctor said that could have been exposure from any point in my life.

I saw my 3 dermatologist today and she thinks I have contact dermatitis.

My worry now is my penis.  One week ago after masterbating a spot under the shaft of my penis became very aggitated for over a day and then went away.  That spot as well as my penis hold became red.  I masterbated last night with no problem.  I just masterbated tonight and an hour later I am having an irritation on the left part of my penis (a different spot then the previous time).  It is slightly red but very irritated.  There is an raised area there that looks like a pinch (it is .5 CM long).  I never ever have skin sensitivities on my penis after masterbation.

1.  Is there a possibility this is herpes?

2.  What do you think about the situation on my lips?  
8 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.  I'll try to help.  The bottom line is that you are not infected with HSV-1 or HSV-2.  Whatever the cause of your oral and genital symptoms, neither is due to herpes.

Oral sex is safe sex.  Not completely risk free, but much safer than vaginal or anal intercourse.  It is true that oral HSV-1 can be transmitted to the genitals by oral sex.  But that probably happens less than once for ever 1,000 episodes of oral sex.  In addition, oral herpes is transmitted primarily when the oral partner has an overt, visible cold sore.  If your partner didn't have such symptoms, your risk is even lower.  Further, neither your oral nor your genital symptoms are typical for herpes; and a dermatologist's judgment that herpes isn't present (as well as a diagnosis of contact dermatitis) is pretty reliable evidence.

As for the blood tests, I don't know what to make of an IgM antibody screening test result of "Detected A".  That makes no sense to me.  In any case, IgM antibody testing for HSV is completely and totally useless and should be disregarded.  That result does not mean you have ever been infected with HSV at any time.  For a comprehensive explantion of why I feel that way, see this thread from a year ago: http://www.medhelp.org/posts/STDs/hsv-2--recent-vs-not-recent-infection/show/541451

If the irritated area on your penis develops blisters or open sores, return to a health care provider (preferably the dermatologist) right away.  Otherwise, I wouldn't worry about herpes.  It's too late for a new herpes infection to first show up; it would have given symptoms within a few days of the oral sex event.

I hope this helps.  Best wishes--  HHH, MD
Helpful - 2
239123 tn?1267647614
MEDICAL PROFESSIONAL
No, definitely not.  Rely on your dermatologist. No more comments or questions on this thread.
Helpful - 0
Avatar universal
For 5 weeks the irritation on the head of my penis has been consistent.  The dermatologist does not see any signs of anything besides "irritation".  It it constantly irritated, especially on contact and has not eased with time.  Any possibility this can be an STD?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
This does not sound at all like herpes and not typical for a genital wart.  There's no more I can say from this distance.  Seeing a health care provider in person is the only way to sort out what if anything is abnormal about your penile skin.
Helpful - 0
Avatar universal
Another update to the original note: the tingling/swelling sensation has returned to the top and bottom of the corner of my mouth.  This time, the skin on the bottom left side is much smoother and whiter than the rest of my mouth. It's also more sensitive to touch then the rest of my lips.  Does this sound like a herpes blister?  If you could please advise on this issue as well, I would greatly appreciate it.
Helpful - 0
Avatar universal
It was not as apparent last night but there is a white, slightly raised bump (about 0.33 CM in diameter) on the bottom of the head of my penis.  It has been there for 2-3 days but is now more apparent.  There are also two slightly red dots on another part of the head that have been there for the same amount of time.  None of these bumps is especially sensitive to touch.  

The irritation on the shaft of my penis is just as irritated, if not more irritated.  

I'm sorry to ask again but any chance this is herpes?  Or HPV?

Any recommendations to ease the irritation?

Thank you
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Not knowing the cause of the rash, I cannot recommend hydrocortisone or any other treatment.  If you want to try it, however, use the weaker (1%) preparation.
Helpful - 0
Avatar universal
Thank you for your help and your forum.  It is a breath of fresh air in the chaos of internet STD panic.

Would it be ok to put 1% or 2.5% Hydrocortisone gel on the irritated penis area?  I have both.

Helpful - 0

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