I was in a 3 month relationship with a woman and was tested for STD's with negative results. We then had genital to genital contact (intracourse) once. I had not had any previous sexual partners for many years. The woman's Doctor had previously tested her for STD’s two years ago, and the results were negative. We are no longer involved in a relationship.
Eight days after intracourse I noticed a small papule (1-2 mm) on the tip of my penis. My Dermatologist examined me and said I did not have Herpes symptoms. He felt the papule was possibly caused by some irritation during the intracourse, or HPV, or a previous condition. My Primary Care Physician confirmed my symptoms did not appear to be Herpes related. The papule has remained about the same size (1-2 mm) over the past 5 months. It has not itched, been painful or scabbed over.
I waited 16+ weeks and repeated the tests. The results were again all negative. However, I am concerned because the IgG Index values for HSV 1 & 2 seem to have increased a lot.
9/17/2010:
STD Testing performed (Gon/Cly, Syp, Hep B-C, HIV 1-2, HSV 1-2) – All results negative
HSV-1 Ab IgG Index = 0.15 (Negative)
HSV-2 Ab IgG Index = 0.06 (Negative)
02/15/2011 (16+ weeks after possible exposure):
STD Testing performed (Gon/Cly, Syp, Hep B-C, HIV 1-2, HSV 1-2) – All results negative
HSV-1 Ab IgG Index = 0.38 (Negative)
HSV-2 Ab IgG Index = 0.45 (Negative)
What are the chances that I have contacted Herpes, but haven’t yet developed sufficient antibodies to yield a positive result? Would the chances be significantly different if the index values were more stable over the 16 week period between tests?
What should I do to confirm, with a high degree of accuracy, whether or not I have acquired Herpes Simplex Virus 1 & 2?
Is there any test I can take (HPV or ?) to find out what caused the papule?
What is an appropriate remedy to remove the papule, or should I just wait awhile (how long?) to see if it goes away?