Herpes outbreak? Transmission? Risks?

[jlass77]

Hi Dr.s,

I have been having crazy anxiety over the last 13 days. I will explain the situation and I would like your thoughts and maybe your story.

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Situation: I was at a club with some friends. I started talking with a girl. We ended up in a private area. We were both heavily intoxicated and ended up touching genitals while fooling around (no insertion). After about 10 seconds I put a condom on and touched genitals again for 10-15 seconds. Due to the circumstances we broke away and nothing happened further. I am not sure if she was having an outbreak or if she even had herpes. It was too dark and I was too much of an idiot to ask normal questions.

About an hour after the club. I met with a friend and we hung out. One thing lead to another and she gave me oral sex.

Currently I am ending day 13. I have had some symptoms but am trying to figure out if they are related. I have had a tingling/irritable penis maybe twice through these 13 days. Not sure if it is related to anything or just upset I keep checking it. Last night I noticed on the underside of the penis a group of 4 small skin colored dots in a cluster (total dimensions 1mm x 2mm for the entire group).

Let me conclude with, I feel like a complete idiot and I feel horrible for putting my self in this position. I have an appointment on Monday but not sure how I am going to fair through the weekend with this on my mind.

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My questions:

1) What is the likelihood that limited contact I could have contracted HPV-2? (I know this wide open question).

2) Is it possible that if something was on my penis I could have transfered it to my friend an hour later via oral sex? I would just feel horrible if this was the case.

3) How quickly would these small dots turn to blisters to sores? What else could they be if not related to herpes?

4) When can I start to breathe again? Wait 3 weeks? I worry that my anxiety is doing more damage than anything.

Thanks Drs.

[Edward W Hook, MD]

Sorry, I missed the genital to genital part but that still does not change my assessment.  Best to have someone take a look to be sure but HSV is most unlikely.  EWH

[jlass77]

Sorry I realize. I didn't call you by your title. My apologies.

Thanks Dr.

[jlass77]

Thanks Edward.

I think the one point regarding the initial exposure may have been missed. The contact was genital to genital. Does this change your feedback?

I do have an appointment on Monday and I went in last week (day 3) to have my blood and urine tested.

Thanks again,

Jordan

[Edward W Hook, MD]

Welcome to our Forum.  I'll try to help.  Let's work through your exposures one by one.  With regard to your initial exposure, there is virtually no risk. Touching as you describe it is a form of masturbation and STDs are not spread in this way.  You are not at risk for STDs from this exposure.  As for the second exposure in which you received oral sex,  even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection. Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise small.   It is difficult for me to tell form your description whether the tingling you describe is a symptom of urethritis (penile infection) - if the tingling is on the inside of your penis and/or occurs during urination, NGU is a possibility and a health care provider should be able to determine if this is the problem by either looking at a specimen of urine collected just as you begin to urinate or at a swab specimen taken from your penis.  As for the bumps, as I said, you should have someone take a look.  They do not sound like HSV and may have been there before your exposure.

With respect to your specific questions:

1.   Very, very low.  If you caught any sort of HSV from receipt of oral sex it would be HSV-1.  If you already get cold sores (due to HSV-1) then you have no reason at all for concern- you cannot get an second HSV-1 infection at any location.

2.  No, this just does not happen.

3.  If this was HSV the bumps would become small blisters within hours.  If they have not changed they are not likely to be HSV and may have been present but unnoticed prior to the exposures you mention.

4.  Vague question.  If you mean HSV, if you acquired HSV, which I doubt, you would experience an outbreak of lesions within 14 days of expsoure.  The best thign, as I've said, it to go and get seen by a knowledgeable clinician, perhaps at your local STD Clinic.  

Hope these comments help.  I doubt that any of what you have noticed is an STD.  EWH