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MEDICAL PROFESSIONAL
The sense is that the infectivity of HSV, on average, declines over time. Thus the 1rst year of infections is, on average, more infectious than the 2nd, the 2nd more infectious than the 3rd, etc. None of that changes the fact thatt here is no evidence that you have herpes. It is time for you to get a grip on yourself and stop this unwarranted fretting. Get over it. EWH
Last question Dr. Hook.... if it is allowed... it's one final bit about my former partner's hsv2 status. She was approaching two years even since she first contracted herpes. I've read the first two years are the most contagious. Would you suspect she was still more contagious than a long-standing infection would be, or would be pretty much considered having a long standing infection by that time? Sorry for the herpes worry. I am doing my best to not think about that as a possibility anymore.
MEDICAL PROFESSIONAL
I agree with your doctor that there is strong evidence that E. coli was the culprit related to your illness and there is no reason for concern about herpes. Work with your doctor. Chronic prostattis is a challenging problem to take care of. I agree with what he has done to date- stick with him. EWH
Maybe I should clarity the timing of everything as well.
-bleached underwear nearly same time as first small lesion. PCR test negative 2or 3 days later.
-ten days after lesion sudden onset of discharge and urination issues
-cipro knocks out discharge in 48 hours. major symptoms disappear
-a month passes and lingering prostatisis pain symptoms
-go on a 5 week cipro regiment but the lingering symptoms persist and during this cipro regiment (or near this time) I had the second larger rash I PCR tested from home. (I spent all night my laptop on my lap, so this may be consistent with that rash
-it has been many months now that the lingering symptoms persist. no other rashes
-bleached underwear nearly same time as first small lesion. PCR test negative 2or 3 days later.
-ten days after lesion sudden onset of discharge and urination issues
-cipro knocks out discharge in 48 hours. major symptoms disappear
-a month passes and lingering prostatisis pain symptoms
-go on a 5 week cipro regiment but the lingering symptoms persist and during this cipro regiment (or near this time) I had the second larger rash I PCR tested from home. (I spent all night my laptop on my lap, so this may be consistent with that rash
-it has been many months now that the lingering symptoms persist. no other rashes
Thank you for your position Dr. Hook.
I wasn't concerned with HPV but I was worried about herpes. The two sets of rashes/lesions concerned me because they were in a time proximity to the discharge/prostatitis. The first rash was PCR tested in the Doctors office so I am more inclined to believe that, then perhaps the larger second rash PCR I collected myself at home and brought in to the office the next day. Both were negative however. I think irritation/yeast are reasonable explanations for both of them but I'm sure you can see how it would make me worry.
The discharge was definitely coming from my urethra and was heavy and ongoing. My doctor said my urinalysis results (Greater than 100,000 FU/ml of Ecol) for e-coli and fast response to cipro were definitive for an e-coli UTI/prostate infection despite it being rare in young men (I am 30).
The diagnosis of chronic non infectious prostatitis has been discussed as a result of damage from the initial acute e-coli infection.
So none of this would make you consider herpes? is e-coli and irritation rash reasonable?
I wasn't concerned with HPV but I was worried about herpes. The two sets of rashes/lesions concerned me because they were in a time proximity to the discharge/prostatitis. The first rash was PCR tested in the Doctors office so I am more inclined to believe that, then perhaps the larger second rash PCR I collected myself at home and brought in to the office the next day. Both were negative however. I think irritation/yeast are reasonable explanations for both of them but I'm sure you can see how it would make me worry.
The discharge was definitely coming from my urethra and was heavy and ongoing. My doctor said my urinalysis results (Greater than 100,000 FU/ml of Ecol) for e-coli and fast response to cipro were definitive for an e-coli UTI/prostate infection despite it being rare in young men (I am 30).
The diagnosis of chronic non infectious prostatitis has been discussed as a result of damage from the initial acute e-coli infection.
So none of this would make you consider herpes? is e-coli and irritation rash reasonable?
MEDICAL PROFESSIONAL
Welcome to the Forum. I'll try to help. It is clear form your questions, your history of testing, and the detailed history that you provide that you are quite concerned about having either HSV or HPV. Using the same information, I can say that there is virtually no chance that you have herpes resulting from the relationship that you describe above. No suggestive outbreaks (herpes does not cause the sort of yellow discharge that you describe) and all sorts of negative tests. I would not worry further about herpes.
As for HPV, perhaps you do and perhaps you do not. If you have had genital contact with others beside the partner you describe, it is likely that you have HPV- most people do. However the symptoms you describe are not those of HPV. When present HPV is typically asymptomatic or may cause visible warts but does not cause the sort of irritation or discharge you describe.
As for the episode you had in 2013, was the yellow discharge you experienced coming from an abraded area on your penis or from the urethra? The reason I as is in trying to determine i f your subsequent prostatitis illness might have been related to the abrasion by wet underwear that you describe or not. If not, it is possible that your prostatitis was unrelated to the sexual relationship you mention (prostatitis is not an STI) or the irritation from wet/starched underwear. Your lingering symptoms however are quite compatible with prostatitis which has a definite tendency to recur and which may require long (4-6 weeks) therapy.
I hope this perspective is helpful. To summarize, I urge you not to worry further about HSV from your prior relationship. I would not worry about HPV either and am quite sure that the symptoms you describe were not due to HPV. Finally, what you do sound as though you have is prostatitis which can take a while to treat and is best treated by a urologist. EWH
As for HPV, perhaps you do and perhaps you do not. If you have had genital contact with others beside the partner you describe, it is likely that you have HPV- most people do. However the symptoms you describe are not those of HPV. When present HPV is typically asymptomatic or may cause visible warts but does not cause the sort of irritation or discharge you describe.
As for the episode you had in 2013, was the yellow discharge you experienced coming from an abraded area on your penis or from the urethra? The reason I as is in trying to determine i f your subsequent prostatitis illness might have been related to the abrasion by wet underwear that you describe or not. If not, it is possible that your prostatitis was unrelated to the sexual relationship you mention (prostatitis is not an STI) or the irritation from wet/starched underwear. Your lingering symptoms however are quite compatible with prostatitis which has a definite tendency to recur and which may require long (4-6 weeks) therapy.
I hope this perspective is helpful. To summarize, I urge you not to worry further about HSV from your prior relationship. I would not worry about HPV either and am quite sure that the symptoms you describe were not due to HPV. Finally, what you do sound as though you have is prostatitis which can take a while to treat and is best treated by a urologist. EWH
sorry for the broken up question Doctors... for some reason everytime I tried to submit my question it failed. The character limit seemed ok... finally I typed the one sentence and it worked...
UrgentCare urinanalysis results
Blood: +++ 50
Ketone: 50
Protein: 100
Nitrites: Positive
Ph: 5
SGravi: 1.025
Leuko: 500
Found Greater than 100,000 FU/ml of Ecoli
Everything else negative including Gono PCR on discharge. STD PCR urine test for chlamydia, trich, mycop, neisseria gono, ureaplas all neg. No tests done for HSV at the time
Blood: +++ 50
Ketone: 50
Protein: 100
Nitrites: Positive
Ph: 5
SGravi: 1.025
Leuko: 500
Found Greater than 100,000 FU/ml of Ecoli
Everything else negative including Gono PCR on discharge. STD PCR urine test for chlamydia, trich, mycop, neisseria gono, ureaplas all neg. No tests done for HSV at the time
Hello Doctors.
2009 - I had a relationship with an HPV &HSV-2 genital female for 8months. Regular mutual masturbation both ways, oral sex both ways and had condom protected sex a few times. She was not on treatment though as best we could tell we avoided interaction during outbreaks (she only had one that we recognized). I believe the one outbreak she had, I may have fingered her.
2011 - Western Blot negative for hsv2 (know childhood hsv1)
2013 - No sexual contact of any kind since WB. I had red raised 'lesion' or bump on the underside of my glans. PCR test negative. I had foolishly worn heavily bleached boxers that had not been thoroughly gone through the rinse cycle and were still damp. I suspected that was the cause. About ten days after the lesion first appeared I had what seemed like a UTI or prostatitis. Severe semen like discharge (slightly yellow when wiped onto toliet paper) that didnt stop, urethral and some pelvic pain. Urgency, incomplete voiding, some pain w/ stream. I believe the glans lesion had mostly healed at this time.
UrgentCare &Urologist urinanalysis below
Everything else negative including Gono PCR on discharge. STD PCR urine test for chlamydia, trich, mycop, neisseria gono, ureaplas all neg. No tests done for HSV at the time
GP suggested UTI from E coli or perhaps Prostatitis. I took Cipro and the discharge stopped and pain went away with 48 hours. I still had some fear it could be herpes related.
2013-2014 - I still have lingering Prostatitis symptoms. Some very minor discomfort urinating, varying level of pain in penis tip, penis aches, incomplete voiding. I went on a 2month cipro. During that time I had one additional 'rash' appear on my glans, but I think this was actually a result of my hot laptop, or a combination of that and yeast from the cipro? I had some PCR swabs at home from my doctor, which I used on that rash as well which was negative. Urine tests since and cyscoptomy were normal. HPV or HSV the cause?
2009 - I had a relationship with an HPV &HSV-2 genital female for 8months. Regular mutual masturbation both ways, oral sex both ways and had condom protected sex a few times. She was not on treatment though as best we could tell we avoided interaction during outbreaks (she only had one that we recognized). I believe the one outbreak she had, I may have fingered her.
2011 - Western Blot negative for hsv2 (know childhood hsv1)
2013 - No sexual contact of any kind since WB. I had red raised 'lesion' or bump on the underside of my glans. PCR test negative. I had foolishly worn heavily bleached boxers that had not been thoroughly gone through the rinse cycle and were still damp. I suspected that was the cause. About ten days after the lesion first appeared I had what seemed like a UTI or prostatitis. Severe semen like discharge (slightly yellow when wiped onto toliet paper) that didnt stop, urethral and some pelvic pain. Urgency, incomplete voiding, some pain w/ stream. I believe the glans lesion had mostly healed at this time.
UrgentCare &Urologist urinanalysis below
Everything else negative including Gono PCR on discharge. STD PCR urine test for chlamydia, trich, mycop, neisseria gono, ureaplas all neg. No tests done for HSV at the time
GP suggested UTI from E coli or perhaps Prostatitis. I took Cipro and the discharge stopped and pain went away with 48 hours. I still had some fear it could be herpes related.
2013-2014 - I still have lingering Prostatitis symptoms. Some very minor discomfort urinating, varying level of pain in penis tip, penis aches, incomplete voiding. I went on a 2month cipro. During that time I had one additional 'rash' appear on my glans, but I think this was actually a result of my hot laptop, or a combination of that and yeast from the cipro? I had some PCR swabs at home from my doctor, which I used on that rash as well which was negative. Urine tests since and cyscoptomy were normal. HPV or HSV the cause?
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
