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STD
Dear Doctor, I am a 28 year old male and here is my case.
I had sex with a CSW and the condom broke. Ten days later I went to a doctor who ordered a STD test, at the same day I got the test. All results came back negative except HSV1 (titer 5.0) and HSV2 (titer 1.2), I have never had a symptom of herpes. Around the 10th week, I started to feel RUQ pain, so at the 12 week mark I got tested for HCV, HIV, and syphilis, results = negative
Week 24 I tested for HIV and HCV, both came back negative. Around week 34 I noticed that my urine had a distinct smell, like stale urine that has been siting there for a long time, therefore I paid a visit to the doctor again, he ordered an urine analysis and a HCV test. The urine showed no abnormalities, include no culture growth, and my HCV test was also negative.
Q1- I want to have a family but I don't want to infect my wife and the babe with herpes. Is it possible to have a family without infecting my wife?
Q2- In couple months, I start a new job that is very demanding and stressful, will this make me more susceptible to have breakouts of oral herpes or since I have never had them I may never develop the sores?
Q3- I am concerned about chlamydia because of three reasons: 1- some places say 7 days others say 4 weeks to have conclusive test (my test was at the 10 day mark), 2- my urine smells, 3- although the urine analysis showed no culture growth, I believe it does not help discard chlamydia since this bacteria would not grow in a regular culture. So do you think I should get a DNA test for chlamydia or my urine analysis test tells me there is no infection?
Q4- Are my 12 week syphilis / 24 week HIV/and 36 week HCV tests reliable?
Thank you so much for your opinion
I had sex with a CSW and the condom broke. Ten days later I went to a doctor who ordered a STD test, at the same day I got the test. All results came back negative except HSV1 (titer 5.0) and HSV2 (titer 1.2), I have never had a symptom of herpes. Around the 10th week, I started to feel RUQ pain, so at the 12 week mark I got tested for HCV, HIV, and syphilis, results = negative
Week 24 I tested for HIV and HCV, both came back negative. Around week 34 I noticed that my urine had a distinct smell, like stale urine that has been siting there for a long time, therefore I paid a visit to the doctor again, he ordered an urine analysis and a HCV test. The urine showed no abnormalities, include no culture growth, and my HCV test was also negative.
Q1- I want to have a family but I don't want to infect my wife and the babe with herpes. Is it possible to have a family without infecting my wife?
Q2- In couple months, I start a new job that is very demanding and stressful, will this make me more susceptible to have breakouts of oral herpes or since I have never had them I may never develop the sores?
Q3- I am concerned about chlamydia because of three reasons: 1- some places say 7 days others say 4 weeks to have conclusive test (my test was at the 10 day mark), 2- my urine smells, 3- although the urine analysis showed no culture growth, I believe it does not help discard chlamydia since this bacteria would not grow in a regular culture. So do you think I should get a DNA test for chlamydia or my urine analysis test tells me there is no infection?
Q4- Are my 12 week syphilis / 24 week HIV/and 36 week HCV tests reliable?
Thank you so much for your opinion
MEDICAL PROFESSIONAL
We're glad to help. Thanks for the thanks.
Thank you for your help, your medical opinion was very helpful and comforting.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
Sorry to hear about the condom failure and your concern about it. However, the evidence is strong you were not infected with any STD. The tests you have had are extremely accurate and the negative results are valid.
As for HSV-1, 20-50% of the adult population in the US (more or less in other countries) have positive tests, mostly from childhood oral infection. In the absence of new genital symptoms that suggest herpes, you can be confident this does not reflect genital infection from the exposure described. Your HSV-2 result, although technically in the positive range, almost certainly is negative. True HSV-2 positive blood test results typically have index values over 3.5 (as for your HSV-1 test result). And especially in the presence of the strongly positive HSV-1 result, your HSV-2 value of 1.2 is effectively negative.
Your symptoms do not hint at any STD or any other of the infections you were tested for. (FYI, you were at zero risk for HCV, which -- contrary to popular belief -- is rarely if ever transmitted heterosexually.) But even if your symptoms were typical for an STD, the lab test results always overrule symptoms, and prove you are not infected.
To your specific questions:
1) You cannot infect someone with an infection you don't have. And even if your HSV-1 infection is genital, it will be easy to protect your wife and prevent infection of a child. This shouldn't be any concern for you at all.
2) Stress has little impact on herpes recurrences. That's mostly an urban myth.
3) See my comments above. If you have had a urine or urethral swab DNA test for chlamydia, negative results prove you don't have it. If you only had a blood test, I would recommend a urine DNA test. In addition, I would suggest you stay off the internet -- or at least limit yourself to reliable, professionally run websites.
4) Those results are 100% reliable.
I hope this has helped. Best wishes-- HHH, MD
Sorry to hear about the condom failure and your concern about it. However, the evidence is strong you were not infected with any STD. The tests you have had are extremely accurate and the negative results are valid.
As for HSV-1, 20-50% of the adult population in the US (more or less in other countries) have positive tests, mostly from childhood oral infection. In the absence of new genital symptoms that suggest herpes, you can be confident this does not reflect genital infection from the exposure described. Your HSV-2 result, although technically in the positive range, almost certainly is negative. True HSV-2 positive blood test results typically have index values over 3.5 (as for your HSV-1 test result). And especially in the presence of the strongly positive HSV-1 result, your HSV-2 value of 1.2 is effectively negative.
Your symptoms do not hint at any STD or any other of the infections you were tested for. (FYI, you were at zero risk for HCV, which -- contrary to popular belief -- is rarely if ever transmitted heterosexually.) But even if your symptoms were typical for an STD, the lab test results always overrule symptoms, and prove you are not infected.
To your specific questions:
1) You cannot infect someone with an infection you don't have. And even if your HSV-1 infection is genital, it will be easy to protect your wife and prevent infection of a child. This shouldn't be any concern for you at all.
2) Stress has little impact on herpes recurrences. That's mostly an urban myth.
3) See my comments above. If you have had a urine or urethral swab DNA test for chlamydia, negative results prove you don't have it. If you only had a blood test, I would recommend a urine DNA test. In addition, I would suggest you stay off the internet -- or at least limit yourself to reliable, professionally run websites.
4) Those results are 100% reliable.
I hope this has helped. Best wishes-- HHH, MD
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.
