Aa
Symptoms
My long term partner(female) was diagnosed with ASCUS in a routine PAP smear test a couple of months ago, she had no visible symptoms such as a lesion or ulceration which was evident to the gynaecologist, subsequent examination showed the presence of HSV virus ( not known whether HSV 1 or HSV 2 ), she has had one incidence of a minor single ulcer more than a year ago between her thigh and vagina, it was so unremarkable that we did not even have a doctor see it, she has had one or two instances of single ulcers in the mouth ( in the past two or three years) which resolved by themselves without much trouble. I have had a single minor genital ulcer about a year and a half ago which resolved without much problem. However I get ulcers( about 3 or 4 in the past three or four years ) on my fingers , I do not know whether they are herpetic or not, as there has been only a single instance in the last two years( I am a non insulin dependent diabetic, with diabetes sometimes poorly controlled)the ulcer happened at a time when there was poor diabetic control. as I have had only one sexual exposure besides my partner in 2001 dec ( with condom)
I cannot understand whether this is genital herpes because of HSV 2 or HSV1, could it be HSV 1 aquired non genitally playing truant, if so what could be the possible reason. it does not seem like HSV 2 where the outbreaks are far more in number and possibly more troublesome, if HSV 1 then why on the fingers if it is a herpetic lesion at all. I am quite certain she has not had an exposure( there are no secrets between us )( I had an HIV test three months after the exposure in 2001 so HIV I think is ruled out.
I cannot understand whether this is genital herpes because of HSV 2 or HSV1, could it be HSV 1 aquired non genitally playing truant, if so what could be the possible reason. it does not seem like HSV 2 where the outbreaks are far more in number and possibly more troublesome, if HSV 1 then why on the fingers if it is a herpetic lesion at all. I am quite certain she has not had an exposure( there are no secrets between us )( I had an HIV test three months after the exposure in 2001 so HIV I think is ruled out.
MEDICAL PROFESSIONAL
If the "subsequent examination" that "showed the presence of HSV" was a reliable laboratory test, then you need to assume your partner has genital herpes, and your symptoms suggest you do as well. Even without that statement, I would have been very suspicious of herpes, because your symptoms and your wife's are quite typical; mild, subtle lesions are more common than overt, "classical" ones.
Recurrent finger lesions are unlikely to be due to herpes. HSV can infect the fingers (herpetic whitlow), but usually only once, at the same time as an initial oral or genital herpes outbreak. I have never heard of recurrent herpes of the hands or fingers; if it happens, it is very rare. An ulcer in the mouth is unlikely to be herpes; recurrent oral herpes almost always involve the outside of the lips, not the inside of the mouth.
All of this is entirely unrelated to your wife's probable HPV infection (the pap smear abnormality) and probably unrelated to your diabetes.
You and your wife both should ask your health care provider(s) to test you for both HSV-1 and HSV-2, using one of the type-specific blood tests, such as HerpeSelect. Those results will be more helpful than further guesswork by either you or me. In the meantime, don't lose any sleep over this. Herpes generally isn't a problem at all when both members of a monogamous couple are infected, especially with the mild symptoms you describe.
Good luck--- HHH, MD
Recurrent finger lesions are unlikely to be due to herpes. HSV can infect the fingers (herpetic whitlow), but usually only once, at the same time as an initial oral or genital herpes outbreak. I have never heard of recurrent herpes of the hands or fingers; if it happens, it is very rare. An ulcer in the mouth is unlikely to be herpes; recurrent oral herpes almost always involve the outside of the lips, not the inside of the mouth.
All of this is entirely unrelated to your wife's probable HPV infection (the pap smear abnormality) and probably unrelated to your diabetes.
You and your wife both should ask your health care provider(s) to test you for both HSV-1 and HSV-2, using one of the type-specific blood tests, such as HerpeSelect. Those results will be more helpful than further guesswork by either you or me. In the meantime, don't lose any sleep over this. Herpes generally isn't a problem at all when both members of a monogamous couple are infected, especially with the mild symptoms you describe.
Good luck--- HHH, MD
I do have, very infrequently a very mild, almost imperceptible kind of burning while urinating. I am told it is a symptom of herpes. I have not been tested for herpes IGM or IGG. could it be that I might not be infected at all even if my partner is.
MEDICAL PROFESSIONAL
Such mild burning probably isn't herpes. Herpes in the urethra typically is very painful.
Absolutely do not have IgM testing, either you or your wife. Only type-specific IgG tests should be done. For more information, search the STD forum threads and archives for "herpes diagnosis", "HerpeSelect test", and "IgM".
HHH, MD
Absolutely do not have IgM testing, either you or your wife. Only type-specific IgG tests should be done. For more information, search the STD forum threads and archives for "herpes diagnosis", "HerpeSelect test", and "IgM".
HHH, MD
partner's been tested for HPV, she does not have it. had an HIV test at 3 months do we need another one. does this kind of HSV infection recommend one
MEDICAL PROFESSIONAL
About half of all ASCUS paps are due to HPV, so that's fine. You don't say why the first HIV test was done, but certainly there is no reason for another one.
I don't know what you mean by "this kind of HSV infection". You don't seem to know for sure whether you or your partner have herpes at all, and you certainly don't know the virus type. Get the blood test.
HHH, MD
I don't know what you mean by "this kind of HSV infection". You don't seem to know for sure whether you or your partner have herpes at all, and you certainly don't know the virus type. Get the blood test.
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.
