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Avatar universal

positve hsv?

I was tested at my local clinic in May for all STD's and they were negative. I have since had multiple partners and I had unprotected sex with one of them on three occasions. I believe she was an at risk person. After a couple weeks from our last encounter I noticed little red rash like spots on the head of my penis. When I squeezed my penis I thought I saw some puss, but the never got large or turned into blisters. I went and got tested again at an urgent care, and they did blood tests and a swab to send away. The swab was negative, but the blood test should HSV anibodies present and negative HIV, CLAP, GONN, SYPH. I talked the nurse and she told me the my previous test a year ago was inconclusive (.34) and now (4.24) it was conclusive. She asked me if I had a cold sore when I was in there, but I have never had a cold sore. I have had flu-like symptoms, swollen glands, burning in penis after ejaculation, and have had shooting pain in my nerves down my legs and arms for the past three weeks. What do I need to do to know for sure what my condition is? (hsv1, hsv2, HIV,) I have also been diagnosed with acute prostatitis in the past year.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
You are selectively reading my previous reply.  You need to pay equal attention to the rest of it:  "If your HIV test was 6 or more weeks after your unprotected exposure, you're home free.  If not, repeat testing might be a good idea--although I don't mean to alarm you; the actual risk is low."

Other things being equal, getting HSV-2 increases the risk of catching HIV 4-fold.  If the HIV risk from a particular event is, say, 1 in 100,000, with herpes it becomes 1 in 25,000.  The main issue in your story is that your exposures were heterosexual, which is pretty low risk unless your partners were commercial sex worker or injection drug users.

The biological reasons for increased HIV risk in herpes or other STDs are complex.  But everybody with HSV-2 has open sores.  It's just they're often too micropic to notice.

This thread is now closed.  I won't have any other comments.
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Avatar universal
Why are the risks much higher if I do not have open sores?

If you want me to start a new thread I will post a make a new donation, but I would like the adress to send a donation because and other have been very helpful on this site.
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Avatar universal
My apologies let me rephrase the question and I am referring to your comment the last paragraph in your 1st post on this thread.

"the risk of HIV is expecially high if someone catches herpes from someone who happens to have HIV"

If I contracted HSV 2 from my most recent exposure would that be considered high risk for HIV and warrant a 12 antibody week test?

I just took the PCR DNA and a ELIZA for HIV on my 45th day from last exposure and will be getting the results next week.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I don't understand question 1. High vs low risk doesn't mean anything anymore:  you are infected with HSV-2.  There is no point in a repeat test.

Question 2 could fill a book.  In fact, it has.  Go to the American Social Health Association (www.ashastd.org) and buy the book Understanding Herpes by Charles Ebel.  The ASHA website has lots of other information, and you can also call for in-person counseling with a very knowledgeable herpes expert.

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Avatar universal
well, doc I am + HSV-2, and I took a  PCR DNA and ELIZA for HIV  test today and it will be the 45th day.

!) If I contracted HSV 2 from my most recent exposure would that be considered high risk and warrant a 12 week test?

The last person I was with has since told me that she had a false positive ten years ago, and has tested negative many times since then. This worries me because I have since found out she is bi-polar and ignorant about a lot of things. I had unprotected vaginal intercourse 4 times.

2) Any advice for living and managing HSV-2?
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Avatar universal
I have seen you quantify other posts, so what is low?

The partner I was with said she was tested last year and was negative, but I know she is permiscuous and not an IV user.

I have been in a flu-like malaise, sore throat, fatigue, and hot flashes for three weeks. I also had a urine test to rule out Gonorrhea.

My HIV test was three weeks after last encounter. I will be getting MORE hiv tests to rule out.

God, why did I not use a condom????????
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
The numerical results you provide suggest you had a HerpeSelect test.  If so, your provider can tell you right now whether the change from 0.34 to 4.24 is for HSV-1 or HSV-2.  Whichever it is, you definitely are infected with that virus type.  (If I am wrong about the numbers, you might have had a non-type specific test.  If so, it shows that you were infected with HSV-1 or HSV-2, without telling which.  In that case, repeat testing with HerpeSelect or a similar test will sort things out.)

"Red rash little spots" of the penis isn't typical for herpes, but sounds possible.  Some of your other symptoms fit with initial genital herpes, such as flu-like symptoms (assuming that by "flu-like" you mean fever, muscle aches, etc) and maybe the "shooting pains" in the legs--but not pain in the arms.  Burning only after ejaculation also doesn't fit, but might go along with prostatitis (or, as most prostatis in younger men now is classified, the male pelvic pain syndrome).

So you probably have aquired genital herpes due to HSV-2, but you'll need to check with your provider for more details of your HSV blood test results to know for sure.  However, if you have herpes, it probably explains some but not all your symptoms.  Assuming your provider confirms genital herpes, you will need to discuss it with your recent partners, especially the one with whom you had unprotected sex 2 weeks earlier; she likely is infected but may not know it.

Minor issue, not the main point of your question:  Gonorrhea and "clap" are the same thing; and there is no blood test for it.  Probably you had urethral and/or urine testing for gonorrhea and chlamydia and blood tests for HIV, HSV, and syphilis.

Finally, there is no particular reason to be concerned about HIV, assuming your partner isn't an injection drug user or otherwise known to be at high risk for HIV.  On the other hand, the risk of HIV is expecially high if someone catches herpes from someone who happens to have HIV.  If your HIV test was 6 or more weeks after your unprotected exposure, you're home free.  If not, repeat testing might be a good idea--although don't mean to alarm you; the actual risk is low.

I hope this helps.  Best wishes--  HHH, MD
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