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Avatar universal

possible herpes

Ok doc....so here it goes ---I am 26 --married and went to a spa and recieved oral from a sex worker ther 8 to 10 min no ejaculation---about 20 days later i noticed a small "abrasion or lesion" on the under side of my penis--not on the head right around were there is a lot of skin folds on the bottom.(Circumsized)---My question is i feel real bad for my infidelity-so i had been checking the area there daily for any abnormalities---then i just found this --i do not recall a blister -ther was no pain--no fluid --there was some "loose skin"where it was that i scraped off with my finger nail when i noticed it ---is this possible herpes?----I had just woke up from a nap and thought if it were a blister i may have popped it in my sleep. I read thru the fact sheet on this page and found some good info--If it was herpes how quickly does it blister --right away? Is it always painful?---The lesion seemed to have blood lying on it (not running)-is that typical---This is small does that matter? Now i do shave my genetails and had 4 or 5 days growth on my balls and it does poke ther sometimes and is abrasive and i thought that was the cause --but the timing it was has got me -----Now that was on a wendsday--by saturday it was really freakin me out i went to he er-(also was feeling kinda crappy---(possible hiv anxiety or now herpes or both)---I had the er dr look at it he stated he couldn't tell but that he didn't know for sure cause it had healed some--he asked about tingling sensation or itching and pain---nowi did have some tingling there--itching -i explained the pubes and growth of hair --that it is pokey---so i am confused.He stated that there is no "good blood test" for it see if it comes back and then you will know for sure---He examined it again and tried sqeezing it to see if fluid would come out ---He also stated typicly herpes isn't transmitted this way that it looks like some skin is growing back over an it's not crusty so to speak so i should be ok ---My problem is i think i would remeber something happening to cause this because of the location but i don't. I do not remeber the girl having a cold sore or anything. Other then a cold sore is there any other sore or lesion in her mouth that could cause Herpes????And if it is herpes does it increase hiv risk????Sorry to type so much but as my handle i am freaking out ----Also does oral herpes turn to genetails herpes which causes me to break out often if it is?---Also my wife does get cold sores often so we refrain from oral except on speacail occasions with a condom,could i give her herpes on her genetails or is she already immune?---Thanks a million doc and if i have no follow ups i will not bother you anymore---thanks again good day
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239123 tn?1267647614
MEDICAL PROFESSIONAL
You're wearing out your welcome. I tolerated two long, anxiety-driven threads, one each on this and the HIV/safe sex forum.  These forums are not a substitute for seeing a health care provider.  Do not post any more comments or questions; I will have no more replies.

HHH, MD

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Avatar universal
Me and my wife had sex this morning and i wore a condom with a vibrating cockring -----the condom was kinda slipping off at the end----I noticed afterword the lesion was irrated and there was blood kinda lying in it at one end ----i had read on the quickfacts that herpes rarely if ever bleed ----also since i had worn condoms a few times after my encounter at the spa do oyou think its possible this is wear this has occured in the first place?also i had never noticed this as being a bump or small sore in the first place ----im sorry but this is really bugging me out
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Super-basic questions again.  Asymptomatic means the infected person notices nothing wrong. HSV-1 and HSV-2 are separate viruses and one cannot turn into the other.

Re-read paragraph 2 of my initial reply and follow that advice.

HHH, MD
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Avatar universal
No it was 20 days after --other than my wife i have only had 2 othjer sex partners one was a virgin(in high school)---and the other was tested (all negative)---what is asymptamatic?----does the hsv-1 turn into hsv 2 when exposed to genetails ----can i give my wife herpes down ther ---thanks doc i will not bother you with this anymore now----
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Avatar universal
No it was 20 days after --other than my wife i have only had 2 othjer sex partners one was a virgin(in high school)---and the other was tested (all negative)---what is asymptamatic?----does the hsv-1 turn into hsv 2 when exposed to genetails ----can i give my wife herpes down ther ---thanks doc i will not bother you with this anymore now----
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Avatar universal
I should have added that since your wife has oral herpes, if you have genital herpes, it's likely you caught it from her by oral sex.

Also, from recognizing your username, I think you have posted a question on this forum in the past.  Note the forum rules:  No further questions for at least 6 months.

HHH, MD
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Herpes indeed is the most common overall cause of genital abrasion-like lesions, but not the only cause--and  from your description, yours sounds more likely to be traumatic.  In any case, if it is herpes, you didn't catch it during the oral sex event at the spa; no STD can appear in 20 minutes, and herpes always takes at least 2 days to show up.  So if you have herpes, you have had it all along.  In that case, it's probably an HSV-2 infection, not HSV-1.  But most likely you don't have it anyway.  Your other symptoms don't suggest herpes.

Most of your questions are very basic and covered in lots of easily available sources.  Read the herpes article in the link STD Quick Facts and Articles at the top of this forum; or the CDC information (www.cdc.gov/std).  You can also search the threads and archives on this forum.  Herpes does not travel from mouth to genitals or vice versa.  Your wife is immune to a second HSV-1 infection.

See an STD-knowledgeable health care provider for further advice; your local health department STD clinic would be a good starting place, or a dermatologist.  You can have a blood test to see if you are infected with HSV-1, HSV-2, both, or neither.

Finally, you were not at all at risk for HIV from the exposure you describe.

Good luck--  HHH, MD
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