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Oral Herpes and Genital Herpes Contracted at the Same Time?!?!?


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Really glad I found these forums, I'm really looking forward to some insight from others who have possibly shared my experience.

Well this week has been an emotional roller coaster to say the least. Earlier this week I found a lesion or whatever on my lip that was almost crystal clear to be herpes. It came exactly four days after giving oral sex to a girl. I immediately took action and got abreva, I'm not sure if that's what made it so mild, or if it was the fact that I just had a mild case, but it went away in four days. After talking with my family and doing a lot of research I realized that it really wasn't that bad and found out that with proper treatment herpes is very manageable. Also when people like your Grandma have cold sores, it makes it not seem so bad!

However now I'm thinking I might have Genital Herpes as well, and I'm not taking it very well to say the least. I was under the impression that you usually get one or the other at a time, is it possible I got both at the same time? I did not have sex with this girl, but she did give me oral sex, and we were both naked and there was likely some very minimal genital contact, though I made a strong effort to avoid this and think I did a good job. I assumed I got OH from giving her oral sex, but perhaps I got it from just kissing her, and then got GH from her giving me oral sex? There's no way to really know, and she is convinced she does not have herpes....

Anyways my symptoms include some mild redness on the left side of my penis. There MAY BE one small small lesion, but I think I have also gotten this from friction from masturbation before, so I'm not certain. It seems like too large of a coincidence to not be GH, but maybe? Is it possible I'm having a very mild GH outbreak 7 days after contact? Could stress have caused this rash, because interestingly enough I noticed the rash and the itch after thinking that maybe I have GH...I don't know, but I'm kind of crushed and looking for any insight. I'm praying to God I don't have GH, having GH and OH from one stupid night is so painful...

Some other strange side info, I started a juice detox two days after the contact, and heard juice could cause cold sores from all the acid, anyone else hear about this?

Another strange thing is I started getting OH symptoms about two days before having ANY GH symptoms, and the GH symptoms are very mild. Maybe paranoia led me to itching down there creating redness?

Anyways I have a doctors appointment scheduled for Friday, but I know I will suffer through this week if I don't find some info and support before then.

Also if the symptoms on my penis are so minimal, how will they know if I have GH? Since the test will be positive for OH, it seems this will be hard to diagnose. Any support, prayers, info, similar stories is greatly appreciated!

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Hi shape and welcome to this site. Abreva is a good topical treatment for cold sores so you did the right thing there and also by applying it early. It can be possible to contract both oral and genital herpes in the same episode. Did this girl appear to have any lesions on her genital area or around her mouth?

Many people would swear black and blue they do not have herpes but in some cases, the virus can lie dormant for years at a time. Also herpes is not included in standard screening for STD' which we all agree here..it bloody well should be!

Your symptoms 'can' be associated with genital herpes but I am not convinced that is what you are dealing with. Dry friction, stress and anxiety could be the cause but as you have also mentioned a rash..you could simply even just be dealing with an adverse reaction to a new washing powder or soap perhaps.

Not sure about this juice detox you have been on. I believe it is not good to have too much of anything in your diet. Everything in moderation as they say!

Once you get to your doctor's, see if you can have that lesion swabbed if it is still there. Otherwise you will only be able to have blood tests. If you do have herpes and have only recently been exposed, your bloods are likely to come back negative as there would be no antibodies that would show up in your blood as yet, therefore you will need to have further tests done at a later date.

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Thank you for your response, even a glimmer of good news is helpful at this time. I seem to spend every minute of every day worrying about if I have GH, I thought OH was bad when I first realized I had it, and now with the threat of GH, I have completely forgot about OH. I honestly don't know why I worry so much, I know it is pointless, but I can't help myself.

Anyways no I did not realize any lesions on the girl, I just emailed her yesterday making one final plea for her to offer me any insight she can. I made very clear to her that I was not blaming her, so we will see what happens. Though I guess I wont really have closure until I'm tested Friday.

I have been looking at pictures of herpes on the penis (though it's very unpleasant to look at). What I have does not look anything like it. However it just seems like way too big of a coincidence that I would have some minor pain in itching in my genitals/penis and redness, but it is something else? I have never had an adverse reaction to any soaps, I'm really worried here...

If no lesions form does that mean I'm in the clear, or does that just mean it is a mild case? Also how will the doctor test for it in that case?

Any words of help and comfort are appreciated. This has been very hard for me.

Thanks, Brad

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    • sgt98
      Hey @WilsoInAus ok thank you, I will do my best to move on and stop trawling forums haha. 
    • WilsoInAus
      Hey @sgt98 but there is no feasible infection or outbreak to suppress and antivirals do not suppress an initial outbreak in any event 
    • sgt98
      Thanks @WilsoInAus I understand apologies for this but the only other thing I am worried about is that I did take a course of Famvir on day 1 as I felt like I was having an outbreak of cold sores and am worried that has suppressed the initial outbreak genitally 
    • WilsoInAus
      Hi @sgt98 it is not feasible to obtain a HSV-2 infection from receiving oral sex - only HSV-1 is feasible but you've already got that and immunity from any further infection with HSV-1. You do not need any further tests for HSV. You're feeling regret, try to forgive yourself and calm down, let the rational take over. You know the answer here and it won't be long until you believe it too.
    • WilsoInAus
      Hi @NerdP423 and welcome to the website. You raise a lot of points and I think the best way to address your concerns is add some comments at each key point. I've copied your note again below and added these comments in square brackets. I appreciate any insight (even speculation) as to what has been going on with me. I'm a 37y/o M. I last was intimate with a new partner on 2/11/2022, and a few days later started having a huge amount of discomfort in my face. [The first thing that happens though is that herpes causes lesions or at least some skin based disruption. Other symptoms are then related to the actions of the immune system responding to the virus. Without lesions, it is highly questionable that the ailment is related to herpes, yet testing is useful if you have concerns as you have done so.] About a month after that [herpes causes issues within days, if the first 'symptoms' are a month later - its extremely unlikely they are related to herpes], significant discomfort downstairs, however every test I have ever taken for HSV 1 and 2 has been negative. Here are the details: Face: Previously, some significant tingling and itching on the right side of my mouth, lips and chin (still there, but milder) [herpes does not cause general tingling and itching, it can cause a reasonably concentrated feeling of itch/throb from which a herpes lesion appears within hours]. Occasional hot flashes near my right eye, cheek and ear [herpes does not do this, it may be a immune response to something, or stress]. Sometimes it will feel like the skin is crawling on the right side of my face [herpes does not cause a general crawling sensation]. Never seen anything that looked like a traditional cold sore [that's extremely telling, even people with associated atypical symptoms will have experienced herpes lesions]. Occasionally, the left side of my face will have a momentary feeling of skin crawling, but it's so mild that I am not really worried about it. Downstairs: Thankfully, most of these are now milder than they were before. Occasional momentary pinch of pain at the base of my genitals. [herpes does not cause a general pinch feeling.] Aching pain in my boxer area (groin, leg folds) [nor this] Occasional feeling of cold in my boxer area, butt, or lower back. ( also in my shins and occasionally even my arms) [nor this] On 4/30/2022, I had been in discomfort for almost two months. I scratched an itch, noticed it hurt, and then checked - I did have an open ulcer down there. Took myself to the ER to get swabbed, came back negative. [If this was a PCR then this will be very conclusive.] Practitioner said it may come back negative because it was already open. However the lab report noted that it definitely didn't look like what you'd expect a typical first herpes outbreak to look like [how would the lab know??]. All blood tests negative so far. I had two western blots, the second one was nine months after exposure. [Two negative Westernblots!!! Many that's real convincing]. All other swabs also negative. I went to urgent care, because I know the timeliness of when the Swab is taken matters. One time, a swab was not done, because practitioner said it was folliculitis and wouldn't swab it (It was at my belt line). [Belt line is highly unlikely to relate to herpes.]   A blood test revealed I had low-ish B12 (technically in range, but at the very low end, especially for a man of my size). I had a series of B12 injections, and I am taking a B12 supplement. I am not taking any lysine or arginine at the moment. I was taking the Arganine to see if I could induce an outbreak. [This is irrelevant, there is no known linkage between herpes outbreaks and arginine/lysine intake - its a myth - and B12 infers nothing.] I think what I am asking is - has anyone here ever repeatedly tested negative over and over again over long period of time, before getting a definitive answer, be a positive test, or something else? [The answer to this is: Extremely few people with a HSV-1 infection and even more rarely HSV-2 test repeatedly negative on Westernblot and actually carry the virus. Of the cases that I know of that had delayed detection by a swab and negative blood tests in the meantime (and that's only 3-4 cases), they had some form of lesions within days of infection but did not obtain a swab for various reasons and then obtained a positive swab of a subsequent lesion with the record being 11 months later. A couple of the cases did have some 'background' symptoms they thought might be related to herpes but that isn't ascertained and some did not have any unusual symptoms at all apart from the lesions. Hence as you did not have lesions around your mouth or lips within days of the last sexual encounter as is exceptionally common for a primary oral HSV-1 infection, that pretty much rules out herpes orally as it is. The fact that you had no genital symptoms for a month also rules out genital herpes. I am not aware of anyone at all who has genuinely gone on to test positive by swab or blood in your specific circumstances. There are hundreds if not more than a thousand experiences on this website alone that are similar to yours that are truly negative for herpes I'm one of them!]  
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