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i can't tell what I have


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Hi everyone,

It has been nearly 10 weeks since I had sex with someone new. It was a one time encounter, with a condom and he said he was STD-free. I received unprotected oral and performed oral while he was wearing a condom. 
I have been having worrisome symptoms since a few days after. It began with a sore throat and itchiness down below. I went to the doctor that week and she brought up HIV and how that can cause a persistent sore throat. She thought what I may have in my mouth are aphthous ulcers (which I have never really gotten). My gums began to be sore with tiny white bumps that do not go away. 
I ran home and did an oraquick HIV test which was negative. Then, at 4 weeks and 6 days, the doctor examined me and did a quick culture for yeast and bv so I took metronidazole twice a day for a week. I also did two doses of diflucan. Once at the beginning of the antibiotics and once after. 
Test for syphilis, gonorrhea and chlamydia and HIV were negative. 
I noticed bumps on my vulva. Not ulcerated, but they occasionally sting and itch. No discomfort while peeing. I do not think they have gone away the whole time. 
I have had HSV 1 since childhood.
At 6 weeks and 6 days I got IGG test for HSV 1 and 2. I have had HSV 1 on my mouth since childhood so my results were 
HSV 1 >8.0
HSV 2 <.20
And now I am experiencing pretty constant discomfort and my lower back is aching. And the bumps have not changed or gone away now at 10 weeks. And I still have sore throat with my mouth burning and I sometimes feel the same kind of inflammation in my vaginal area. 
I am frustrated at the constant pain and discomfort and scared of the possibility of herpes. 
I went to an ENT last week and they looked at my throat and only saw inflammation where my throat has been hurting but no signs of lesions. But it was on a day when it was not hurting has bad. 
Does it sound like it is likely that is what I have? Or I wonder if it could be warts? Or a bacterial infection? 
I am having a hard time waiting for 12 or 16 weeks so I can retest. Oh! I retested for HIV with oraquick this last week and it was still negative. 
I read that people with existing HSV 1 are slower to seroconvert. Is there an estimate to how much slower? And, is <.20 considered high and I am likely to test positive next time?
also, how often to people test negative at 7 weeks and go on to test positive?
Sorry for the long post and the panic questions. 
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What did the doctor say about the bumps? If the bumps are still there, couldn't he/she swab them? Did you try taking any HSV meds, like valtrex/valacyclovir?

It really doesn't sound like herpes to me, especially the throat stuff. I'd be more worried about the vaginal discomfort/bumps, but I don't understand why the dr wouldn't swab them. Also, 10 weeks is a crazy long time for a herpes outbreak to not go away. ~10 DAYS would be more normal.

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Thank you for your reply!

i have been surprised that she has not swabbed either my throat or the bumps. She did do a culture for the yeast and bv. she has just sent me for bloodwork. I think she assumes it is all stress-related. But I have had more stressful moments this year and have not felt like this. It only started after sex. If anything my immune-system may not have been the strongest at that time because I was not getting a lot of sleep or eating very well because of being stressed, so maybe it left me more vulnerable to something. And then my immune system is sometimes out of whack and goes into overdrive and causes me inflammation. So, I really have no idea what is going on, and it is making me feel worse! 


Next time I go to the dr I will be more insistent to get a swab. I should have asked the ENT to swab the inflamed area of my throat. She just poked it and asked if that was where I was experiencing pain and said it was inflamed and a little swollen. 


It is reassuring that it does not sound like herpes. But I am still so scared about it. I want to test again, but I have to wait - and the waiting and wondering is terrible, but I have also been terrified to look at the results every time. I sound like an absolute emotional wreck... And I guess I am. 

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    • WilsoInAus
      I really suggest that the best thing is for both you and your boyfriend to obtain the Westernblot HSV test. He has a 50%+ chance of being positive and you have a 50%+ chance of being negative. Only the Westernblot can sort this out for you.
    • WilsoInAus
      Hi @kpn the first thing to note is that it is all OK to have HSV-1 or indeed any HSV type. It is not negligence, it is just being human. Oral HSV-1 is not an STD in the sense that the primary transmission is non sexual and the majority of it occurs between parents to children. If any of your children contracted HSV, you would know it. It wouldn't be a silent infection for children. HSV-2 tends not to shed from the oral region for people who have it there in any event. At age 73, about 80% of the population has HSV-1. There is no reason to believe that your mother isn't one of those people. About half of all carriers of oral HSV-1 do not realise they have it and have no living memory of cold sores as they were infected when very young. The most logical explanation is that your mother has oral HSV-1 from her childhood and that your daughter doesn't have oral HSV. Not that it is relevant to anyone but yourself, but your wife might find she actually has genital HSV-1 having had an untyped swab when she was diagnosed.
    • WilsoInAus
      Hi @Dylan86 and welcome to the website. First note that you cannot pragmatically become infected with HSV-1 from sharing a drink. If you carry HSV-1, it did not come from that episode. As such it is extremely unlikely HSV-1 is the primary cause of your issues. Can the WB miss a HSV-1 infection? Rarely but its feasible in less than 1% of carriers who test with WB. Note that the WB does not have values, it has positive or negative as you say. It is way more accurate than IgG as it looks for all 30+ antibodies that are in your blood for HSV. Could you have HSV-1? Yes it is feasible, but it would be a very old childhood infection. Could HSV-1 be causing your oral issues? No herpes will not cause the burning mouth syndrome you describe. Could some of the lesions be herpes related? It is feasible if you are a carrier. But it is unlikely to be the primary cause of the issues, but its an opportunistic virus that can cause issues when something else is taxing your immune system. The best thing you can do is the PCR test on a oral lesion and that will be pretty definitive. Either way, in summary. I'd suggest there is <1% chance you are part of about 70% of the population that has HSV-1. Further there is less than a 1% chance that herpes is the primary cause of your issues.   
    • kpn
      My wife has had hsv 2 for around 8 years. We have two young children 3 years old and 18 months old. My wife only had one outbreak when she was first infected so we didn't worry too much about passing it on to our children. I understand the risk to be pretty low under those circumstances. I don't believe my wife took antivirals during either pregnancy. My younger child has diaper rashes pretty often and has had what I thought was hand foot and mouth disease. That was going around the daycare a while back. I haven't really given it much concern though.  About a week ago, my mother kissed my youngest on the lips. My kid was congested at the time but they pretty much always are. About 3 days later, my mother developed a cold sore on her mouth. She has never had cold sores in her life and she is 73 and happily married so she is not going around messing with anyone. She pointed to the fact she had kissed my youngest and presumed that is where she was infected. At first I said that's not possible since my child has never had any cold sores but since then I have really started to consider that maybe it is possible she contracted it from my daughter. This has me worried that my daughter does indeed have hsv2 and was shedding in her mouth. Does anyone have any experience with this? I am really losing sleep about this. Two people I care so much about got hsv from my negligence. I am fine if I were to contract it, I am not worried about what others think at this point in my life. I just don't want anyone else to have it. 
    • CHT
      Hello DavidGua.... based on the two pictures, I'm not seeing anything that resembles a typical herpes outbreak.  I am not sure what those spots are on your penis.  Please have a doctor take a look and I'm sure you'll get a proper diagnosis.  Have you ever received an HSV antibody test (IgG)?  Again, I doubt your symptoms are herpes-related but, if you'd like some peace of mind, you could request the IgG antibody test for HSV2.   Best of luck.... let us know if you have any other questions/concerns.
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