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Blue12

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Blue12

Two months ago I went in to my OGBYN due to some abnormal symptoms in my genital area (huge painful blisters etc.). He visually diagnosed me with herpes and performed a swab and a type specific blood test, both of which came back negative for HSV 1 and 2 (he said the swab test would most likely be negative because the sores were mostly healed). I got another blood test 8 weeks after my latest initial exposure which showed up negative for both (<.91 so not even in the middle range). I'm mainly trying to figure out where I got it from/what it is. I had unprotected sex 20 days before my outbreak, but oral sex with a different guy 3 days before. I told both of them about it, and the first guy claimed to have pain peeing a while ago, but thought it was too mild to be anything. 

Is it possibly for HSV 2 symptoms to show up 20 days later? (Assuming I got hsv2 from the first guy)

Is pain peeing a common symptom for men? Is it possible to have pain peeing without a noticeable ulcer?

If I have GHSV1, how likely is that to transmit to others?

When should I get tested again? And is it possible for blood tests to never show up positive in some people?

 

Sorry I have a billion questions 

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RayLynne

It is normal to not get symptoms right away. Some people go their whole life not knowing they have herpes. You can have your first ob at anytime.

As far as burning while you pee, it only burns if your pee gets into an open sore from my understanding.

HSV1 is fairly hard to get genitally but it is still possible. It most often affects the mouth. If you've ever had a cold core, you have HSV1. If you've kissed someone with a cold sore, you have it. "An estimated 3.7 billion people under age 50 (67%) have HSV1 infection globally." I have read some other statistics that say that percentage is higher.

It is possible to get false negatives. It never hurts to get tested again. As far as when, you should ask you primary care doctor.

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WilsoInAus
8 hours ago, Blue12 said:

Two months ago I went in to my OGBYN due to some abnormal symptoms in my genital area (huge painful blisters etc.). He visually diagnosed me with herpes and performed a swab and a type specific blood test, both of which came back negative for HSV 1 and 2 (he said the swab test would most likely be negative because the sores were mostly healed). I got another blood test 8 weeks after my latest initial exposure which showed up negative for both (<.91 so not even in the middle range). I'm mainly trying to figure out where I got it from/what it is. I had unprotected sex 20 days before my outbreak, but oral sex with a different guy 3 days before. I told both of them about it, and the first guy claimed to have pain peeing a while ago, but thought it was too mild to be anything. 

Is it possibly for HSV 2 symptoms to show up 20 days later? (Assuming I got hsv2 from the first guy)

Is pain peeing a common symptom for men? Is it possible to have pain peeing without a noticeable ulcer?

If I have GHSV1, how likely is that to transmit to others?

When should I get tested again? And is it possible for blood tests to never show up positive in some people?

 

Sorry I have a billion questions 

Herpes is not always easy to diagnose as a number of conditions cause similar looking blister like lesions. In the end there isn't really any such thing as a 'visual diagnosis' it would be better to term it something like a 'strong suspicion'. So let's make sure we take that into your thinking, there is a suspicion you have herpes and the truth is not yet known.

If this does ultimately prove to be herpes, then the overwhelmingly chance it that the oral sex three days before the outbreak is the source. This would also mean that the chances are massively in favour of a HSV-1 infection - something the majority of guys carry orally.

Your 8 week test carries a reasonable bit of credibility. 90% would test positive by this time. This is hence pointing to an outcome that this was not herpes. However I would agree the combination of exposure and the timing and nature of symptoms should make you curious for more certainty either way.

What can you do? The best thing you can do is immediately present yourself if a further lesion appears for a swab. This is critical, especially as HSV-1 appears such a high likelihood. This will bring you the most certainty. Blood testing for HSV-1 will always leave that little chance that the location may not be where you think.

The next best thing to do is obtain a both an IgG and if negative, a Westernblot at 16 weeks after the outbreak appeared. Why? The IgG does miss infections. However if the IgG is positive at 16 weeks then you should conclude that you have genital herpes of the type indicated. If negative then you have the Westernblot that captures over 99% of HSV infections. If the WB is positive then you would conclude a genital infection.

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Mina85

Most people who have HSV don't know it, so I think it's fair to say you can go a good long time without your first symptoms.  I recommend getting tested at 3 and 6 months because that's the likely window for antibodies to show up on a blood test.  If you get another outbreak, get it swabbed ASAP and then go on antivirals to prevent them after, if you want.

I've met more and more people over the years with genital HSV1 and I have had it for 7 years and just got HSV2 genitally as well.  So I wouldn't make any bets on which type it is until you have more than statistics to give that indication.

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