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FuriousNCurious

Need help/opinion - possible genital herpes? (Pictures included)

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FuriousNCurious
Posted (edited)

Hi all, firstly I wanna say that I’m glad to have found this forum. The support and exchange of information I’ve seen between members has been absolutely awesome to say the least.

I’m just looking for some insights/opinions so here’s my situation.

 

Preceding Information:

  • 34 year old male, generally in good health.
  • Had 3 episodes of alopecia areata (autoimmune) in the past 9 years.
  • HSV-1 IGG: 4.9 on March 2017, 24-weeks prior to this sexual encounter. Presumed oral HSV-1 since childhood, only recall one possible oral outbreak approx 8-10 years ago. Negative for HSV-2.
  • Contracted Chlamydia 2 years prior (October 2015), leading to prostatitis until the infection was cleared.
  • I live in Malaysia. Sex Ed is non-existent, and STD clinics/specialists/testing facilities are few.

 

Chronology of events after an encounter, expressed in weeks lapsed:

 

Sexual encounter (October 2017): An all nighter with an old friend who has had many sexual partners. Unprotected oral & protected intercourse. Condom did slip off a couple times.

 

Week-00:- Initial symptoms: Some urethral burning for a few days when idle and 2 red spots on right hip (they looked like bug bites) within 1 day of exposure.

 

Between Week-01 to Week-12 I was initially misdiagnosed with Chlamydia @week-02 through an IGG blood test (later attributed to my past infection), and subsequently diagnosed with non-gonococcal urethritis multiple times via multiple urethral smears, prompting 5-6 long courses of antibiotics, painkillers & nerve supplements.

Smear readings: Bacteria @ week-06, dead white blood cells / pus cells / inflammation @ week-09 & week-11. I had seen 3 different Skin-&-STD specialists and 1 Neuro-specialist.

Antibiotics taken: Ofloxacin, Ceftriaxone, Azithromycin, Doxycycline, Metronidazole.

Painkillers taken: Diclofenac Sodium, Dexamethasone, Naproxen Sodium, Prednisolone BP.

Nerve supplements: Neurobine/Neurobion (Vitamin B1, B6, B12), Methycobal.

 

Week-01:- New symptoms: Testicle pain (more like sudden jolts to the right testicle), abdominal “pulling-like & needle-like” pains, sharp aches around hip area, small goosebump-like spots on scrotum with mild itching & erythema.

 

Week-02:- Blood Test - HSV-1 IGG: 5.4, HSV-2 IGG: 0.2

(Hep B, Syphilis VDRL & TPHA, HIV I & II Ag/Ab - Negative).


Week-04:- New symptoms: Tingling, muscle twitches (mostly on calves, some on thighs & foot sole) & shooting pain down legs, which persisted 24/7 for 2 months before improving.

Also some upper body aches & stiffness, lower back ache and occasional needle-like aches in the hip and lower abdominal / intestinal area.

This was during my misdiagnosed Chlamydia initial treatment, the tail-end of my course of Doxycycline for 15 days.


Week-05:- Blood Test - HSV-1 IGG: 4.2, HSV-2 IGG: 0.2

(Hep B, Syphilis VDRL & TPHA, HIV I & II Ag/Ab - Negative).

Week-07:- Goosebump-like spots on scrotum & erythema diagnosed as dermatitis. Painkillers & dermatitis cream given. It helped a bit.

 

Week-08:- Blood Test - HSV-1 IGG: 3.4, HSV-2 IGG: 0.2

(Hep B, Syphilis VDRL & TPHA, HIV I & II Ag/Ab - Negative).

Week-11:- Urine PCR: Chlamydia trachomatis, Neisseria gonorrhoea, Mycoplasma genitalium/hominis, Trichomonas vaginalis, Ureaplasma urealyticum/parvum, Human papillomavirus Type 6 / Type 11, Herpes Simplex Virus Type 1 / Type 2 - All Not Detected.


Week-12:- Sudden improvement on tingling, muscle twitches & shooting pain down legs. They still persisted but less intense.

 

Blood Test - HSV-1 IGG: 10.0, HSV-2 IGG: 0.0

(Chlamydia & Gonorrhea PCR, Syphilis VDRL & TPPA, HIV 1 & 2 Ag/Ab - Negative).
 

Consulted a Neuro-specialist for the neuropathy in my legs. He said there were no signs of sciatica, and hence no scans required. Attributed the neuropathy to the antibiotics, and told me the recovery will take time but it’s important that I believe it will heal. Prescribed me nerve supplements Neurobion & Methycobal.
 

*** From here on is where I got worried ***

 

Week-12 to Week-13:- Flu-like symptoms - Significant fatigue, upper body aches & muscle stiffness for a week. On the last day experienced restlessness, nausea, a fever (37.8C) & severe body aches.

Visited an ER and was blood tested for dengue & full blood count:

  • Dengue not detected.
  • WBC count within range: 8.4 [Range: 4.0 - 11.0]
  • Differential showed high Neutrophils: 81% [Range: 40-75], low Lymphocytes: 9.9% [Range: 15 - 45].

Note: I took a general health screening at week-05 and it showed Neutrophils at 58% & Lymphocytes at 31%.


Week-14:- New symptoms: Sudden appearance of rashes on both inner thighs (pictures below). They weren’t itchy, but were accompanied by muscular-like pain in thighs which started a few weeks before and lasted until a few weeks after.

It was diagnosed as folliculitis, and herpes was dismissed immediately because of no blisters.

Antibiotics & cream given, rashes cleared in about a week.


Week-15:- New symptoms: Same rashes & a small wart found on lower right butt cheek (picture below). Noticed by chance because of a mild itch, it was otherwise not really itchy.

 

Week-16:- Was recommended another Dr who specializes in infectious diseases, STD’s & neurology. He was unfortunately on leave during weeks 14 & 15.

He reviewed chronology of symptoms, treatment and lab tests done. He visually inspected the rashes on my lower right butt cheek and the erythema on my scrotum. I showed him the pictures of my inner thigh rashes since it had cleared up by then.

His diagnosis was:

  • Chlamydia was a misdiagnosis because urine PCR tests were clear, and IGG was from past infection.
  • No actual STD was contracted, symptoms experienced were manifested from a mix of anxiety & treatment.
  • The rashes were a fungal infection I had picked up, which flared up due to steroids in the anti-inflammatories taken.
  • Dismissed herpes.

He prescribed the antihistamine Zyrtec & Daktacort (Miconazole 20mg/g, Hydrocortisone 10mg/g) 15g Cream for the rashes and scrotal erythema.

 

Week-18:- Upon follow-up, he further concluded it was a skin infection / allergic reaction. Rashes were clear. Erythema & mild inflammation on scrotum was still present, hence extended the course of Zyrtec & Daktacort.

 

Week-20:- Blood Test - HSV-1 IGG: 7.7, HSV-2 IGG: 0.0

(Chlamydia & Gonorrhea PCR, Syphilis VDRL & TPPA, HIV Ag/Ab, Hep B Surface antigen, Hep B Core IgM, Hep A IgM, Hep C antibody - Negative).

 

Week-21:- Bloating & some gut discomfort for weeks prompted me to visit a gastroenterologist. He ran an ultrasound and advised to continue probiotics to counter the past effects of antibiotics.

 

And so at present, Week-22:- The neuropathy pains persist in my legs - Mild twitches (mainly on calves, less on thighs and soles). The soles of my feet also tingle & “burn” when I’m sitting in the office. These symptoms ease up a bit when I’m in bed. I can’t tell if improvement has simply stopped or is extremely slow. I still get occasional needle-like pains in the hip and lower abdominal / intestinal area. Also, the erythema on my scrotum has only shown proper signs of improvement in recent weeks.

 

Considerations:

  1. My “friend” blocked me around week-2 after I contacted her to ask if she was feeling fine, explained that I hadn’t been feeling fine and told her I’d keep her updated. Hence I could not get her status.
  2. I was in an extremely traumatized, anxious & stressed out state for the first 2 months especially, fearing HIV for the most of it. It definitely had an impact on my body, but unsure of magnitude.
  3. Those never-ending rounds of antibiotics impacted my overall strength and energy levels significantly,  even messing up my posture for a while.
  4. I never noticed anything on the shaft & head of my penis the whole time. No blister-like rashes on the scrotum either, just erythema and goosebump-like spots all over for like 20 weeks.
  5. No noticeably swelled up lymph nodes either.
  6. No swab tests were done when the rashes appeared. The doctor’s dismissed herpes with no mention of a swab, I couldn’t find a facility that does it and I’m not sure my rashes were “swab-able”.

 

My concerns / questions are:

  1. Do the rashes in the pictures look a like a possible outbreak? It was on both my inner thighs and underside of my right butt cheek. They barely itched, but I did experience muscle-like aches on both inner thighs starting a few weeks before til a few weeks after the rashes.
  2. Can a herpes infection cause initial symptoms such as erythema and mild inflammation of the testicle sac, also sudden jolt-like aches to one testicle and urethritis?
  3. I'm not sure if my blood test at week-20 is conclusive to rule out HSV-2, any thoughts?
  4. If I already had antibodies for oral HSV-1 to begin with, would a genital HSV-1 reinfection still trigger flu-like symptoms as I had experienced at week-13? I understand the chances of reinfection are low, but still possible.
  5. Would the sudden noticeable spike of my HSV-1 IGG antibodies at week-12 suggest anything? It was usually around 4.0-5.0, but spiked to 10.0 at week-12, right before the flu-like symptoms at week-13. This was also when my Neutrophils went up to 81% and Lymphocytes down to 9.9%. Do these events indicate or hint at anything? The last measured HSV-1 IGG was 7.7 at week-20.
  6. I’m on the fence about the neuropathy being antibiotic related. It started when I was finishing my 1st course of antibiotics for the initial Chlamydia diagnosis, none of which were fluoroquinolones.

 

The pictures:

1st - left inner thigh with normal camera flash at week-14.

6IzXniMadbcj826iyKWcYxPHzFDORqn0_jSgfSFj

 

2nd - left inner thigh with an LED flashlight at week-14.

84NU9Sf97ctQR5dYAj_1xEIOhEM-qsTa3gjkjaHx

 

3rd - right inner thigh with normal camera flash at week-14.

bp4sCo96O9z4qLJQHi3hM8RpEE3JiKqk238HPqAM

 

4th - right inner thigh with LED flashlight at week-14.

ub1XlL6KUvVB2aRlnVMT20Y9wtCFxuZVoXI1Zwki

 

5th - rash & mini-wart on lower right butt cheek at week-15. (mini-wart on bottom left of picture)

E29GLgUYly1vSFROhAhPq0JJsE_E8bkjY8Qa2ppt

 

 

My apologies for the lengthy post, I just wanted to squeeze in all necessary info.

I understand this virus manifests itself differently between individuals, and that's why I'm here for some insights.

I’ve got a good tolerance for pain, but the leg twitches and "burns" are really unnerving, it feels like something doesn’t add up and I’m a little lost.

Frankly finding it pretty tough to keep my head up and function normally.

I have abstained from any sexual activity since.

My two biggest concerns are the possibility of infecting someone else and the neuropathy in my legs.

Any insights or advice or feedback would be massively appreciated!

Thank you so much in advance :)

 

 

Edited by FuriousNCurious
Reducing un-related information.

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Chris Taylor

It looks to me more bacterial. Did you get a PCR swab on your urethra on penis glands at all? Should pick up some shedding , especially if there's a possibility of ghsv1. Did you receive oral sex from this girl or any girl prior to your symptoms?

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FuriousNCurious
25 minutes ago, Chris Taylor said:

It looks to me more bacterial. Did you get a PCR swab on your urethra on penis glands at all? Should pick up some shedding , especially if there's a possibility of ghsv1. Did you receive oral sex from this girl or any girl prior to your symptoms?

Hi Chris, thanks for your response bro :)

I'm afraid I didn't get any PCR swabs to test for HSV, on any location in fact. Yes I received unprotected oral sex from her, which I believe lead to my urethritis.

My current suspicion is possible ghsv-1, due to the sequence of events and neuropathy aches & twitches in my legs. Also the sudden spike of my HSV-1 IGG antibodies from around 4.x to 10.0 at week-12 right before I experienced flu-like symptoms.

I need to find a facility here that can do it, not easy over here in Malaysia. Any advice on how to go about swabbing without outbreaks?

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Sharknado

@FuriousNCurious

I feel like I've met my twin. Quite some uncanny parallels with my case (check my posting history)

-Same age, pre-existing hsv1, had protected sex.

-Scrotal rash at week 2, been on 3 antibiotics, multiple abnormal blood counts post exposure. Mine however has been the other way round; low neutrophils. 

- Wart identified at week 3

- Recurring lumps on butt cheeks.

- High anxiety right from the beginning, initially fuelled by HIV fear just like you.

- Neuropathy symptoms so precise I could have written it myself. Pain and twitches in thighs, aches in calves and feet. Pins and needles in feet that gets painful and unbearable sometimes. Occasionally I get this in my upper body as well along with days of stuff neck feeling.

- Multiple visits to Doctors and specialists all ruling out hsv. My most recent was to a Neurologist who prescribed Lyrica, tramadol, reserve and ibuprofen for the neuropathy. Started this course a few days ago and I think it's helping.

- Hsv tests at 4, 7, 10, 12, 16 and 20. All negative. 

What's wrong with us mate? Could it anxiety be a culprit here like some sources are telling us?

Oh, and I've also been blocked by the other party lol

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Lonelyboy

I suggest you go to a psychologist, blood test three weeks after the last relation sex is enough 100% by the fourth generation of blood analysts  for hiv but for HSV do swab in the first 24 hours  when the outbreak show up

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Chris Taylor
11 hours ago, FuriousNCurious said:

Hi Chris, thanks for your response bro :)

I'm afraid I didn't get any PCR swabs to test for HSV, on any location in fact. Yes I received unprotected oral sex from her, which I believe lead to my urethritis.

My current suspicion is possible ghsv-1, due to the sequence of events and neuropathy aches & twitches in my legs. Also the sudden spike of my HSV-1 IGG antibodies from around 4.x to 10.0 at week-12 right before I experienced flu-like symptoms.

I need to find a facility here that can do it, not easy over here in Malaysia. Any advice on how to go about swabbing without outbreaks?

 

8 hours ago, Sharknado said:

@FuriousNCurious

I feel like I've met my twin. Quite some uncanny parallels with my case (check my posting history)

-Same age, pre-existing hsv1, had protected sex.

-Scrotal rash at week 2, been on 3 antibiotics, multiple abnormal blood counts post exposure. Mine however has been the other way round; low neutrophils. 

- Wart identified at week 3

- Recurring lumps on butt cheeks.

- High anxiety right from the beginning, initially fuelled by HIV fear just like you.

- Neuropathy symptoms so precise I could have written it myself. Pain and twitches in thighs, aches in calves and feet. Pins and needles in feet that gets painful and unbearable sometimes. Occasionally I get this in my upper body as well along with days of stuff neck feeling.

- Multiple visits to Doctors and specialists all ruling out hsv. My most recent was to a Neurologist who prescribed Lyrica, tramadol, reserve and ibuprofen for the neuropathy. Started this course a few days ago and I think it's helping.

- Hsv tests at 4, 7, 10, 12, 16 and 20. All negative. 

What's wrong with us mate? Could it anxiety be a culprit here like some sources are telling us?

Oh, and I've also been blocked by the other party lol

Same here , I had a lot a lot of different symptoms beginning 3 days after my encounter and mine was protected oral sex. Its been 9 months and still testing negative for both 1 and 2. The only main symptom I get is back upper thigh pain and discomfort when I sit. Name all the symptoms and I've had them , except blisters and lesions.

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FuriousNCurious
Posted (edited)

@Sharknado I was just reading through your posts again and damn the parallels are pretty damn crazy! Heck our exposure was around the same time too! (We didn't sleep with each other now did we? Lol.) I have experienced upper body spasms & twitches too but nowhere near as much as my legs. With regards to the WBC & differential, my understanding is that fluctuations do happen, even mildly out of range, which is why doctors don't fuss about it much. In our cases it was the sudden fluctuation that caused concern. I do plan on another blood test soon to see if anything has changed, I'll keep you updated.

I think the general rule of thumb is high Neutrophils point towards bacterial and high Lymphocytes point towards viral. But I've read that in the case of HSV infections, Neutrophils are usually the first to elevate, after which Lymphocytes increase and Neutrophils decrease. Not entirely sure how true all of this is.

I was reading through @Chris Taylor's posts as well and did find some crazy parallels.

It seems we're in an "innocent til proven guilty" situation, or at least that's what I keep trying to tell myself.

I have no doubts that the anxiety contributed towards the situation. The human mind is incredibly powerful. For example, all 3 episodes of my alopecia areata were triggered when I was severely stressed out on both the work & relationship departments. So I have no doubts anxiety & stress had a good part to play here. But I find it hard to believe that it would be the sole cause, as my last specialist and a number of others have suggested.

It's also important that we distinguish psychosomatic & drug side effects from the other symptoms. In my situation, I discounted upper abdominal aches due to my anxiety, rashes on my forehead and scalp, digestive issues, brain fog, and loss of strength to antibiotics, so forth.

I have a range of painkillers on standby but I refrain from taking them unless absolutely necessary because they too have side effects.

I've also been trying to attack this from both mental & physical angles:

Mental - watching comedies, keep cracking silly jokes, keep believing in a full recovery, etc.

Physical - vitamins & supplements, trying to get some exercise more often, positive dietary changes, etc.

 

I hope you guys are keeping yourselves in relatively good spirits too?

Edited by FuriousNCurious

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FuriousNCurious
Posted (edited)
8 hours ago, Lonelyboy said:

I suggest you go to a psychologist, blood test three weeks after the last relation sex is enough 100% by the fourth generation of blood analysts  for hiv but for HSV do swab in the first 24 hours  when the outbreak show up

Hi @Lonelyboy, that's a great idea actually. I do have a history of depression, but perhaps not too severe. I'm on anti-depressants but not the serotonin promoting type, mine promotes melatonin for quality sleep. I should probably visit my psychiatrist soon, haven't seen him since this whole thing started.

I'm in the clear for HIV thankfully.

Regarding HSV, I need to find out which facilities here I can get a swab done at, in the event of a breakout. Currently putting together some contingency plans.

Any thoughts on the sequence of events from Week-12 to Week-15, and the pictures?

Week-12 - HSV IGG spikes to 10.0, when usually recorded below 5.0

Week-13 - Flu-like symptoms. Like being hit by a diff bus for 6 days, and on day 7 all 6 buses came at me simultaneously along with a 37.8C fever.

Week-14 - Rashes on inner thighs as per the pictures.

Edited by FuriousNCurious

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Quest

make sure you guys don't get fixated in one area. There are many viruses and bacteria that can cause neuropathy and maybe even be dealing with multiple challenges. Narrow it down with swabs, but do it in a timely fashion. Pay attention to week 13. You may want to start over and be a great detective. Very good detail in your diary of symptoms. You may want to make sure it is limited to HSV1

This may help.

https://neuropathydr.com/one-more-symptom-of-std’s-–-peripheral-neuropathy/

 

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FuriousNCurious
42 minutes ago, Quest said:

make sure you guys don't get fixated in one area. There are many viruses and bacteria that can cause neuropathy and maybe even be dealing with multiple challenges. Narrow it down with swabs, but do it in a timely fashion. Pay attention to week 13. You may want to start over and be a great detective. Very good detail in your diary of symptoms. You may want to make sure it is limited to HSV1

This may help.

https://neuropathydr.com/one-more-symptom-of-std’s-–-peripheral-neuropathy/

 

@Quest Thank you for your response and the encouraging nudge :)

You're right, and I'm trying my best to keep my mind open to all possibilities.

Sorry to trouble you further, but I was wondering if you had any thoughts on the pictures of the rashes? (Not in terms of my photography skills of course.. or well, lack of.. haha)

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Sharknado
5 hours ago, FuriousNCurious said:

@Sharknado I was just reading through your posts again and damn the parallels are pretty damn crazy! Heck our exposure was around the same time too! (We didn't sleep with each other now did we? Lol.) I have experienced upper body spasms & twitches too but nowhere near as much as my legs. With regards to the WBC & differential, my understanding is that fluctuations do happen, even mildly out of range, which is why doctors don't fuss about it much. In our cases it was the sudden fluctuation that caused concern. I do plan on another blood test soon to see if anything has changed, I'll keep you updated.

I think the general rule of thumb is high Neutrophils point towards bacterial and high Lymphocytes point towards viral. But I've read that in the case of HSV infections, Neutrophils are usually the first to elevate, after which Lymphocytes increase and Neutrophils decrease. Not entirely sure how true all of this is.

I was reading through @Chris Taylor's posts as well and did find some crazy parallels.

It seems we're in an "innocent til proven guilty" situation, or at least that's what I keep trying to tell myself.

I have no doubts that the anxiety contributed towards the situation. The human mind is incredibly powerful. For example, all 3 episodes of my alopecia areata were triggered when I was severely stressed out on both the work & relationship departments. So I have no doubts anxiety & stress had a good part to play here. But I find it hard to believe that it would be the sole cause, as my last specialist and a number of others have suggested.

It's also important that we distinguish psychosomatic & drug side effects from the other symptoms. In my situation, I discounted upper abdominal aches due to my anxiety, rashes on my forehead and scalp, digestive issues, brain fog, and loss of strength to antibiotics, so forth.

I have a range of painkillers on standby but I refrain from taking them unless absolutely necessary because they too have side effects.

I've also been trying to attack this from both mental & physical angles:

Mental - watching comedies, keep cracking silly jokes, keep believing in a full recovery, etc.

Physical - vitamins & supplements, trying to get some exercise more often, positive dietary changes, etc.

 

I hope you guys are keeping yourselves in relatively good spirits too?

I've been doing same with the comedies mate. My Netflix recommendations list is now full of comedies. It's been near impossible to think about anything else these past few months. My work quality has declined, social life next to non existent and overall communication extremely poor.

Regarding your lesions, from my totally uninformed perspective (obviously), I think they do look fungal, especially the thigh rash. How long does it last and does it change in its presentation at all before it heals? If my memory serves me correctly I think I have experienced similar quite a long time ago in my teens and it was not sex related at all. It was cleared with surfaz SN cream.

With your visual symptoms, the only on I feel may be remotely ( and I use these gratuitously) bare some resemblance to a herpes feature is the dry buttock skin top-centre in the pic. It looks like a healing lesion but of course pimples, boils, lesions may all look the same at the healing stage.

How long does the thigh rash last?

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FuriousNCurious
3 hours ago, Sharknado said:

I've been doing same with the comedies mate. My Netflix recommendations list is now full of comedies. It's been near impossible to think about anything else these past few months. My work quality has declined, social life next to non existent and overall communication extremely poor.

Regarding your lesions, from my totally uninformed perspective (obviously), I think they do look fungal, especially the thigh rash. How long does it last and does it change in its presentation at all before it heals? If my memory serves me correctly I think I have experienced similar quite a long time ago in my teens and it was not sex related at all. It was cleared with surfaz SN cream.

With your visual symptoms, the only on I feel may be remotely ( and I use these gratuitously) bare some resemblance to a herpes feature is the dry buttock skin top-centre in the pic. It looks like a healing lesion but of course pimples, boils, lesions may all look the same at the healing stage.

How long does the thigh rash last?

Twin indeed! I can totally relate, it's been pretty much the same for me. Kinda lost the respect I had at work cos my quality and attitude has declined, and been staying indoors a lot. Only keep in touch with a few close friends. I'd bet you as well have seen/realized things you hadn't prior to this, it's quite the different perspective.

Are you keeping in touch with your besties, or possible siblings at least? I know occasional contact with the few people I'm close to has helped, and I'm hoping you're doing the same..? If you aren't, you gotta trust me on this, do your best to nudge yourself to spend a couple of hours with them here and there, even if once a week, it makes a world of a difference.

 

With regards to my lesions, I noticed the ones on my thighs by chance because they didn't really itch, so I can't when exactly they appeared. I think they cleared up in just over a week. I do remember a bit of skin peeling, revealing a pink-ish tone, and possibly a little crusting along the way. The ones on my thighs were treated with antibiotic cream from one doc, and below my butt with antifungal-steroid (Daktakort) cream by another doc, so those creams may well have sped things up. What's your take on healing times though?

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FuriousNCurious
Posted (edited)

I have a few more pictures.

These 2 pics are 2 days after the initial snaps in my original post (I think it's an "under-view" shot of my right inner thigh, but I can't be too sure):

j-Bm_0QegwXi6soYTwc6I03ySG6etzf5xvunSvUI

o8F4TjGB0Ab8cfkGPLC5jpyTJYT-x0RYNvujlJfS

 

And this pic is 4 days after the snaps in the original post (I think it's a top view shot of my left inner thigh but again I'm not sure):

_snSEQa1DPB-zAGY7dhBd5SCY2YXByhKy_QFgbKo

 

Edited by FuriousNCurious

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Scooby2112

I believe what your dr and your tests are telling you.  This is not related to HsV.  Catching HSV1 genitally is not likely after having HSV1 orally.  

Your igg value changing can happen from test to test or lab to lab.  A lot of variables in making and conducting these tests that variability above the positive level has not been shown to be indicative of anything.  It could also have been a period when your oral hav1 was more active causing a slightly higher response.  Or as I said it could just be test related variability.  

Your rashes are In an area unlikely (but not impossible for Hsv). However this area would be very unlikely from an oral sex transmission route   (The most likely route of HSV1 transmission)   

With HSV1 genitally I would not expect significant symptoms since it does not activate very frequently genitally.  So even if you did have it, the likelihood that the symptoms you are displaying would be unlikely to be herpes.  

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FuriousNCurious
10 hours ago, Scooby2112 said:

I believe what your dr and your tests are telling you.  This is not related to HsV.  Catching HSV1 genitally is not likely after having HSV1 orally.  

Your igg value changing can happen from test to test or lab to lab.  A lot of variables in making and conducting these tests that variability above the positive level has not been shown to be indicative of anything.  It could also have been a period when your oral hav1 was more active causing a slightly higher response.  Or as I said it could just be test related variability.  

Your rashes are In an area unlikely (but not impossible for Hsv). However this area would be very unlikely from an oral sex transmission route   (The most likely route of HSV1 transmission)   

With HSV1 genitally I would not expect significant symptoms since it does not activate very frequently genitally.  So even if you did have it, the likelihood that the symptoms you are displaying would be unlikely to be herpes.  

@Scooby2112 Thank you for your inputs :)

I was reading through your posts and noticed some similarities too. Like getting the full Chlamydia/Gonorrhea treatment at the start and then being given a bunch of other meds, perhaps not the same as yours, but I'm sure those meds played a few tricks on my body too.

I had chapped lips throughout my childhood too, used to even peel my lips. I reckon that may have made us vulnerable to the contraction and susceptible to spread of OHSV-1. Only recall one actual typical blister around 8-10 years ago during a stressful work period, there could have been more.

I think see what you're trying to say in your explanation, and you've given me another piece of the puzzle. I've been reading through this forum heavily and I've seen many posts mention that the first outbreak would happen at or very close  to the point at which the virus was contracted. So while my flu-like symptoms at week-13 are fairly common to a primary outbreak, the rashes themselves at week-14 aren't because they were spread out and weren't observed at the shaft/head of the penis itself (which would most likely be the point of infection)? I apologize if I'm mistaken anywhere, and do correct me if you feel I am.

On the topic of the HSV-1 IGG, the 4.9 reading 24-weeks before possible exposure and 10.0 at week-12 post possible exposure were with the same lab, including 7.7 at week-20. It got me a little suspicious because it seemed like a sudden spike while other readings before week-12 were 5.4 and less. Also the sequence of events that followed the spike. But I see what you mean, there could be a number variables at play here.

At this point, all I know is my body mounted a sizeable response towards something at week-13. Numerous possibilities.

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FuriousNCurious
Posted (edited)

Hi @WilsoInAus, I've read many of your posts and was wondering if I could trouble you for some insights on my situation with regards to my initial post?

Edited by FuriousNCurious

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Quest

The area that you have been shaving is irritated, understand that it can be from many things in fact there were 23 last time I counted and I knew I didn't have them all. First of all it looks dry and irritated and it's such a large area mostly confined to the inner part where you have shaved. Sometimes I can take these on a computer and enlarge them and I can actually see the hair follicle inside that is causing the trouble. I haven't looked at it on my computer I am looking at it on a phone. This area is also very vulnerable to fungus and since it will be very moist because you have shaved and no hair can distribute that sweat this may be likely. I would really check with a doctor and I am concerned that you had fever at week 13. You may want to start the process all over again just to make sure. I wanted to point out earlier that any skin irritation at the site can cause nerve pain. I really agree with him when he says that even if it is HSV-1 it will not likely have a stronghold at least not for long! That's the typical reaction. The reactions that we have in here are not typical. So I'm guessing you are one of the 80% hopefully that it doesn't bother at a later date. But keep your detective hat on! Also this can be as simple as psoriasis that is pustular. Remember that the longer you have this the less likely it will be herpes. Unless you or just having back-to-back breakouts.

I think the key is to trim your hair not shave it. That hair protects us for a reason!. I really agree with him when he says that even if it is HSV 1 it will not likely have a strong hold and least not for long! That's the typical reaction. 3 actions that we have in here are not typical.

I also think you should call on @WannaCry she is your expert on HSV 1 and remember that none of us are doctors so, see one silly goose. We are here to give you hope. We're here to give you hope. I want you to see how many penis problems are not harmful. http://health365.com.au/articles/mens-health/20-penis-problems

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FuriousNCurious
Posted (edited)

@Quest you're awesome! :)

You're absolutely right about the possibilities. I have been exploring many scenarios and shall continue doing so! In fact, your advice to zero in on week-13 reminded me - after the fever, in week 14 right before the rashes appeared, I did hit a sauna twice in a space of a few days at high temp for about 20-30 mins each time just to get a sweat going and "detox" a little (I was too fatigued from all the antibiotics to get any proper physical exercise done). Also considering the antibiotics would've killed the natural mantle on my skin. It does open up possibilities.

Your explanation on the shaving makes sense! I forgot to add though, after I noticed the rashes and snapped the initial pictures in my first post, it was a day or two later that I shaved, as seen in the follow up pics. But I use a trimmer directly, so it would have irritated the skin & rashes more as you mentioned. And absolutely, the scrotal area has felt dry recently. That's why I've discount scrotal itches, it's mostly at the office where it can get cold, I think the "shrinkage" + dry skin would definitely itch off & on.

I did consult a couple of specialists here, the first said it was folliculitis (I was like "yea but I'm pretty hairy though, not really a small target here"), the second said fungal. Both of them dismissed my concerns about the body aches and eventual fever, and both were pretty quick to dismiss herpes. Unfortunately I wasn't well read about PCR swabs at that point of time either.

Thank you so much for all of your insights, the informational links and support :) 

Edit: About the skin irritation & nerve pain, I have been scratching my head over it recently (pun not intended). Since we have nerves running right under our skin, an infection that penetrates the skin enough could well agitate them. Does sound very plausible.

Edited by FuriousNCurious

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FuriousNCurious

And oh yeah, I do think that if it weren't for the body aches and fever, I would have been fairly less alarmed.

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Quest

You may not ever find out what you fought in that thirteenth week, but looks like your body mounts a good defense. Get your immune system back in order asking for those perfect biotics. And understand that both of your doctors could be right. It makes sense to fight fungus after a round of antibiotics. If you can eat some fermented vegetables or something like kimchi that would be great they are cheaper than probiotics. You have 10 trillion probiotics in a teaspoon of kimchi and you can get it from Walmart for 6 something. Your gut is your immune system so take care of it. Think you are doing a great job putting on your detective hat and keep up the good work! Keep us updated because we learned from you guys

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FuriousNCurious

Absolutely, I'll keep going at it! :)

And no kidding, I had about 5 rounds of antibiotics (some rounds involved multiple classes at the same time). I think my gut needs more psychiatric help than I do at this point. Cool tip on the Kimchi, I had no idea they were that potent. I hail from Malaysia but ironically I do live in an area with a good number of Korean stores, so will definitely give it a shot.

I'll be sure to keep you updated, I've learnt SO MUCH from you guys and reading through this forum, I would be glad to add any form of beneficial info I can to this forum.

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Quest

 There are many great people in here all you really need to do is keep up with a few. 

You are a gem! You can make your own fermented vegetables there is a video somewhere on this form I posted it I don't know how many times and it's really neat It Is by dr. Bergman we will show you how to make fermented vegetables very easily

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FuriousNCurious

Thanks again for the tip, I'll do a search and look for it :)

And I see what you mean, I've been reading through many posts and noticed a number of members who have a pretty good understanding of this virus. I'll reach out to WannaCry as well and ask for her take on my situation.

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FuriousNCurious
Posted (edited)

(Note: This is Week-23)

Quick update, I kinda lost my cool when I saw this and rushed to the nearest STD Specialist.

Picture with flash:

8t7ulfpZiEtavd-OYrtGYiFYJAGIxy5Y41p6YKHz

 

Picture without flash, just light from the ceiling:

193Y449eyS5Nrk2D_e8l0YisgQ5DokXYyU0tIbaP

 

Went to pee, while sliding down my underwear there was some adhesion to my scrotum and then I noticed these spots, they were definitely fresh, I did not see them when I put them on a few hours back.

(Side note: I noticed this on another pair of white underwear maybe 10-15 weeks back, interestingly those black spots have not gone away despite multiple washes, I didn't read into it much though. Other pairs could've been affected too but most of them are black so I wouldn't see these spots anyway)

Characteristics: The spots appear to be a mix of black & maybe white/clear stains. Indicates some kind of scrotal discharge, to me at least. I am wearing black jeans, BUT only a couple of these spots are visible from the under-side of my underwear, meaning it didn't all seep into the underside, so not sure if this "liquid/discharge" interacted with the black jeans. I can't find any noticeable lesions on my scrotum though (unless they're too small or just blending in really well with the erythema?), there's no itch and no pain either. It itched a few times yesterday, but that was mostly during "shrinkage" in the office coz it gets cold, that happens. Nothing visible on the inner thigh area either.

The specialist saw me noticeably anxious, and ran through my history since possible exposure. She focused more on the Chlamydia/Gonorrhea/NSU diagnosis in the earlier days, said she saw nothing on my scrotum and was very dismissive of my concerns about herpes. She said it could've been urethral discharge due to anxiety or "excitable thoughts" (I mean seriously?? Besides, these spots are towards the left while my penis leans to the right yo!). She was very strongly against a PCR swab for HSV-1 & HSV-2. Very quick to dismiss neuropathy as related cos it's extremely rare, but I understand why. She offered Doxycycline for another 7 days, I told her I've had too much and we both agreed. Her final advice was: calm down, get more exercise and change my underwear more often (Yes Mom!).

I'm really baffled, my anxiety levels aren't fully in check in yet so possibilities aren't quite coming to me yet. The positive I have from today is I now know a clinic here that can do a HSV-1 & HSV-2 PCR swab (STD testing facilities here are few, needed a contingency plan anyway in case I see rashes again).

@WannaCry Your knowledge on HSV-1 is impressive! Can I trouble you for an opinion here? My initial post details my suspicion for a possible GHSV-1 (reinfection).

@Quest I feel like a fool for troubling you again, but if you have any ideas at all I would be so happy to hear them out.

Looking at the stain though, I'd imagine it would take a few blisters of at least noticeable size to make such a mark (pun intended).

Edited by FuriousNCurious
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  • The Hive is Thriving!

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