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Possible HSV-2 Contraction


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Hello, everyone. I'm a gay male, new to this forum, and I need your help with identifying a possible HSV infection. I was recently sexually assaulted as of 07/16/2019. I recall the guy did not use a condom when he penetrated me. I had him tested for HIV, Gonorrhea, and syphilis, but not herpes. He returned negative results in the STD test for the following. I am now inquiring about him potentially being a herpes carrier. 

About 10 days afterwards, I noticed a pain when wiping my anus after a bowel movement. I took a picture of the area to further examine what was going on and it appears I have a fissure and some red scaly parts, like from a burn of some sort. I am prone to anal fissures from the frequency of my bowel movements and sometimes these fissures hurt when wiping for the most a week. 

This fissure, located at the top of the highlighted area, has been active for a little over a week, approximately 3 weeks since being sexually assaulted now. It's far from the anus, which is why it is concerning me. It doesn't really align with any visual symptoms of HSV; however, what's bothering me is how long this fissure is taking to heal in addition to the red scales nearing the bottom of the highlighted area. The fissure appeared suddenly and was not preceded by clusters of sores or ulcers. 

Please let me know your thoughts on how this looks and if it aligns with any anal HSV symptoms. I have no signs of illness, just the affected area stings when touched or comes in contact with water. I have sensitive skin that is prone to eczema in joint regions as well as folliculitis in the anal region. I'm wondering if it's a nick from shaving, but if it was, then the wound should have healed and scabbed over by the second day. 


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Hey @Tybalto I’m sorry for your ordeal. 

I am not seeing herpes lesions (there was a fairly classic case with pics about a week ago on here) but with an open sore you can seek a swab for assistance in diagnosing. 

The step after would be a blood test 12 weeks after possible infection.

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One of those fissures is a little bit far from your anus, I would be slightly suspicious for now. 

Please get it swabbed while it is still in a wound like state, I am crossing my fingers for you and hoping its nothing.

Good luck.

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1 week update: @WilsoInAus

The fissures had closed up the day after I posted on this forum. I decided to get tested for HSV 1+2, igG yesterday. This was in part due to new symptoms I am experiencing. I'm unsure if these are symptoms related to herpes, but I've developed an infection of the epididymis and I think orchitis as well. I feel a tingling in my prostate, but I am unsure of how this is related to a herpes infection. My legs are sore and aching with joint pains as well as groin pains of the lymph nodes. I surmise the lymph node swelling is related to whatever infection is going on down there. This marks the approximate 4 weeks after potential contraction. I am still awaiting the test results. I have no visible signs of typical HSV-2 lesions, just an anal fissure that heals within a day. 


I'm planning on visiting Planned Parenthood on Monday. I would like to hear your thoughts on what could potentially be going on in the meantime! I've prepared for the worst already, but I am open to differing opinions!

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    • CHT
      Hi "Jeremy"..... I agree, the topic of your HSV status does not need to be something you disclose too soon in a developing relationship..... get to know each other first....see how it's going and as it progresses, then the HSV issue will naturally need to be revealed.... it's my personal opinion though that before there is any sexual encounter you ought to disclose your HSV status.... I know some will disagree with me on this but, I think it is morally wrong not to disclose first.  This can be a make/break situation for most people but, again, I feel it is simply wrong not to give the other person the whole story since your decision not to disclose could put their health at risk.... that is simply not an option in my opinion.  Looking back to my "pre-HSV" life I most certainly would want my partner to disclose their HSV+ status before intimacy so that I could make my decision as to whether I want to take that risk or not.... 
    • Jeremy Spokein
      Thanks, CHT. I appreciate the feedback. The whole trauma of going through this has led me to figure out a lot about myself and my attachment wounds, so I'm taking courses to come out of this better. This girl really was my dream woman in so many ways, it's been the hardest heartbreak to deal with ever. I'm truly in a lot of pain, but using the pain as fuel to launch that new business and work with coaches. I also opened up to my family about HSV, so my parents and sister know now, and they were very loving and accepting of it. Since opening up about it, I feel way better around this thing. After opening up, I also found out that some mutual friends in our family have discordant couples who are married with children, so HSV hasn't stopped them from living a loving life. The thing is... all of these couples I mention did not disclose until 6-8 months into the relationship. So now I'm thinking it might be better not to disclose until I know things are very serious. I'll of course stay on the medication and use protection, but maybe this is a better route than disclosing upfront and scaring women off.
    • WilsoInAus
      Hey @Lcj987 and welcome to the website. You can be sure that isn't HSV-2, looks nothing like it. It is much more likely to be folliculitis or inflamed fordyce spots.
    • WilsoInAus
      Hey @JackThrowAway herpes causes an outbreak where it enters the body first and maybe a progressive spread. If it doesn't cause an outbreak at the entry site then it won't cause one elsewhere, it also won't 'jump' upon infection - it would be more likely that the lesions are continuous from the penis to the anus. Nevertheless, testing trumps symptoms or any interpretation of symptoms. The correct conclusive result arises when: you have a positive swab; or An IgG HSV-2 level over 3.5 (Herpeselect test).
    • Lcj987
      Slept with someone unprotected, roughly 2 weeks ago now. I felt generally unwell the couple of days after but I’d been drinking the whole weekend and didn’t have much sleep either of the days of that weekend so put it down to that. 6 days after I noticed these spots appear on the shaft of my penis. Along with symptoms of discomfort in my shaft in the couple of days prior to them appearing. No pain when urinating at all that I have noticed. They don’t hurt, itch or tingle and they don’t have fluid in from what I can see or feel if I squeeze them and have never burst? I went to a sexual health clinic to get checked up, they took bloods to do a full test and looked at the spots but said they saw nothing that concerned them but I’m not sure about that, any advice? The smaller spots under the shaft are just follicles I had diagnosed years ago and non-sti related.
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