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Hi. I am Dr Abid.Welcome to Just Answer and thank you for the question.I'm reviewing your question now and will post back with your reply.
Sometime HSV remains asymptomatic and even don't appear whole life , but they remain in body , body secretions and can be transmitted to other healthy persons through oro-genital sex .
As she works for money and she had many encounters with so many peoples , it is highly likely that she is a source of transmission to healthy individuals as in your case .
Even when there are no lesions , secretions can transmit Virus .
You should work up for Herpes and get treatment please .
Regards ***** ***** luck .
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Hello. This is Dr. Love, a different expert.
There are several comments that are pertinent in this situation.
Yes, it is possible that HSV1 can cause an infection of the urethra, but it is very uncommon and there are many other germs that are more common to cause NGU.
Bumps that arise on the butt and resolve within a day is very atypical for an HSV1 infection.
However, even in the worst case scenario that you are one of the very uncommon men that develop a genital HSV1 infection, it is definitely not something that should be considered to crush your dreams. HSV1 does not like growing on the genitals, so when a genital HSV1 infection happens, it is much milder than a genital HSV2 infection. The vast majority of people with genital HSV1 infections get only one or two episodes and not the multiple recurrent episodes that is seen with genital HSV2 infections (or oral HSV1 infections). There is no problem with you and your girlfriend trying to get pregnant once the two of you are ready to do so.
If there are any additional questions, please let me know.
If you have never had a blood test for HSV1, the first step would actually be to have a blood test now. Between one-third and one-half of people in the US have antibodies for HSV1 by age 21. And about half of these people do not remember ever having had cold sores, most likely because they were infected before they can remember, although they may have also simply had a mild infection.
If you wait and only check a blood test in three months and it is positive, it would be impossible to know whether you are one of these people that are already positive or if the test became positive because of this encounter. By checking a blood test now, you will know if you were infected when younger. And if the current test is negative and the repeat test is positive in three months, then that would indicate that the infection happened currently.
I would also note that you should get tested for HSV1 and HSV2. Just as you can get genital HSV1, it is also possible that she had contracted oral HSV2. Whenever we do testing for HSV, we typically test for both types.
So, get a current test for baseline, and then if it is negative, repeat the test in 3 months.
I do not think that the herpes caused the bumps. I think it very unlikely that the NGU is from herpes.
Primarily for the reasons that I noted above - it is very uncommon for HSV1 to cause an infection of the urethra and there are other germs that are more common as a cause for NGU.
While I can say that it is very uncommon, I cannot say that it never occurs, but the likelihood is certainly at a level that I can accurately say that it is very unlikely that the NGU is from herpes.
As I said above, bumps on the butt that resolve in a day is atypical for herpes.
The nerve symptoms are non-specific, in that they can occur in a variety of infections, including spreading of NGU to the deeper urethra or prostate.
I am sorry for the delay, but I had to step away from the computer.
We are seeing increasing numbers of cases of genital infections due to HSV1 transmitted via oral sex, but the typical infection involves visible sores on the external skin, not infections of the urethra.
This is one of the reasons that I say that it is unlikely that this is a genital infection from HSV1.
A genital infection from HSV1 would clearly not be causing jumping in your face as soon as you wake up.
Yes, it is a good sign. It usually is very painful, but the severity of pain can be variable, so does not change that it is very unlikely to be from HSV1.
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I agreed with what they said, other than noting that the pain level can be variable, but that does not change what I had already told you - that it is very unlikely to be from HSV1.
On the head or the shaft of the penis.
The most common period to onset of primary infection symptoms is 3-7 days, but a small percentage can be slightly less or more.
Yes, but as I said above, it is very uncommon.
Why is it scary that it is very uncommon?
No. If it is very uncommon, you most likely do not have it.
I have treated many men with genital herpes. It presents most often with sores on the head or shaft of the penis or on the skin around the base of the penis. It is spread by skin to skin contact, and the external skin is the primary skin that is contacted. And during oral sex, there is relatively less contact with the skin around the base of the penis. It can only get into the urethra if there is unusual pressure to expose the urethra. It is because there is not the same exposure of the urethra as the external skin that the urethra is involved far less often than the external skin.
It is most often 3-7 days after the encounter, although a small percentage may be slightly more or less.
It depends upon what you mean. If you mean what would I do if it were me having these symptoms, I would not be as anxious as you, so I would not do any testing for HSV1. However, if you mean what would I do if you were my patient and you are as anxious about this as you obviously are, then I would do the blood testing that I described above. If you insisted that I do a swab, then I would also do that, but the swab is most accurate on the first day of symptoms and becomes less accurate each day, so is less accurate at this point in time and a negative swab does not rule out HSV disease.
Because I know that it is very uncommon.
OK, but a dry skin patch on the thigh would not be a concern for HSV.
Let me know what the ER doctor says.
I understand that. I was only commenting that it is not a concern for HSV.
This is certainly not a reason to not want to live, but the ER doctor can also reassure you about that.
The usual sore of herpes may start as a bump or pimple, but it then typically progresses quickly to a blister, then an ulcer, which then crusts over and heals over a week to 10 days. it does not sound like this lesion that you just now remembered is following this sequence.
You didn't have it on your thigh. You had a patch of dry skin that you picked to cause bleeding and pain.
It is possible that this was a cold sore, although cold sores are far more common in the mouth or lips. On the other hand, there are many other conditions that can cause a red raw sore in the corner of the nose.
Even without any oral symptoms, though, you may have already been infected with HSV1. As I told you above, between one-third to one-half of people have developed antibodies by age 21, and about half of these people do not recall ever having had symptoms. That is why I said that blood testing should involve a blood test now, rather than simply waiting for a few months to perform a blood test.
There is nothing in this additional information that would change that it would be very uncommon for this to be genital herpes.
Yes, if the mouth touched that area, but it would not be a patch of dry skin. It would be a sore such as I described above.
There is no reason to have that fear.
Since it is very uncommon that this could be an HSV1 infection, it would be equally very uncommon that it could be passed to your girlfriend. And, of course, if she is one of the one-third to one-half that already has antibodies, then she is immune.
That is a decision that only you and your girlfriend can make. Most people do not refrain from sex when they have an encounter with a different sexual partner, even if a sex worker. But only you and your girlfriend can decide whether you want to do so in the setting of a very uncommon chance of infection.
The experts do not have access to the financial components of the system, but you can contact customer service and they can answer this and any other questions related to financial issues. The e-mail for customer service is***@******.***.
There is no medical reason to be scared.
Because it is very uncommon to get such an infection.
The type of infection that we have been discussing.
Very good. Then he agreed with what I had said.
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He must be referring to relative risk, not absolute risk. There are a multitude of references that document that shedding without symptoms occurs with both oral and genital herpes (also called aymptomatic shedding). However, it happens infrequently, so the relative risk is low, and that contributes to me saying that the likelihood of infection in this situation is very uncommon.
There is no reason to be scared. It does not look worrisome on the picture, but it is more significant that it started as a dry patch, which is not typical for herpes, and the doctor last night was able to perform a full exam and said that he was not concerned about the sore. A personal examination is always more accurate than review of a picture.
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