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Suggest Treatment For HSV-1

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Posted on Mon, 9 Feb 2015
Question: Hello Doctor, On 8/5/2014, I, regretfully, went to a massage parlor. She gave me a hand job, and then wiped me with a hot towel. Then, I sucked her nipple for around 30 sec or so, then I felt some secretion (salty, like what you feel from a sore), but the light was so dim i could not tell if that was from lesion or something else. However, I felt that the nipple has some bumpy things when I was sucking (might be the nature of the nipple, but I am not sure).

I did an STD check 20 days later. Everything was negative, except HSV-1, which popped up positive (Igg value > 5.0)
Then, I did three additional STD's, 6 weeks, 9 weeks, and 16 weeks post encounter. All negative but HSV-1.

I used to get some slight cold sores before. Hard to remember, but they were not at all on any of my major concerns.

Then, after this encounter by 3-4 weeks, I got what I believe to be a very tiny sore in my nose (it might have been another thing too, can't tell).

However, after 8-9 weeks, I got a major outbreak on my lower cheek. Then, 4 weeks later, I got another major outbreak, on upper lip. Finally, 5 days ago, (i.e. after 5 weeks from the old outbreak) I got another major outbreak on the lower lip, and a smaller on in the middle of the lower lip).

I have two questions:

1. Did I contracted HSV-1 due to this encounter or i used to have it before?
Unfortunately, the first STD I did was the one 20 days after the encounter. I asked a couple of doctors. Two said it is hard to tell. The other tow said it is unlikely since 20 days would be too soon for the blood test to show it. What do you think? I am really stressed out about it to hell.

2. I also read about HPV. I am married and have a child. I do not want to spread any thing to my wife. I noticed some very small bumps on my penis (head) some little bumps on the shaft. I went to a dermatologist, she said it is hard to tell, since they are too tiny, if they are HPV or not. She said if they grow come back.
However, she told me that the nature of the encounter is high risk for HPV :( . Given the fact that the massage parlor works with many men, as she said. Also, I am afraid of the towels. In addition, in the second hand job she gave me, she used less oil and I felt strong friction with her hand for a while, then she used additional oil. Does that increase the risk?

Am I at risk of HPV? Is it serious? How can I deal with my wife then?
We are planning a child soon, is there any complication with this?
I also heard that the virus can stay for long in the body with no symptoms. So, if my wife did a PAP smear test and is negative, that means I did not contract HPV (given that 5 months passed this encounter, and I am having unprotected sex with her) ?

Please help me. I am so desperate and very very stressed mentally. Thank you so much.
doctor
Answered by Dr. Dr.Albana Sejdini (2 hours later)
Brief Answer:
HSV1 not the same as HPV...not to get fear...

Detailed Answer:
Hi,

I am sorry to hear that although a married man with a wonderful woman who has already given a baby and intends to give a second child, is having affair with a woman who is not loyal to anyone except to the MONEY. It'a pity and not worth the money (you enjoyed paying to have a sexual experience that normally you can have with your wife FOR FREE).

1. HSV-1 is the most common viral infection residing in the mouth and lips. It can also cause genital sores, but in rare cases.

It is true that skin to skin contact or oral or skin-to-oral contact are possible modes of transmission.

You can be infected from the 2nd day of exposure to the 12th day.

2. You are reporting to go through cold symptoms at the time where the blood test was carried out. So, that could be explaining the positive result.

At the same time, we cannot say for sure if the parlor was infected or not when you had massage, which can also remain another cause.

3. There are 2 types of herpes simplex virus (HSV) : 1 and 2

What is considered a sexually transmitted disease is HSV 2 (also called genital herpes), for which you resulted negative.

3. Next, HSV1 is not same as Human papilloma virus (HPV), which is a different virus, of different DNA. So, HSV1 won't cause warts as HPV.

4. The life cycle of HSV1 goes through 3 main stage:
I - Primary infection: causing mouth and lips sores
II - Latency: virus residing in vertebral nerve root being inactive
III - Recurrence: re-activation of the virus will be possible under some triggering factors (where stress and low immunity play the most important role).

As you may see, there is a long life cycle period with alternating activation and inactivation periods.

5. With regards to risks that your wife does carry out. As long as you tested negative for STDs, then, you cannot do anything for HSV1. It can be transmitted to either your wife or your child. It depends on their immunity strength for the symptoms to occur. Perhaps they won't go through mouth sores or ulcers as you.

Furthermore, HSV1 can be transmitted from the skin contact with other people too especially if your child is attending day care centers.

6. If you are planning to have another baby, I advise to get your cold symptoms improved first. Then, think over planning a baby. Taking folic acid is also advised to increase chances for getting pregnant and having a healthy baby with no abnormalities.

All the best!
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (1 hour later)
Hi Doctor, thank you for your reply.
As per your first comment, I agree. It is a shame, but my wife was away from me for around a month that time, when I did this stupid thing :(

With regard to the question, I guess you misunderstood my question a bit.
Mainly I have two points:

1. How probable is it, given the information I gave around the day of collection the sampl (20th post exposure) and the previous mild sores that I remember getting once in a while, that this HSV-1 result indicate recent contraction of the virus, or previously I was infected. (I know this might not matter now, but it matters a lot for me. It can increase/reduce my strong feel of guilt, and also make me become more careful not to let it spread to my wife or child)

2. What is the risk of contracting HPV from this incident - handjob, towel, and breast sucking -- (given that i am not vaccinated)?
Since there is no test for HPV in men, if my wife got a normal PAP smear after say 5 months of exposure, can I assume I have not contract it? If not, how long should we wait before doing PAP smear test?

Thank you.
doctor
Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
Up to 8 months after exposure for symptoms appearance

Detailed Answer:
Hi back,

I am sorry for my previous conversation. Please understand my good intentions of keeping a family healthy together.

1. The incubation period of HSV1 varies from 2 to 12 days. So the 2 wèeks perìod was enough to detect HSV1.

As there are many subtypes of HSV1, the next step is to run DNA studies to determine the subtypes residing inside your body and the body of the parlor (which is difficult to get ).

2. HPV is responsible for genital warts. It wiĺl take 2 weeks to up to 8 months for the warts to appear if contracted.

Usually, warts will appear within the first 2 -3 months. You should wait for another couple of months to see if warts will appear in your genitalia.

With regards to pap smear testing, can repeat after 3 months, i.e. a total of 8 months after exposure.

Good luck!
Dr.Albana
If no more queries, please do not forget to close this discussion.

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7300 Questions

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Suggest Treatment For HSV-1

Brief Answer: HSV1 not the same as HPV...not to get fear... Detailed Answer: Hi, I am sorry to hear that although a married man with a wonderful woman who has already given a baby and intends to give a second child, is having affair with a woman who is not loyal to anyone except to the MONEY. It'a pity and not worth the money (you enjoyed paying to have a sexual experience that normally you can have with your wife FOR FREE). 1. HSV-1 is the most common viral infection residing in the mouth and lips. It can also cause genital sores, but in rare cases. It is true that skin to skin contact or oral or skin-to-oral contact are possible modes of transmission. You can be infected from the 2nd day of exposure to the 12th day. 2. You are reporting to go through cold symptoms at the time where the blood test was carried out. So, that could be explaining the positive result. At the same time, we cannot say for sure if the parlor was infected or not when you had massage, which can also remain another cause. 3. There are 2 types of herpes simplex virus (HSV) : 1 and 2 What is considered a sexually transmitted disease is HSV 2 (also called genital herpes), for which you resulted negative. 3. Next, HSV1 is not same as Human papilloma virus (HPV), which is a different virus, of different DNA. So, HSV1 won't cause warts as HPV. 4. The life cycle of HSV1 goes through 3 main stage: I - Primary infection: causing mouth and lips sores II - Latency: virus residing in vertebral nerve root being inactive III - Recurrence: re-activation of the virus will be possible under some triggering factors (where stress and low immunity play the most important role). As you may see, there is a long life cycle period with alternating activation and inactivation periods. 5. With regards to risks that your wife does carry out. As long as you tested negative for STDs, then, you cannot do anything for HSV1. It can be transmitted to either your wife or your child. It depends on their immunity strength for the symptoms to occur. Perhaps they won't go through mouth sores or ulcers as you. Furthermore, HSV1 can be transmitted from the skin contact with other people too especially if your child is attending day care centers. 6. If you are planning to have another baby, I advise to get your cold symptoms improved first. Then, think over planning a baby. Taking folic acid is also advised to increase chances for getting pregnant and having a healthy baby with no abnormalities. All the best! Dr.Albana