Question: Hi, My concern is possible exposure to HSV1. Had protected sex, but unprotected oral sex (was the receiver) from a woman orally HSV1 positive. She had no sores or symptoms during this encounter. 2 weeks post expsure: itchy red/irriated lesion formed on penile shaft. Never blistered or ulcered, but itched and was persistent on/off for a month. Its now gone. 4 weeks post: Inflamed red perenium and anus. Single blister formed near anus, it was swabbed negative. From there anus and penis discharged occurred. Also discomfort/ burning in penis. 5 weeks post: Night sweats for 2 weeks straight, nerve twitches in legs. Burning perenium and skin on buttocks. Second swab was performed on perenium, result negative for herpes 1 & 2. BLOOD WORK: IGM negative for herpes at week 3 and 5 BLOOD WORK: IGG type specific @ 2 weeks, 6, 8, 13 weeks. Negative for herpes. Most recent test at level HSV1: 0.26 and HSV: 0.02. Negative is less than 0.90. Full panel STD test was done. Negative for all common STD's. Please review my current and remaining symptom. I have a "pimple" like lesion on my buttocks with another close to it...this followed the burning sensation. I fear herpes. What else could my symptoms be? - First photo of lesion - Second photo of lesion zoomed in -Third photo close up after I "squeezed" and irriated it. Small liquid came out. -Final photo. 2 very small sores on side of tongue. I am prone to cankers sores, is this herpes or just another canker sore i frequently get? Please advise. Are these herpes lesions? Can i trust bloodwork at 13 weeks?? I still having burning on buttocks as my last remaining symptom.

Dr. As I mentioned in ny query. I have taken the most up to date HSV blood tests which detect HSV anitbodies within weeks exposure. If you read my query, my tests were type specific and showed negative for BOTH types of herpes. I also took the tests within the herpes window period. Also, my single blister was swabbed negative via culture. I have had no such blisters since. Just pimples My photos are not blisters but rather pimple looking bumps. My dermatologist deemed these "folliculitis", but i wanted a second opinion. Your recommended test is not up to date on the most sophisticated available. Could you please refer my question to another doctor and have them review my photos. What about my sore on my tongue? I didnt see a response on that. All bloodwork and swabs have been negative. I did not swab the buttocks pimple because it showed today and my dermatologist in the past deemed this not herpetic. I will not take valtrex or your recommendations for medicine as it will skew my blood work that i will take moving forward. This has been proven. With all due respect, Please forward my query to someone a littler more up to date on hsv. A smear test is rarely used and not recommended on a hsv diagnosis..

Dr, from what i gather herpes lesions occur in lesions. This is a single small bump with another small one near it but nut clustered or on a large red base. Ill get this swabbed tomorrow in case. The lesion does not hurt and is not bothersome. From what i gather, arent herpes lesions painful or bothersome? Also, why would random one form on my buttocks and not on penis? Again, many herpes specialists recommend HSV type specific blood tests between 12-16 weeks of exposure for accurate result. I have tested negative for both types within this time frame. Also negative IGM for both types on week 3,6, and 7. Anything else to add. Ill get these swabbed tomorrow, but I just cant see how this could be a herpes outbreak considering all the negative bloodwork done. Please give me your last thoughts..