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Avatar universal

Anxiety unprotected vaginal sex

docs,

please advise, I had unprotected vaginal sex on 12/23/11. I felt comfortable with the woman, she even brought condoms. needless to say, i didnt use any. some additional info, i am a hetro male. I tested for hiv numerious times, but the key dates are Negative at 19 days with a DNA/PCR. in addition i tested nemerous times with the finger prick antiody test. the latest was at 8 weeks negative.

I have HSV1 on my lips since im a kid. I tested with the IGG blood test at 2,4,6 weeks Negative.(HSV1 positve, HSV2 negative) I am extremley paranoid and have had LOTS of anxiety. i have had tingling on the tip of my penis that lasted for about an hour in the first 20 days( this was during the extreme anxiety, due to the fact i was scared about HIV) I also had some pain in the scrotum skin which lasted about two hours. I have had darting pain and tingles on and off since then.

I have confided in my doctor after the first few weeks. He said not to worry about hiv, and he gave me some Lorazepam .5mg  to get over the anxiety. I must say if i take one the tingles seen to dissapate. I lost about 20 pounds during this episode, my gastro doctor told me that he was on the board who designed the IGG HSV2 blood test. He said the chances were infintecimal to get HSV2 from a one time vaginal exposure.

I am married and i have not had sex with my wife since this episode, I am worried since I have HSV1 it might mask the antibodies in the IGG test. All my doctors including the urologist have told me the pain is anxiety driven, and that i can have sex with my wife. Today is days 61 and next week she will want to have sex, this is before 90 days have elapsed. please advise me  if i can have relations with my wife.

one thing, the whole episode lasted no more than 15 min, she brought a vibrator and she inserted it in her but, I felt the vibrations and came pretty fast. fyi

Thanks


8 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
This does not change my opinion or advice.  You can have sex with your wife without fear of giving her herpes.

You may not keep returning indefinitely with every additional question that comes to mind.  Do not post anything else or the entire thread will be deleted.
Helpful - 0
Avatar universal
Dr.

I have more information. I had the girl tested yest, she came back positive for hsv 1 and 2. She says she was unaware. I just got my results day 73 Negative for hsv2. How does this change your opinion?  please let me know, I have still not had sex with my wife?

please advise.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Sigh.  You need to get beyond this obsession.

The 9 week HSV-2 result is about as reliable as the 8 week result, already discussed.  Considering not just the test but also the exposure and your symptoms, for all practical purposes you can be 100% confident you didn't catch genital herpes.

That's definitely all for this thread.  Any more anxiety driven comments will result in delettion of the entire thread.
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Avatar universal
Dr. please just one more answer.

I got past the 9 week Hsv2. tonight my wife wants to have sex. I am a bit of a mess. Please just tell me how reliable the 9 week test is? and if i can go ahead tonight.

much appreciated
Helpful - 0
Avatar universal
Thank you so much, and u r absolutely right. The guilt is killing me, I would never do his again. The reason I didn't use the condoms is I feel the person is responsible. But the minute I walked out my mind started knawing at me, and since people could be walking around with all types of issues without knowing worried me. Thank you again, I hope tomorrows test comes back ok, so I can start putting it behind me.

Bless u.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No.  If anything, if you caught HSV-2, having HSV-1 might result in earlier development of HSV-2 antibody, not later.

It seems clear you are very anxious and guilty about a sexual choice you regret, and you have transposed those emotions into concern about HIV and herpes.  Deal with the first issue as you need to -- but truly, you can be 100% certain you did not catch HIV, and almost as certain about herpes.  If I were in your situation, I would have no more testing and I would have resumed sex with my wife several weeks ago.  You should now do the same.

That's my last advice.  Please discuss any further concerns with your own doctor(s).  Best wishes.
Helpful - 0
Avatar universal
Thanx Dr,

All other tests came back negative. I am waiting for the 8 week results, they should be in tomorrow. How does hsv1 affect antibody production for hsv2.


Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum and thanks for your question.

My first response is to be surprised you didn't use a condom when your partner offered it to you.  What was that all about?

However, despite lack of condom use, it sounds like you had a partner at relatively low risk for STDs in general, and for HIV in particular.  Apprently she is a regular condom user, and I'll bet most of her other partners take her advice when condoms are offered.

But high risk or low, your test results already prove you didn't catch HIV.  The combination of a negative direct test for the virus (like PCR for HIV DNA) within 3-4 weeks of exposure, plus negative antibody at 4 weeks or more, is 100% solid evidence.  (You'll find a lot of information online and elsewhere about testing at 3 months or later.  That applies only to the antibody tests alone; the combination of tests you had is still 100% reliable.)

You don't mention urine testing for chlamydia and gonorrhea.  If not done, discuss it with your doctor.  The risk for those STDs was much higher than for herpes or HIV.  Also, a syphilis blood test would make sense -- but that's even rarer than herpes in this situation and almost as unlikely as HIV.

As for genital herpes, the risk there isn't as low as for HIV, but it's still very low -- probably well under 1 chance in 1,000, especially since you haven't had symptoms that suggest genital herpes.  And as Grace advised on the herpes community forum, your negative HSV blood test at 8 weeks is reassuring -- not completely so, but probably 70-80% reliable.  As for your symptoms, they indeed are typical for genitally focused anxiety, not for herpes or any other STD.

In other words, I agree exactly with your doctors.  You should stick with one of them (perhaps the one most familiar with HSV testing) and follow his advice if he recommends any further testing.  Personally, I would not recommend further tests for either HIV or HSV.  And if I were in your situation (and assuming tests for gonorrhea, chlamydia and syphilis were negative), I would resume unprotected sex with my wife, without fear of infecting her.

I hope this has helped.  Best wishes--  HHH, MD
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