28yr old USA White/Asian female
STD History: None
Tested negative for Chlamydia, Gonorrhea, Trich, HIV, Syphilis and also negative for HSV 1 and 2 by igg blood test (specially requested bc vaginal cuts in the past, but turned out to be soap plus sex combination irritation)
All tests were 6 months or more past last exposure and no new partners since.
Therefore, if this is HSV, it has to be primary infection.
11/7 00:00AM
Single encounter protected vaginal sex and unprotected oral sex (giving and receiving) with 19 yr old Japanese male
Day 2: Painful, itchy vulva, yogurt-like discharge
Day 4: Suppository and ointment for probable yeast infection
Day 7: One circular itchy red rash (no blister or bump) appears on inner thigh near lower panty line (1 cm), light itching all over vulva, thigh, buttocks
Day 9: One small circular lesion near anal opening (2-3 mm). Not a long tear or cut, definitely circular, no bleeding. Did not notice if blister or bump was ever involved
Day 10: Today
Light vaginal pain, itching, and dryness. Still some milky discharge. Red circle rash and itch on thigh continue with no bumps or lesions. Single lesion near anal opening is still open, no blood, itch and pain similar to papercut
Partner says he has oral HSV since youth, and claims he had no symptoms at time of encounter (Single encounter viral shedding??;;;) . He, like many, had no idea cold sores were HSV.
Will it be too late to try and swab/culture the lesion tomorrow (48 hrs past discovery)? (Cannot skip work to go earlier)
What are the chances I got HSV from this single encounter?...perhaps GHSV2 even with condom??....perhaps oral to genital HSV1 from viral shedding??
I know people are often asymptomatic, but when symptoms do occur...and for a person like me without HSV1 or 2 antibodies...I thought it's often a more serious outbreak? From reading forums, truly primary infections seem to get all (horrible pain and clusters of blisters) or nothing (sub-clinical) when it comes to outbreak symptoms. Even if HSV2 with condom or HSV1 from oral....no blisters on vulva? but instead inner thigh and anus? Threads also often say these places are typical recurrent sites, but if primary infection then usually blisters on vulva as well..? Could the itchiness and dryness be the vaginal symptoms to accompany the other sites?
Thanks in advance for everyone's advice.