It is possible to have a compromised immune system episode and then experience a bad outbreak years after infection.
In very rare circumstances, you can have an outbreak separate in location from infection as it moves through the nerve endings of the ganglion.
Given the low odds, keep pursuing:
1. The HSV2 blood result both right now and in 12 weeks if negative now.
2. Ask the partner to test explicitly for HSV2 to see if it was even a risk.
But how could one get a huge outbreak like this, if the virus was acquired years ago? It seems like a classic primary outbreak, even my dr. thinks it's a primary outbreak due to the severity and lack of history. I don't think I was tested for this before now, just standard std screening (though I need to check).
So the question remains, how can one get a huge primary ob on the upper 1/2 of your butt, and no symptoms anywhere else? Is it normal that first site of infection just allows the virus to get up to the nerve, then it multiplies, then it busts out wherever it feels like it? Unless the girl had virus on her hands and somehow touched me there? It all seems so strange and unlikely that I don't know what to think.
I'm confused.
A lot of people with HSV2 do not know they have it, but no one fully knows why this is the case. Some speculate most cases are very mild but I suggest lack of education and inadequate access to health care play a big role.
Unless you ask explicitly for IgG antibody testing for HSV then chances are it didn't happen. General test panels and screens will not include HSV.
Is it normal to be exposed to the virus and get an outbreak right away? no right? it goes into the nerves first and then comes back out however is easiest, right? so with no antibodies, you first ob could be all over the place, or in a weird spot because it was easiest for the virus or whatever . . does that happen? why would the ob be at the place of initial contact? has anyone heard of this happening?
Not sure if I buy it really - most people would freak out and run to a testing place, no?
I asked, but she "thinks" she had a full screen and was negative for everything, didn't know if it was on the test for sure though . . . hasn't gotten back to me yet
I agree, all implausible but not impossible.
Could you ask the partner to test?
the odds are so low for this to happen also, one time sex with this girl, with a condom, should be like 99% chance of not getting it even if she hast it, unless she was having an ob at the time (didn't see anything but it could have been minor but contagious, I guess then your just screwed when that happens)
I am pretty sure its the initial outbreak, which the dr. suspected also given the severity of the symptoms and no prior history. just not sure how I got it where it is. can an initial exposure travel up to the nerve where it hides for a week or two, then bust out anyplace? that's the only thing I can imagine happening, but it's just weird to think you can get an std on your butt just from having sex in the front.
sports, but not contact sports like wrestling or anything
In many cases, swabs are not typed. If it took 2-3 days for the result and was a culture then odds are it wasn't typed and doctors assume HSV2.
An immediate blood test will provide some clues. If it is strongly positive for HSV2 antibodies then you've had it a while most probably and recurrent lesions can be anywhere in your boxer shorts. You do not need an initial outbreak at the time of infection to have a recurrence.
Do you play contact sports?
my dr. isn't too helpful in understanding it - he basically told me I definitely have it and its just a skin rash
the swab was positive for hsv2, so I think its pretty conclusive - I just don't understand how it could happen like this.
why is there no symptoms on the front? how is it possible to only get herpes on your butt (as initial ob, when nothing ever touched it!) - this was just normal condom protected sex, nothing that would suggest this was likely at all. The girl involved seemed nice and it wasn't a one night stand with a stranger or anything, but I think she has had more partners in the past than she led me to believe, so I don't really trust what she says.
I'd get the blood test immediately, must be for IgG antibodies type specific for HSV1 and HSV2.
Find our more about the swab. Was it definitely full typed for HSV2?
there is no way someone with a rash like this wouldn't go to the doctor and i'm depending on what he told me, but I need a blood test also, although its probably too soon to see anything (unless i've had it for a longer time somehow). It's just so strange, the location didn't make me think std at all, but thats what it is.
Can you have a really bad initial outbreak a long time after infection, isn't that rare, I read it was usually within a week or two of exposure, which fits the timeline here.
They did a swab test that was positive - I think its for sure, but I have to check what type of test it was. I am trying to get a blood test lined up but this was the initial outbreak, there has been nothing before this at all symptom wise. How do I know what the infection site was? It's only present at the very base of the spine and surrounding area, with a small spot on the right buttock, no sign of anything anywhere else - the rash is like a dry cracked skin red painful itchy rash, there are no little blisters, unless the whole area is like one or two big blisters that are starting to healing now and the skin top layer is peeling away. I thought is was something else, but its the worst rash i've ever seen and the dr says its herpes.
What testing exactly suggested a positive for HSV2. This doesn't sound an overly convincing diagnosis. You may however gave HSV2 and the symptoms unrelated.
It is far more likely that you have had HSV2 from prior to this encounter, if you have it at all. Initial outbreaks nearly always include the infection site.