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Sore 3 days after unprotected sex - herpes?

Hi I had unprotected sex on 24th jun, The sore appear on 27th jun. I did my first std test on 29 th jun and everything came back negative. I did the second test just for hepetit b and hsv 2 igm. The igm came back positive with the 3.4 index. The woman sent me her test result that was shown she didn't have hiv, VDR, and hsv 2 . Her hsv 2 igg test was weird . The index was negative for less than 16RU/mo, equivalent 16-22 and positive for more than 22. Anyway I did my theird test on 8th August ( 46 day after probable exposure) the results came back HSV 2 IGG LESS THAN 0.1 NEGATIVE( the lab mentioned the index is for both hsv 1 and 2) HSV 2IGM 1.6 POSITIVE HIV rapid test negative What is your suggestion freinds?
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207091 tn?1337709493
COMMUNITY LEADER
The hsv IgM is an unreliable test. It shouldn't be done at all. Ignore it.

The hsv2 IgG is negative, and that's all that matters. You tested at 6 weeks, and it can take up to 12 weeks to test positive, though most will by 12 weeks.

What is this sore that you had? How long did it last? What did it look like? Did the doctor culture it?

It's not syphilis - that sore wouldn't appear for a few weeks.

Helpful - 3
20 Comments
hi thank you for your response.
i have plan to do the next test at about 12ish week.
the doctor check the sore but did not recognize herpes(so did not culture it) also I think it is because of her low knowledge and experience(she was a general dr in Portugal) . but the woman who supposed to get me the infection, showed my photo to her dr and that one recognize herps and prescribe valacilclovir  1000(3 times for 7 days) .
my probable exposure 24th jun
the sore appear on 26jun and then transfer to ulcer till 28thjun. i started taking peels on 30thjun and all of them heal in 1 and a half weel later.  
What pills are you taking?

A visual diagnosis of herpes is wrong a lot of the time. I wouldn't say you have it until you test at 12 weeks. There's still a really good chance you don't.
valaciclovir 1000 3 time for 7 days
is the antiviral effect on the window period of igg?
It can if you take it daily, but it won't if you only took it for 7 days.
Hello auntiejessi
Thank you in advance for your time
Uptodat:
Unprotected sex on 24th jun.
1. Rash or blister(I am not sure which one) on 27th june have been seen.
2. The first symptoms turn in to sores on 27th Jun
3. The first std test was done on 29th jun and all things came back negative.
4. The second test was performed on 13 July( 20 days after probable exposure) and the IGM for hsv 2 came back positive with index= 3.4
5. The theird test was done on 8 Augest(46 day after exposure) and the IGg  came back negative for a combination of hsv 1&2 with index les than 0.1 and IgM came back positive again with index = 1.6
6.  The last test was done on 12th Sep(81 days after exposure) and IgG for hsv2 came back negative with index less than 2 the cut out was different and numbers less than 16 consider as negative, between 16-22 consider equivalent and each number higher than 22 is positive
2 doctor saw the photo of sores and diagnosed herpes visually and one of them prescribe acyclovir 1000, 3 daily for seven days.
One doctor that observe it visually didn't say any thing about herpes and just ask me to do the first tests.
What is your opinion now
I should do the blood test again ?
If yes when?
The IgM is unreliable and shouldn't be done. IF it was reliable, it isn't appropriate to do on you any longer - it looks for newer antibodies that drop off within the first few weeks after infection. You are getting false positives on the IgM. Ignore it.

Your last IgG is conclusively negative. You do not have hsv2.
thanks a bunch again for your time
which other std/sti are mistaken for herpes? I mean How can I understand the reason of that blister and ulcers which were observed on my penis? i am worried about a condition or disease worse than herpes like HIV or other sti
How long did the sore last? How many were there?

HIV doesn't cause blisters or sores.

You could have had a fungal infection, like yeast or jock itch. You could have had balanitis.

Syphilis wouldn't give you sores that quickly.

It could have been an allergic reaction to something you used on your penis, like a soap or cleanser.
there were about 5 blister that turned to sores after 1 or 2 days without taking acyclovir. after that they changed to  sores. I took acyclovir for 7 days after turning to ulcer and all of them heal and disappear and their place are healed completely in two weeks(I have the photo of the initial blister and ulcers.)
I did HIV rapid test in health center in day 46 and 71 after exposure and came back negative. I did blood test for VDRL, hepatitis b and c in 81ish day and were negative.
what do you think about molluscum, cmv I found them during googling....
Are you actually reading what I'm posting? I'm asking you questions that will provide info that can help me help you.

How long did they last? How many did you have?

CMV doesn't present with blisters.

Molluscum looks nothing like herpes, and spreads rapidly. You probably wouldn't have gotten symptoms at 3 or 4 days, either.

I have already given you possibilities. I don't know what you had - there is no way for me to know that. If you get sores again, see the doctor within 24-48 hours for them to properly diagnose you. No one can diagnose from a picture, or from guessing online.

sorry I am anxious it is not easy to deal with this situation.  the blisters last 2 days then turned to sores and all last 2 weeks (with taking valaciclovir).  i have only 4,5 blister. if you mean how many time did they appear, only one time.
aha another  issue the woman who I hooked up with her was taking Fenticonazol . i know it is for yeast infection. can it cause this blister on my skin?
Yes, a yeast infection can look very similar to herpes. I mentioned yeast a few posts ago.

Yeast infections can go away on their own within a week or two, so yes, that could easily be what this was.

Is your anxiety level normally this high? I know STIs are scary, but if your anxiety is normally like this, please talk to your doctor.
Yes I am really worry and feel depression during  the diagnostic process. I have thought about suicide. I lost  many things in university( I am a PhD student and live alone in Europe due to my study). my doctor prescribe Mirtazapine for my depression and it helps me to come back and focused on my study.
one more question is there any  test to fine yeast infection and be sure about it?
There isn't any test for yeast when you don't have symptoms. If it comes back, which is unlikely, just see the doctor.

It concerns me that you thought about suicide. You have so much to live for, and have already achieved so much. Even if you ever got an STI, it's possible to live with it if it's not curable.

In any case, you didn't get an STI from this. You're okay now. If you are going to continue to be sexually active, use condoms. You can put this behind you, and move forward. If your doctor didn't suggest therapy, it might be a really good idea. Give it some thought. :)

I can take another igg test after 16 weeks for hsv and a test for yeast infection if you think  it can help my mind to be in peace ...
sorry for last comment I sent it and then saw your response.
OK THANK YOU AGAIN FOR YOUR KINDNESS AND HELP. I did not have a fun life and I have just 2 partner during my 34 years life. this time I made a mistake and start a relationship with a wrong person who did not care about me and just want to be fun with me and this 3 month nightmare was her gift for me. she blocked me after I complain about the herpes and it make me worse and I thought and prepared myself for worse scenario...
You do not need another IgG test. Your test is conclusive. I don't think you are listening to me.

YOU DON'T NEED MORE TESTING.

There is no test for yeast unless you have symptoms.

Do not take another IgG test. There are false positives with those, and if you get one, you will not be able to handle it. Your test is conclusive and you do not need another one. It will NOT CHANGE - you are negative.

I can't say this in any other way. There are no more tests that you need. You are fine.
15695260 tn?1549593113
Our member has patiently and fully answered your question.

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