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when are my results conclusive

Hi Terri, I apologize for short hand, trying to keep it brief.

Jan 23  Mutual Masturbation with SW.

9-12 days in developed urethritis(swabbed the urethra, neg for gon and chlmd)

12 days in took 1000mg Azithromycin and 3 days of cipro(2x day)

Day 15 stopped cipro and took Famvir for 4 days at 500mg 3x day.  Burning while peeing stopped within 24 hours of famvir although the 2nd urine culture prior to start of famvir was neg for WBC.

Day 15 developed a rash and burning in the anus but no lesions.  doctor swabs the region and a TZanck smear and both negative.

Day 24 I have tender pelvic area, swollen lymph nodes in groin and tender lower abdominal.

Day 49 starts consistent burning in penis, perianal and rectum.

Day 70 a single lesion develops at corona of penis.  STD doc looks at it and says not Herpes, almost looks like a large penile papule but within 48 hours it starts to heal and looks like what could be a healing herpes sore or syphillis chancre.  Never any liquids in it and not a typical herpes lesion.  almost gone after 4 weeks. Not itchy or sore.

Day approx 75 go to URO for rectal exam and have high WBC in prostatic fluid so put on Bactrim DS for prostatis.

I have had penis, perianal and rectal burning daily since week 7( much worse when I sit).  Also skin on my thighs and buttocks feels like its sunburnt.(herpetic neuralgia?)

Blood tests for me have all been negative through 14.5 weeks using biokit and herpeselect at 13 weeks.  Only high neg was at 4 weeks at .72 but almost 10 weeks later it went down to .22neg.(have hsv1 for many years)

She has also tested negative at multiple times up to 14 weeks but I am concerned that she may be positive and using antivirals.( Her herpeselect at quest at 14 weeks was .07neg.)hsv1 pos

1. Do you think my 11 pills of famvir at 500mg over 4 days 2 weeks in will delay seroconversion,  when can I be confident with results?
2.  Can antivirals block antibodies indefinately?


8 Responses
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55646 tn?1263660809
1.  I don't believe the Famvir would interfere with the test results if you took just 11.  Antivirals will NOT block antibody development forever, no, certainly not!  If you told me you had taken antivirals for all 14 weeks, that would be an issue.  This is not an issue.  

2.  Why were you given Famvir at all?  You contact was mutual masturbation and that's it?  If yes, then you aren't at risk for an STI.  Do I have at the whole picture?

Terri
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Avatar universal
A related discussion, low hsv 2 was started.
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Avatar universal
A related discussion, Doctors come back was started.
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Avatar universal
A related discussion, Seroconversion delay was started.
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55646 tn?1263660809
I don't do phone consults right now, but you could do it with someone else in my office if you need to.  I am also out of town for a month.

Terri
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Avatar universal
Hi Terri,

I did receive my WB results and they are neg for hsv2.  Would it be possible that I could pay for a short telephone consult with you because my pain and pudendal nerve issues are very difficult to deal with and I was hoping maybe you could help me work them out?  Thank you again for your help!
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55646 tn?1263660809
I absolutely do NOT agree AT ALL.  What you did is not considered low risk - it is considered zero risk.  And I don't know what herpes expert you are talking about, but starting Famvir at day 14 after contact would have absolutely no impact on contracting herpes.  If you had come in direct contact with herpes and had taken the Famvir within an hour or two for several days, then maybe, yes.  

Yes, a western blot at 16 weeks would be conclusive but will likely not be different than results now.  The western blot picks up more HSV 1 than the ELISA does.

Terri
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Avatar universal
Thank you Terri for your response.

Yes, you absolutely have the whole picture.  MM and rubbing of my penis on her breasts and nothing else!  I know that this is considered low risk activity but my symptoms starting 9 days after the encounter are undeniable.
I took 4 days of famvir at day 14 because a herpes specialist told me that there was a study that showed if you take antivirals soon enough after exposure you may block contraction...
I am so concerned because I now have prostatitis/pudendal neuralgia and dont believe anything else could cause this other than herpes? Do you agree?

Do you think 24 hours of Famvir is too short of a time to cure my urethritis at day 14 if this was herpes?

Do you think a WB at 16 weeks will be conclusive?

Shall I send you a picture of the lesion at 10 weeks?

I apologize for so many questions....
Helpful - 0

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