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Oral HSV 2 when I have Oral HSV 1 and other STDs
This forum has been a great help to me!!
I am on Day 17 post my exposure event. I drunkenly gave someone I know to be a CSW working at a club in Hong Kong unprotected oral for a perhaps less than 10-15 seconds and she also went down on me unprotected for a few seconds. I realised what I was doing and stopped it asap - now feel very guilty for exposing myself this way. I am heterosexual and always have been. I know from other posts that this exposure was low risk for most STD's. I tried not to panic and control my guilt. I have decided that I will get a full STD test at 6 weeks at a local private Clinic. (Freedom Health in London).
My issues:
1. On Day 16, I noticed a tingle on my right lips that feels like a cold sore - 2 small bumps and not yet crusted over. I do once a year or so see a reoccurrence of HSV1. I have seen a cold sore in two locations in my life of having HSV1 (since 18). One in the centre of my chin and the other on my lips. I can't for the life of me remember which side of the lips I normally get this. I am now concerned I have caught oral HSV 2 from my episode. I know it is rare. It is possible to catch HSV 2 orally if I already have HSV 1?
2. On the left of my tongue fairly near the tip, I have developed a lump on day 17 (this morning). I at first though oh my god, I have a Chancre. Over course of day, I can feel a slight sting. I'm hoping its a garden variety of ulcer. What does an early stage Chancre look like? I can feel it is lumped up and is pale in colour. Can a Chancre mildly sting?
3. Finally, the catch all question. Do you feel now that I am at Day 17 with no other symptoms, the chance I caught an STD is low? Everything downstairs appears to be normal. I am hoping, 1 and 2 is caused by my stress rather than HPV2 and Syphilis. Is a 6 week full test ok time wise to get the all clear?
Thanks!
I am on Day 17 post my exposure event. I drunkenly gave someone I know to be a CSW working at a club in Hong Kong unprotected oral for a perhaps less than 10-15 seconds and she also went down on me unprotected for a few seconds. I realised what I was doing and stopped it asap - now feel very guilty for exposing myself this way. I am heterosexual and always have been. I know from other posts that this exposure was low risk for most STD's. I tried not to panic and control my guilt. I have decided that I will get a full STD test at 6 weeks at a local private Clinic. (Freedom Health in London).
My issues:
1. On Day 16, I noticed a tingle on my right lips that feels like a cold sore - 2 small bumps and not yet crusted over. I do once a year or so see a reoccurrence of HSV1. I have seen a cold sore in two locations in my life of having HSV1 (since 18). One in the centre of my chin and the other on my lips. I can't for the life of me remember which side of the lips I normally get this. I am now concerned I have caught oral HSV 2 from my episode. I know it is rare. It is possible to catch HSV 2 orally if I already have HSV 1?
2. On the left of my tongue fairly near the tip, I have developed a lump on day 17 (this morning). I at first though oh my god, I have a Chancre. Over course of day, I can feel a slight sting. I'm hoping its a garden variety of ulcer. What does an early stage Chancre look like? I can feel it is lumped up and is pale in colour. Can a Chancre mildly sting?
3. Finally, the catch all question. Do you feel now that I am at Day 17 with no other symptoms, the chance I caught an STD is low? Everything downstairs appears to be normal. I am hoping, 1 and 2 is caused by my stress rather than HPV2 and Syphilis. Is a 6 week full test ok time wise to get the all clear?
Thanks!
No need to reply but I'm just passing through London on a two week
assignment that coincides with 6 weeks. I'm a Brit who moved to Canada. Hoping to test whilst in London so my girlfriend won't suspect.
assignment that coincides with 6 weeks. I'm a Brit who moved to Canada. Hoping to test whilst in London so my girlfriend won't suspect.
MEDICAL PROFESSIONAL
Usually, yes. And more prolonged than the typical recurrent outbreak.
Thanks Dr HHH.
I'll get checked out for peace of mind. Glad to learn that a tingle means reoccurrence rather than new outbreak. I guess a new outbreak would have multiple sores.
I'll get checked out for peace of mind. Glad to learn that a tingle means reoccurrence rather than new outbreak. I guess a new outbreak would have multiple sores.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
You correctly predicted my main response, that this was a low risk exposure. It's obviously having it's psychological impact owing to your regret about it, but it's important not to confuse that aspect with STD risk.
Oral sex is properly viewed as safe sex, with low risk for all STDs and zero risk for some. You are of course free to seek comprehensive STD testing, but as Freedom Health themselves will tell you, this exposure itself really doesn't warrant testing other than urine testing for gonorrhea and chlamydia and blood tests for syphilis and HIV -- and even these will be more for reassurance than because of actual risk. If you are tested for HSV, viral hepatitis, etc it will be strictly on general principles -- it is reasonable for all sexually active persons to have such testing at least once -- but there is no obvious need based on the events described.
1) Online sources often refer to tingling and such symptoms of herpes, but they are rare in the absence of overt lesions. And such symptoms are always a prodrom of a recurrent outbreak, rarely if ever caused by a new HSV infection. The chance of catching oral HSV-2 from a single episode of cunnilingus probably is on the order of 1 in tens of thousands, maybe as low as 1 in a million.
2) A chancre looks like any open sore. One of its main features is lack of pain. The chance of syphilis, or that this is a chancre, are exceedingly low. I can't say zero, but it's really not a realistic worry. However, if an overt ulcer develops, it would make sense for you to see Freedom Health (or your local NHS GUM clinic) right away, i.e. without waiting for your planned visit at 6 weeks. Just to be on the safe side.
3) My opening comments partly cover this. Your lack of genital area symptoms indeed is reassuring and I doubt you caught anything at all.
I hope this information has been helpful. Best wishes-- HHH, MD
You correctly predicted my main response, that this was a low risk exposure. It's obviously having it's psychological impact owing to your regret about it, but it's important not to confuse that aspect with STD risk.
Oral sex is properly viewed as safe sex, with low risk for all STDs and zero risk for some. You are of course free to seek comprehensive STD testing, but as Freedom Health themselves will tell you, this exposure itself really doesn't warrant testing other than urine testing for gonorrhea and chlamydia and blood tests for syphilis and HIV -- and even these will be more for reassurance than because of actual risk. If you are tested for HSV, viral hepatitis, etc it will be strictly on general principles -- it is reasonable for all sexually active persons to have such testing at least once -- but there is no obvious need based on the events described.
1) Online sources often refer to tingling and such symptoms of herpes, but they are rare in the absence of overt lesions. And such symptoms are always a prodrom of a recurrent outbreak, rarely if ever caused by a new HSV infection. The chance of catching oral HSV-2 from a single episode of cunnilingus probably is on the order of 1 in tens of thousands, maybe as low as 1 in a million.
2) A chancre looks like any open sore. One of its main features is lack of pain. The chance of syphilis, or that this is a chancre, are exceedingly low. I can't say zero, but it's really not a realistic worry. However, if an overt ulcer develops, it would make sense for you to see Freedom Health (or your local NHS GUM clinic) right away, i.e. without waiting for your planned visit at 6 weeks. Just to be on the safe side.
3) My opening comments partly cover this. Your lack of genital area symptoms indeed is reassuring and I doubt you caught anything at all.
I hope this information has been helpful. Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
