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STDs  (Expert Forum)
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Herpes question
Answered by
University of Washington Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Herpes question

by stressedperson, May 05, 2005 12:00AM
Hi Doctor

About 4 weeks ago I had protected oral and vaginal sex with a sexworker.This was only the second time in 2 years ( the last after this). There was some skin contact without a condom as I rubbed my penis between her breasts and also for 2 seconds brushed my penis against her vagina while moving around( could I have caught something here?) Anyways the next morning( 8 hours) I felt a tinkling at the tip of my penis and a slight burning sensation after urination. Went doctor and he prescribed

Cipro for 10 days as he thought it might be beginning of UTI.After 3 days of taking Cipro I saw what I thought could be a discharge and went to get tested. I was tested for chlamydia,gonorrhea,syphilis,Heptitis and Hiv but NOT Herpes All tests came back negative,opinion was discharge was probably semen since I have not ejaculated for 6 days.I have had no visible bumps or rash. About 4 days after I finished taking Cipro I had mucus in my throat ,went to the Doctor and said it was a sideeffect of the Cipro.The throat cleared up a couple of days after that but then 6 days later I get a sharp pain in my left leg at the knee and below the knee and muscle spasms on my right leg. Could leg also be a sideeffect of Cipro even 10 days after I finished taking it? Couls this be a symptom of Herpes? That sharp pain lasted a couple of days and now I only feel my leg muscles are sore. I feel a tingle every couple of days on tip of my penis. Could my original tingling have been caused by an irritation due to condom?  Am I stressing too much and causing

these leg pains? THANKS FOR ANY INSIGHT.

by H. Hunter Handsfield, M.D., May 05, 2005 12:00AM
None of that sounds like herpes.  Whatever is going on, the symptoms that began 8 hr later were not due to any STD; there are no STDs whose symptoms can show up that fast.  More likely a chemical or allergic reaction, e.g. to lubricant in the condom, especially if the condom contained the spermicide nonoxynol-9.  Semen never leaks out without ejaculation, regardless of the time since a previous ejaculation.  As to the leg pains, mucus, and all that, none of it sounds like either a reaction to the cipro or to herpes.



Sorry I can't help more.  I suggest you continue care with the doctor you are seeing and follow his/her advice.  But I am postive you did not acquire any STD from the exposure you describe.



Good luck--  HHH, MD
Member Comments (8)

by scb7, May 05, 2005 12:00AM
Hi,

I couldnt post this as a new thread. sorry; but my question is



I gave oral sex to my boyfriend about 2 months ago.  He is a virgin and only recived oral sex once before me. He says he's std free, but never got tested. Since then i've had sore thoarts, flu like symptons, pink eye, slight pain when getting fingered and un-usally discharge. Im very worried i have a std. Ive also had slight admonial pain. Im currently on amoxcillan (spelling?) for my sore thoart.  And i think the other symptons could be from allergies.  



I'm worried I might have PID; due to the pain when fingering, discharge and admonial pain.  But my question is: can i get PID from a oral transmisson of Gonherra or Clymida (spelling?) Or is PID strictly a result of STDS from sexaul intercourse?



Thank you so much for your time.  I am very worried.

by steels, May 06, 2005 12:00AM
To: H. Hunter Handsfield, M.D.
Doc,



Thank you so much for this extremely valuable service. I cannot thank you enough, for your encouraging words at a time when I was nervous and scared. I just got my HIV results back and was negative at 4 weeks, which is great news... will get tested again in a couple of months.



However, it appears I may have HSV2 (not sure). The IgG test gave a reading of 0.70 for HSV2 (still less than 0.91), but the IgM gave a reading of "<80H" Titer (reference range is <20H). I'm guessing this is because of a recent infection and that the type specific antibodies haven't completely formed given that it has only been a month since exposure?



Once again, your advice is priceless and I am thankful to have found this website.



~John

by simon_2005, May 06, 2005 12:00AM
dear doc



Sorry for posting my question here, but since I knew there is a limited new topic each day, so maybe I can just put here a quick question and avoid to waste other people's chance to get help from you.



My question is, after my once potential exposure (protected oral/vaginal sex), I got tested 3 weeks after for all STD and HIV. The result gave a all negative. Even I knew, for HIV, there is a window period, and the 3 weeks result doesn't make too much of sense, since the risk is pretty low, so I am not really worry about it.



But, is there any "window period" for the other STDs if I did catch some of them. What about HPV and HSV, or syphilis.. Is it possible that a blood check in 3 weeks can not detect these virus but they will show after some time.



Thank you very much



simon

by kdh, May 06, 2005 12:00AM
To: simon_2005
You should wait for 3-4 months for a herpes blood test.  The reason is that the body has to have time to build up the antibodies that will show up in a blood test.  If you have any sores (even if they're not the typical round ones you see on most websites) you should get a culture done and that would tell you.  A lot of people don't get sores so people should get tested for it regularly since 25% of people have genital