Genital herpes or jock itch/ yeast infection?

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I was diagnosed with genital herpes about 2 months ago. I was given a viral culture and a PCR test which both came back negative. I also had my only recent partner tested with an IGG blood test 3 weeks after we had sex and she was negative for both types. I had recently taken the IGG and IGM tests at six and a half weeks post-exposure. I was negative for both types for the IGG test and positive on the IGM. I recently visited my family doctor who said I don't have any signs at this point of herpes. He diagnosed me with jock itch. I was prescribed an oral medication that is one dose and is supposed to clear yeast infection / jock itch symptoms and it has done so for the most part. I am very confused because I had red bumps on my penile shaft near the base after the sexual encounter. It had cleared up in about 2 weeks but recently I have been experiencing a red sagging scrotum that doesn't itch or burn. This has cleared up sense I took the oral medication prescribed for fungal infections. I am planning on taking the IGG again at 3 months and I hope I can finally move on from this nightmare. I have been extremely tired and irritable sense this has happened. However since I took this pill called Diflucan I have felt a lot better. Maybe this means that this was either a yeast infection or jock itch. However when I had the red bumps my previous doctor said he was positive it was herpes. I'm so distressed over this and I really don't know what or who to believe right now. I'm just hoping I can get some answers and if anyone has any ideas or can provide me with some information as to what this is please do so. My symptoms have been as follows red bumps that had fluid and burst with no pain and healed with scab. Red sagging scrotum and it seems like my genitals were inflamed, anal itching (was diagnosed as well with hemmoroids however little to no pain), extreme fatigue, irritablity, had a white coating on my tongue at one point, had a large hive- like growth on my penis shaft that disappeared, and blurry vision. I know this is a lot but if anyone has any ideas please share thank you.

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  • Posted

    None of your tests indicate herpes, except the IgM test, which you are not supposed to get for herpes, as it is unreliable and generally useless. If you had lesions and these were swabbed and tested by viral culture and pcr, but both came back negative, then whatever you had was not herpes.
    • Posted

      The viral culture was taken about 3 days after they appeared and the nurse said they looked like they were healing. The PCR was taken 3 days after that test. Can jock itch or a yeast infection cause red bumps like that to appear?
    • Posted

      The pcr swab should have picked it up still, even if the lesions were healing. Pity they didn't do it instead of the viral culture 3 days before for greater reassurance. Negative IgG at 6 weeks is not conclusive, but a good sign, plus your partner is negative, too. I would just wait and retest for IgG only at 3 months. Try not to worry in the meantime.

    • Posted

      Thank you for your reassurance. This is bothering me significantly unfortunately. Just the psychological aspect. Eversense the ER doctor told me that he's been a doctor for 24 years and he's positive that I have herpes just by the fact that I had swollen lymph nodes in my groin and red bumps on my penis I went to the ER at that time because I had a large red itchy growth (really don't know how to explain it) that I believe was either a big hive or cyst but whatever it was it just went away it didn't pop or burst or anything it just went away in a matter of hours. The doctor did not give me any explanation as to what that was and I have no idea if that is even related to herpes at all. The night before I went to the ER I drank heavily for the first time since the incident. I wasn't eating well at the time either and my heart was beating very fast I couldn't sleep and I generally felt like something was really wrong. The only answer I got was herpes but no further reasoning as to how. I only had two sex partners my entire life. I know the girl that I potentially got something from so I can narrow it down to her. She knows all of the test results and everything that's going on and I don't know if she's being 100% honest with me but the only thing I got out of her was that she had a yeast infection one or two weeks before we had sex and it was supposed to clear up with the medication she took for it.

    • Posted

      The hive-like symptom is not herpes, as herpes does not fade in a matter of hours. Your other symptoms do sound suspect, however, but no test has detected anything to date, which seems unlikely if you did have it. Diagnoses unbacked by tests can be wrong, so there's a chance that that's the case here.

    • Posted

      The only other thing I can think of is are yeast or jock itch. Since I took that pill I have noticed considerable Improvement in my general area. And the reason I mentioned the hive like growth was because I believe it was related to my drinking the night before which may indicate a yeast infection as alcohol can cause the yeast to grow. However I know my chances of getting a yeast infection are quite low since I am a male.
  • Posted

    Its hard to say without looking at it!!

    I think u should go to a different office have a new test done a new opinion so. U wont be so confused. Dnt tell the doctor what the other doctors. Said start. Fresh a new evaluation that's what I recommend to you and I would do that

    • Posted

      I have already been to like 5 different doctors and at this point I really don't have any of my original symptoms. I don't know if herpes is also supposed to be painful always but I haven't felt any pain at all this whole time. My mistake was that I told every single doctor that I've seen that I was diagnosed with it or that I thought that I had it.

    • Posted

      You sometime is very painful and in other case is not. I have had a a patient that I was treated at the hospital which she had herpes and it hurt her so much she was in a lot of pain like you've been to all different doctors I think you should pick one more dr. And don't tell them your story just tell them that you think you have it so they can reevaluate you

    • Posted

      I should go see a urologist like I've been planning on. That is probably my best bet. The most distinctive part of my symptoms are the red extremely saggy and seemingly swollen testicles and penis. The rash gradually got worse throughout the day as it started in the morning as being normal and then progressively got to the point where my scrotum was bright red and I have very thick skin on my scrotum. The rash also has spots on it that I can't really identify.

    • Posted

      All i cant. Tell see ur primary doctor and let him send you to the right specialist but I was saying to see a different doctor is because this doctor won't know or one assume anything like the other doctors you can start from scratch which it will benefit you well good luck

  • Posted

    Im in a similar situation on the female side. Agree with others, you should repeat the IgG (consider western blot to rule out false positive and cross-reactivity). Im waiting on western blot result to confirm a low positive ELISA IgG for type 2. I thought I had type 1 until the ELISA. I had never been tested but had experienced classically herpetic oral sores in years past and no anogenital symptoms until later, and those were not "classic" and cultured negative 3 times. However culture fails to pick up many cases esp recurrences. I don't know enough about PCR. Know that the distinction between type 1 and 2 is not as great as is believed. You should consider antivirals, have only protected sex and avoid casual sex until you know your status.

    • Posted

      I have basically put my life on "pause" until i get an answer. I really dread having to wait another month until i get a test but i know thats the only option. I don't know if my provider has a western blot available. As far as i know they aren't widely available. What about any home test kits? I've read about finger prick test but i'm not sure how accurate they are.

  • Posted

    I just have a couple more questions.

    1. In my case, is the IGM really unreliable? Is it specific for viruses in the herpes family or can it detect other infections like maybe a yeast or fungal infection (i know many other infections can be tested by IGM but i don't know how the consider it specific to infection.)

    2. My bright red sagging scrotum with fordyce spots is an indication of what? This condition got better since i took Diflucan for fungal infection but it still is reddish with fordyce spots but no sagging anymore.

    3. My negative IGG at 6 1/2 weeks should be pretty accurate correct? I've read that at least 70% of people will seroconvert at this time. I am 23 year old healthy male so shouldn't this mean my immune response should be pretty rapid in response to an infection? Therefore, my immune system should have produced these antibodies by now?

    These symptoms have all appeared AFTER this one night stand. I didn't have any problems ever in these areas since that night...

    • Posted

      The IgM test for herpes is specific to HSV, but does not distinguish type. It is also unreliable, prone to false positives, and does not necessarily indicate new (or any) infection, so it is not advised for diagnosing herpes. Negative IgG at 6.5 weeks is a good indicator, but you should nevertheless retest at 3 months to be sure.
    • Posted

      They only thing that really applies to my case hear is the fact that it can be simply a false-positive. I don't know how common that is but i'm pretty sure this is a new infection if my IGG is negative coupled with the new symptoms i have.

    • Posted

      It takes up to 6 months (in rare cases, longer) to develop antibodies to herpes, HIV. I have been going with 4 months from last possible exposure; some people go with 3.

      Negative at 6.5 weeks is hopeful but certainly not definite. Anything other than western blot, if you have a low positive it is potentially false. The ELISA IgG performs worse on type 1 than type 2, specifically it misses around 10% of type 1 because it is more sensitive to type 2. But, it has issues with false low positive to type 2 as well. I just had my doctor order western blot; call University of Washington Virology lab. They will send you an easy ready kit to take your doctor; all the dr has to do if full out the order form and draw your blood. You might have to overnight it yourself to WA but it's not hard and they send easy instructions, the box including ice pack for mailing, and are extremely available, kind, and expert via 1-800 for any Qs. The ELISA is thought to cross-react with varicella, antinuclear antibodies (eg autoimmune antibodies) and has all the other issues. It has gotten much better than it used to be, but since most of us need a final trustworthy diagnosis more than anything, I would spend the $200 ($50 shipping) for western blot. That is why it remains the gold standard for research purposes. Google U-Washington. They have faqs and other herpes resources.

      Whatever your outcome, herpes is ancient, it has evolved with us from primates and successfully evades immune response. That is why. It is extremely common, is a skin condition, and should not rule anyone's life. Type 1 transfers from mouth to genitals and vice versa, despite preferential strength evolved for each location. Herpes can also be other places on your body. We live in a world full of microbes competing with us. It is an inconvenience, but the main reason the medical community cares about it is in childbirth or perhaps if your partnerhas HIV. The rest is stigma and hysteria. Perspective and facts

    • Posted

      How long does it take after exposure for a western blot to be accurate? Is it still 3 months?
    • Posted

      I'm at 8 and a half weeks now. Was considering getting an igg again at 9 and a half weeks

    • Posted

      if I recall, western blot takes a bit longer than ELISA to detect seroconversion, like median 60 days or something? Where ELISA on average picks up sooner around 21 days. But seroconversion can take up to 6 months, in rare cases longer, so if you get a negative result on any kind of test up until then, there is a chance it could be a false negative.

      I don't believe the ELISA cross-reacts with fungal infections so your positive test isn't likely picking up yeast. You might have a yeast infection but yeast os detectable by swab/slide.

      I believe western blot and ELISA are both looking for IgG; the difference is in false negative and false positive pickup.

    • Posted

      Thank for your feedback, im getting the igg again this Friday. It will be at 9 and a half weeks post exposure. Do you know the seroconversion rate at this time?
    • Posted

      It will be the elisa. I believe seroconversion rate at 6 weeks is 70%. So im guessing it will be around 80-90%?
    • Posted

      Standard test window is 3 months for IgG and 4 months for western blot. Nearly everyone would have sufficiently seroconverted by 3 months for IgG, but if you want to wait an additional month, you can. I would not bother with the western blot unless there is good reason to order it. The IgG test will pick up HSV-2, which is the "bad" one to have, and detects 3/4 of HSV-1 cases as well. The only concern is getting a low false positive for HSV-2, if you already carry HSV-1.

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