confused about HSV 1

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I had unprotected sex in July with my boyfriend who I had broken up for more than 2 months. And then in August with someone else. Both were unprotected and I got oral. I did not give oral to the other man. In August just before sex I had e coli infection for which I took antibiotics and after sex I had symptoms that could have been UTI or yeast infection. I didn't get tested for UTI but took antibiotics for it and it seemed to clear up. Then I had full blown yeast infection which also cleared up after monostat. I patched up with my boyfriend a month after. I got tested in October for full STD panel, and it came back all negative. Boyfriend lives a little away, so we used to meet about once a month. We had sex in early December and late January. In Feb, about a week after our meeting, I developed UTI symptoms again. Burning, itching, pain during urination, discharge, and urge and frequency of urination. I had no lesions or cut of skin, not even ingrown hair  or acne. This time I got AZO home test stips. They came back negative for nitrates which indicates UTI, but it showed positive for leukocytes (wbc), indicating I had some infection. I tested every 3 or 4 days during which the color for WBC flared up, and then it came normal again. This may have lasted about 10 days. I am forgetting but I think I had taken a doze of antibiotics then too, that I had not used from a previous prescription. I continued to have occasional abnormal discharge, which went away on its own. I had sex one more time with my boyfriend in March. And then we broke up due to unrelated reasons. I also learned from his friend that he probably met other woman either before or after our December date. He denies that though. I waited 3 months to get tested again, as I continued to have urinary issues, and suspected maybe I have any of the bacterial STDs. This time I came positive for HSV 1 IGG AB. The count is 2.96. It is negative for HSV 2. I was also negative for everythng else including trichomoniasis. I notified my ex-boyfriend but he said he hasn't had any outbreak either. However he has had some yeast infection at times.

I am trying to understand more about HSV 1. If it is oral or cold sore, I could have got it from anywhere, right? But then I am also reading that high WBC in urine may indicate genital herpes. Could I have had that in february without any externally visible lesions? If it is genital, it has to come from sex. If I had tested negative in October, it means I could have possilbly gotten it July or later, but  most likely not before that. Should I get retested for HSV 1? I am reading that while false positive for HSV 2 may happen, usually HSV 1 IGG AB numbers are pretty accurate.

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5 Replies

  • Posted

    Good luck to you in your search for the truth!!!

    Unfortunately, the answers for HSV-1 don't come to me. I am only able to give you scenarios from my own experiences and my experience has been with HSV-2. Am sure you will find what you are looking for here ?

  • Posted

    Your situation is very confusing, because you self-medicated on multiple occasions rather than going to a doctor and getting tested, etc. That makes it hard to say what's what, and your HSV1 could easily be oral, not genital. However, you're right in that a positive HSV1 IgG result should be correct.

  • Posted

    thanks. If I want to go to a doctor now, which specialist should I go to? OB GYN, or a dermatologist, or someone for urinary issues. I still have urinary issues, urge to pee (and some pain, but no burning).

    I forgot to mention but I have itchy spots in the back of my neck, but hidden under the hairline, or by the ears. They are painful and itchy and come and go. I was wondering if they were just some bites, or folliculitis, etc. I searched up so much but nothing related to HSV 1 came up in results.

    • Posted

      The neck spots are unrelated. For your urinary issues, an ob/gyn should be more than enough. Were you officially tested for a UTI, chlamydia, gonorrhea, ureaplasma? These can all cause persistent urinary issues if not, or inadequately, treated. Genital herpes does not cause lasting urinary discomfort, just fyi.
    • Posted

      chlamydia, gonorrhea and trichomoniosis are all negative. I mentioned urinary issues in my OB GYN annual in May, but he didn't do anything more than a dip test to the urine. He just asked me to do more kegel because he thought it was more related to the space internally and pressure on the bladder (after child birth). At the time no sex history came up as he was filling in for my regular OB GYN, and she was more updated on it.

      Maybe I should get complete urine analysis done, and provide this test result to the doctor. This test was ordered online.

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