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the below comes from a forum in USA talking about Herps::
Hello H,
Thank you for your help.
I contracted HSV 1 from an old girlfriend that had both HSV1 and HSV2 (igg test). We kissed 5/09 & had close skin to skin contact but no form of sexBuccal smear
Causes of sexual dysfunction
Child abuse - sexual
Delayed ejaculation
Erection problems
Female sexual dysfunction
Inhibited sexual desire
Orgasmic dysfunction
Puberty and adolescence
Rape
Safe sex . A few weeks later she called me to show me clustersCluster headaches of ulcers on her bottom. Then, she told me it was herpes and she wanted me to know.
Before I found out about my old girlfriend, my new girlfriend (now fiancé) had unprotected oral and sexually intercourseCauses of painful intercourse
Sexual intercourse - painful.
Ok. I got tested for HSV on 7/09: LabCorp HSV 1 Igg 3.80 –Positive, HSV 2 Igg, Herpeselect 0.19 – Negative. HSV Igm 1 & 2 Combination 1.44 Positive.
My PCP said this infection is new & I may have received it from my old girlfriend because of the Igm results.
I did a different test on 10/09 to be clearClear by design
Clear eyes
Clear eyes acr
Clear eyes clr
Clear-atadine
Clear-atadine children's. Immunoblot test(LabCorp). HSV 1 Igg Positive. HSV 2 Negative.
Currently, here is what I am going through:
Tingling (everyday) in the following areas: tip of penisCancer - penis
Curvature of the penis
Penis care (uncircumcised)
Penis pain, below my waist, on my faceFace pain(I had my 1st cold sores on my lips after this), and sometimes the bottom of my feet.
Patches of small bumps with white fluid on 3-4 of the same places on my penis and then they leave my skin very dry and look like cluster of rashes healing
. Sometimes a little stinging on my penis. Most of all, the tingling feels like something crawling/popping on and around my genital, it is very annoying.
Also, I have had swollen lymph nodes on my neck & groin pains. Sores in bottom after tingling. Headaches after tingling.
I did get Valtrex but these symptoms have not stop.
1. Do I have genital HSV 1?
2. Can you recommend an ID doctor in my area? I am very unclear
3. Should I get a PCR test on my genital?
4. Can you have tingling from herpes without an outbreak/ulcer?
5. If this is not HSV what do you think it is?
Thanks,
Marco
Welcome to the STD forum. Starting out with the title you chose for your question, before I read anything else: Tingling, in the absence of overtly visible sores, is not a symptom of herpes. If that's your main symptom, without blisters/sores, then you can be reasonably certain herpes isn't the cause.
Now I have read the question itself. My intitial assumption seems correct. You provide no evidence you have genital herpes. Your blood test indeed shows you have HSV-1, but so does half the US population (lesser or greater proportions in other countries).
Your doctor probably believes your HSV-1 infection is new because the IgM test result was positive. He apparently doesn't understand the nuances of HSV test results. In theory, a positive IgM test indicates a recent infection. Unfortunately, it usually doesn't work that way with HSV. It is conceivable you acquired HSV-1 from a sex partner, but it is more likely you have been infected for years (probably since childhood) with an oral, non-sexually acquired infection. Below I will give you a link that explains the problems of the IgM herpes tests.
Second, if your old girlfriend had recurrent clusters of blister-like sores on her "bottom" (buttocks), it is more likely she had HSV-2 than HSV-1. Luckily, your blood test shows you didn't catch HSV-2.
Third, as I already said above, tingling without lesions is not a symptom of herpes. Let me also describe all the other reasons that your symptoms don't suggest herpes. Herpes symptoms cannot continue daily. HSV outbreaks last no more than 10-14 days; cannot occur more often than every 4-6 weeks; and between outbreaks there are no symptoms at all. And herpes symptoms cannot be so widespread as you describe. Recurrent herpes symptoms are quite localized, always in more or less the same spot (give or take an inch), and always are limited to one side of the body. Bilateral symptoms excludes herpes as a possibility. Genital HSV-1 rarely causes frequent recurrent outbreaks. Only HSV-2 does that. And finally, the capper: lack of response to Valtrex more or less proves herpes isn't the cause.
To your specific questions:
1) Almost certainly you do not have genital HSV-1 (or HSV-2).
2) We don't make specific referrals. Your county medical society can recommend an ID specialist. But don't expect miracles. You can expect that an ID specialist will confirm that herpes doesn't explain your symptoms. A neurologist might be a better bet to explain your symptoms.
3) A PCR (or culture) for herpes can only be done if there is a blister or open sore to test.
4) Continuous tingling doesn't suggest herpes, as explained above.
5) I have no good explanation for your symptoms. But the good news is this: you did not catch herpes from your previous sex partner. You probably have an old, longstanding HSV-1 infection that is not the cause of your symptoms.
I hope this helps. Best wishes-- HHH, MD
