Hello,
Thank you for choosing DoctorSpring.
Your two current symptoms - sensitive prostate and tingling around the mouth are non specific in this context. These are NOT suggestive of an STD at all. You had two sets of STD tests - including a HIV PCR/Viral load - negative.
I would say this is as good as it can get. All these features are suggestive that you are clear of STD. If it is possible you should consider calling up your male partner to confirm whether he has/had any STD. If negative there you are safe to go.
The tingling and prostate pain should resolve by its own. Sitz bath in mild warm water can help. Masturbation/sex can help if there is prostatic congestion.
Hope this helps
Feel free to ask follouwps
Thank you
Patient replied :
Thanks for your reply. Although I have has two negative blood tests for HSV 1&2, today I have a dark purple spot on my lower lip. I have never had a cold sore in my life but I am scared that this is the start. I am afraid that the herpes virus is causing the tingling of my tongue. It has been 22 days since exposure. No follow up exposure from any source. Is it possible to take that long for the blisters to appear? I have read so much on the Internet that I stay confused. Thank you.
Hello,
Theoretically, yes. It is still possible to get a cold sore after 22 days even after the tests being negative. However I would say probability is very minimal.
There are lot of factors involved in arriving this conclusion. All contacts will never result in HSV transmission. (sometimes only less than 10% of occasions HSV transmission occurs from a + individual). And there are chances that you may never manifest the disease. Adding these factors + your negative tests it is less likely that you will manifest HSV.
But the symptoms - redness + tingling is bit suggestive of cold sores or herpes labials. But it could be just a paranoid reaction from all the stuff you are reading online. I guess you should stop that habit and stay relaxed. See for a week whether the lesion evolves or not. If not, ignore it and carry on with business as usual.
Hope this helps
Feel free to ask followups
Thank you
Patient replied :
Hello,
Theoretically, yes. It is still possible to get a cold sore after 22 days even after the tests being negative. However I would say probability is very minimal.
There are lot of factors involved in arriving this conclusion. All contacts will never result in HSV transmission. (sometimes only less than 10% of occasions HSV transmission occurs from a + individual). And there are chances that you may never manifest the disease. Adding these factors + your negative tests it is less likely that you will manifest HSV.
But the symptoms - redness + tingling is bit suggestive of cold sores or herpes labials. But it could be just a paranoid reaction from all the stuff you are reading online. I guess you should stop that habit and stay relaxed. See for a week whether the lesion evolves or not. If not, ignore it and carry on with business as usual.
Hope this helps
Feel free to ask followups
Thank you
Thank you for the answers. One last question please. I am terrified to hug, kiss, or touch my wife and children. I open cabinets and doors with paper towels. What can I do to protect them if I do have HSV? I am afraid I may be shedding the virus even now. I am about to go crazy with fear.
Patient replied :
You are just getting paranoid for sure. There is one thing you should know - More than 50% adults has HSV infection in system. Sometimes upto 60% are already infected. But most will never manifest the disease. So there is 1 in 2 chance that you or your wife are already infected in the childhood or teenage.
This virus is universally present.1. Nothing you do will prevent its spread. 2. Your HSV tests are negative - so it is highly unlikely that you are infective. Again as I said earlier, it is as good as it can get. As a final step - you may wait 3-4 days to see whether there are blisters in your lips. If none I think everything should go back to normal.
And yes safe sex, always
Wish you good health
Feel free to ask followups
Thank you
One more thought and I will stop. Thanks for your patience. The sores in my mouth and bump on my lip are real. There has also been a several burning on either side of my scrotum and my testicles have been aching. My fear is that the PCR test 10 days post exposure and the antibody test 21 days post exposure were false negative due to the short length of time after exposure. How long should I wait after exposure date for follow up blood work at this point ? I hear of false symptoms occurring due to anxiety but these conditions are unfortunately real. Thank you again.