To evaluate whether uncircumcised status is correlated with acquisition of human immunodeficiency virus (HIV), 502 homosexual men were surveyed; 85% were circumcised. Participants were interviewed for sociodemographic and behavioural risks. This might change in the near future, however, because fewer and fewer newborns are being circumcised in the United States. Each woman provided demographic and behavioral information, vaginal swab specimens for bacterial culture, a vaginal smear for Gram stain diagnosis of bacterial vaginosis, and blood for HSV-1 and HSV-2 serology. I was a virgin till 2 weeks ago (no vaginal or anal sex before) . This opinion was based on popular considerations of sexual hygiene. I am freaking out bc I know those are early symptoms that can present.
What are my chances of HSV2 from my planned course of action? Every doctor I showed them to thought they were folliculitis, as after the initial penile bumps they almost exclusively appeared on my buttocks and thighs. about 1/4 in wide, and almost half-way around my penis starts peeling away. I took this as good news, and moved on. In time, the symptoms subsided, with an occasional bump, here and there. Last April (2014), I finally had another sexual encounter with a girl; very brief unprotected oral from her, and protect sex (again, very brief, it had been a long time!) And, within a week, the exact same symptoms, in the same spots, same hot feeling in my legs under the skin, tingling, same small, largely painless bumps, no open ulcers, or weeping or crusting. But persistent.
I assumed that I had gotten HSV2 this time, confronted her, she got mad and denied, stopped talking to me. After adjustment for enrollment characteristics and rates of sexual practices and symptoms of sexually transmitted infections, the hazard ratio was 0.72 (95% CI: 0.56-0.92; P=0.008). So the relevance of these studies to Americans could be questioned. However, circumcision does change the function of the penis and there are sexual sensations that a circumcised man can never feel. I took the good news, and moved on. Real world studies how that a man with a natural penis is at no higher risk of HIV and HPV. We engaged in protected sex (much longer this time, I’m not too proud to say!), and unprotected oral, for her, and finally unprotected oral for me.
In the heat of the moment, I forgot about my HSV1; I wasn’t having any symptoms at all, and I know that genital shedding is rare. Also, I have reason to think that she gets coldsores. Anyway, in talking to her afterwards, she mentioned that she had been attacked by a guy she met online a few weeks previously, and sexually assaulted. And that two years ago, she had been arrested for being a sex worker….much to my surprise, and growing alarm. So, two days ago,5 days post, I noticed the same slight burning feeling under my skin in the groin, and a few red spots show up, on the outer thighs, and butt. Not in clusters, but spread out. Then, I found a small bump on my glans last night when I got out of the shower.
It reacted to peroxide, I cleaned it up and have been watching it’s progress. It hasn’t gotten larger or turned into an ulcer. I have had HSV-1 since I was very young, so I know what herpe sores look and feel like… None of them appear fluid filled yet, some have a red base, and some do not. There might be 10 or so that I can see, spread out, not really in groups, again, they don’t hurt or seem like blisters yet. I guess, what I am trying to figure out is, is it possible that reexposures to other strains of HSV1 are just triggering outbreaks? I know that antibodies to one type are suppose to protect against more of the same, but I can’t help but wonder if that is so.
Also, I have been trying to follow a low arginine, high lysine diet (I know there is conflicting ideas on the impact of that), but I used to find that eating certain things would seem to trigger an outbreak. I also know that it may not be nothing herpes related at all, or that I may have gotten HSV2 finally, but I find it odd that in each instance the presentations of symptoms, and timeline, is virtually identical. Given that I have antibodies to type 1 already, would I need to adjust my time to wait to take yet another WB, or should I still shoot for the 12-16 week mark? I guess I am just looking for some feedback and ideas. I should add that I haven’t been getting the burning, or tingling feeling much at all between the initial bouts each time. And that I never had any coldsores that I am aware of, before all this.