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Dear There, I%E2%80%99m 31 Year Old Male. 10 Years Ago
Question: Dear there,
I%E2%80%99m 31 year old male. 10 years ago I had sex with sex worker and I used condom at the time. However, few days later I developed red raised lesion on thr side of my penis just below the glans. It wasn%E2%80%99t painful nor itchy. Since then I started to panic. The lesion took a while until its gone. However since then every now and then I started to suffer from abnormal discolouration and lesions in my penis (redness, dryness, annilar lesions) I once had cut underside my penis... although I didn%E2%80%99t have typical herpes lesions no blisters no vesicles no ulcers, yet I have what I think symptoms very similar of prodromal symptoms ... I have abonrmal neurological sensation, random burning/itching/tingling sensations mostly in my penis and buttocks and underwear areas and sometimes same sensation in random areas of my body.
I was totally convinced that what I have was herpes because I know condom do not offer 100%25 protection and because many herpes patients have similar neurological sensations. However, I did herpes igg tests 5 times since 2015 everytime it came back negative.... last time I did it in the USA in 2019,beacuse I still have prodrmal symptoms whenever I have a flu or when stressed... I uploaded my test here and it is still negative
Hsv1 = 0.49
Hav1= 0.10
My question is, could it be false negative? Because I read that 0.2%25 of igg test can be false negative as some viruses would ve G deficient
If it is not false negative, then how can you explain my symptoms because I will lose my mind.. I still cannot get married out of fear of transmitting something to my wife...please help me
I%E2%80%99m 31 year old male. 10 years ago I had sex with sex worker and I used condom at the time. However, few days later I developed red raised lesion on thr side of my penis just below the glans. It wasn%E2%80%99t painful nor itchy. Since then I started to panic. The lesion took a while until its gone. However since then every now and then I started to suffer from abnormal discolouration and lesions in my penis (redness, dryness, annilar lesions) I once had cut underside my penis... although I didn%E2%80%99t have typical herpes lesions no blisters no vesicles no ulcers, yet I have what I think symptoms very similar of prodromal symptoms ... I have abonrmal neurological sensation, random burning/itching/tingling sensations mostly in my penis and buttocks and underwear areas and sometimes same sensation in random areas of my body.
I was totally convinced that what I have was herpes because I know condom do not offer 100%25 protection and because many herpes patients have similar neurological sensations. However, I did herpes igg tests 5 times since 2015 everytime it came back negative.... last time I did it in the USA in 2019,beacuse I still have prodrmal symptoms whenever I have a flu or when stressed... I uploaded my test here and it is still negative
Hsv1 = 0.49
Hav1= 0.10
My question is, could it be false negative? Because I read that 0.2%25 of igg test can be false negative as some viruses would ve G deficient
If it is not false negative, then how can you explain my symptoms because I will lose my mind.. I still cannot get married out of fear of transmitting something to my wife...please help me
I was totally convinced that what I have was herpes because I know condom do not offer 100%25 protection and because many herpes patients have similar neurological sensations. However, I did herpes igg tests 5 times since 2015 everytime it came back negative.... last time I did it in the USA in 2019,beacuse I still have prodrmal symptoms whenever I have a flu or when stressed... I uploaded my test here and it is still negative
Hsv1 = 0.49
Hav1= 0.10
My question is, could it be false negative? Because I read that 0.2%25 of igg test can be false negative as some viruses would ve G deficient
Brief Answer:
Regarding herpes
Detailed Answer:
Hello and welcome to 'Ask a Doctor' service.
I have gone through your query and noted your concern.
Herpes usually presents with painful fluid-filled lesions which rupture to form genital erosions.
Considering your symptoms that you never had vesicles or erosions, I don't think you have herpes. Moreover, multiple negative tests for herpes convincingly rules out the possibility.
Most likely you have yeast or candida infection which can recur. I request you to kindly upload a few images of the affected area in the "Reports Section" so that I am able to have a look and guide you accordingly.
Take care.
Hope to assist you further.
Regarding herpes
Detailed Answer:
Hello and welcome to 'Ask a Doctor' service.
I have gone through your query and noted your concern.
Herpes usually presents with painful fluid-filled lesions which rupture to form genital erosions.
Considering your symptoms that you never had vesicles or erosions, I don't think you have herpes. Moreover, multiple negative tests for herpes convincingly rules out the possibility.
Most likely you have yeast or candida infection which can recur. I request you to kindly upload a few images of the affected area in the "Reports Section" so that I am able to have a look and guide you accordingly.
Take care.
Hope to assist you further.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I uploaded some photos here
how do you explain the neurological symptoms I have evey now and then and when I get sick of common cold...I feel burning sensation/tingling/cold sensation/muscle twiching in my underwear area and sometime all over my body.. I never had blister or ulcer but I remember I found small cut in penis...and most other lesions are discoloration /redness/and those circles u see in photos
how do you explain the neurological symptoms I have evey now and then and when I get sick of common cold...I feel burning sensation/tingling/cold sensation/muscle twiching in my underwear area and sometime all over my body.. I never had blister or ulcer but I remember I found small cut in penis...and most other lesions are discoloration /redness/and those circles u see in photos
how long should I wait
Brief Answer:
Regarding genital lesions
Detailed Answer:
Hi.
I have viewed the images. I can see grouped papules, some of which are arranged in an annular pattern on shaft. These are more like lesions of granuloma annulare rather than genital herpes. Genital herpes is unlikely without any typical lesions. Moreover, the lab tests haven't shown anything which would suggest herpes. Granuloma annulare, on the other hand is asymptomatic though some patients may have symptoms like itching, burning. It is more common in patients with underlying diabetes. I suggest you to check for that.
Take care
Regarding genital lesions
Detailed Answer:
Hi.
I have viewed the images. I can see grouped papules, some of which are arranged in an annular pattern on shaft. These are more like lesions of granuloma annulare rather than genital herpes. Genital herpes is unlikely without any typical lesions. Moreover, the lab tests haven't shown anything which would suggest herpes. Granuloma annulare, on the other hand is asymptomatic though some patients may have symptoms like itching, burning. It is more common in patients with underlying diabetes. I suggest you to check for that.
Take care
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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