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Herpes transmission from scabbed blister on scrotum

Resolved Question:

I did something very dumb and have been depressed about it since.

3 days ago a girl Ive seen off and on and I got drunk and started messing around. Against my better judgement we decided to start having unprotected sex even though I had a scabbed herpes sore on my right scrotom area. However, we did no oral and she layed on her back to where I stood infront of her and we only had 'sex' with the top/head on my penis to where nothing else touched.

After roughly 30 seconds of this kind of 'sex' I stopped after my mind screamed at me.

I am now going to have to wait the 4-7ish days to see if she was infected. I wanted to ask in the meantime, what the likliness of having sex, witout touching any active (even scabbed) sore, for 30ish seconds were as I have been a paniced mess ever since.


Category: Sexually Transmitted Diseases(STD)Specialist

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Category: Cosmetic and Plastic Surgeon
Dr. Kruti Jobanputra Banodkar is online now

Expert:  Dr. Kruti Jobanputra Banodkar replied 4 Days.

Hello,

Thank you for choosing DoctorSpring.

Likely hood of your partner to get the infection - LOW
Let me explain this to you.

1.You had the lesion on testes - This reduces the risk, however still your partner can get infected as viral shedding can occur from the lesion in testes and reach the penis tip.

2. Crusted lesion - All lesions of genital herpes are not infective. Only active lesions are infective. Are you treatment with anti virals ? If you are treatment the risk of transmission is much lesser

3. General risk - With single exposure the risk of Genital HSV could be as low as 5% . So inherently the risk is low.

4. The person could have been already infected (Upto 50-60 adults have HSV 1&2 in their system

Putting all these together we can see that the risk is low. However it is still possible. Consider disclosing this to friend. If the lesions are active you should take anti viral medication as this will reduce the spreading.

Hope this helps
Please feel free to ask followups.
Thank you


Patient replied :

Thanks for the reply. It's been 5 days now and no sign of anything, so from the CDC range stating almost all people that will show symptoms do so within 4-7 days of exposure, I am guessing I am starting to be in the clear.

Another question is, it seems that I am having a double/secondary herpes outbreak. The night after I had this encounter, I noticed tingling/itching as well as nerve aching. Today, (5 days later) I now have 2 unopened herpes blisters on the left side of my penis shaft near the rim of the head.

Would this have come into play when I had the encounter earlier, or was the timing lucky in that I did not notice and prodrome symptoms until the next night?


Expert:  Dr. Kruti Jobanputra Banodkar replied 3 Days.

Hello

The fact that your partner has not developed any signs or symptoms is a good sign. However it does not totally rule out infection as delayed presentation can occur. The fact that you seem to have active herpes blisters is unfortunately a bad sign as it suggests you might have been infective during the sexual encounter.

Observe for a a week or so. In view of you new lesion its recommended that your partner get tested for STD. Also you should consider antiviral treatment in under the guidance of your Doctor.

Hope this helps
Feel free to ask followups.
Thank you


Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Experience: 
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
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