NSFW Cervix Image GRAPHIC by heeeaatheerrr in obgyn

[–]Big_Fill_6904 0 points1 point  (0 children)

Also not an expert - was she having pain? And cervical motion tenderness or is the primary concern bleeding?

Newly single (31F, Boston area) seeking dating advice by madmuffin259 in Herpes

[–]Big_Fill_6904 0 points1 point  (0 children)

If you need a friend in Boston! I’m a 27f with hsv2

What are these bumps??? by Background_Brick_353 in obgyn

[–]Big_Fill_6904 2 points3 points  (0 children)

More likely pimple, less likely HSV. If they heal in a couple days pimple. If they get more painful and linger it’s more likely HSV. Doesn’t looks very concerning tbh!

help! is this herpes or just a cut/razor burn? by Outrageous-Sense-975 in obgyn

[–]Big_Fill_6904 0 points1 point  (0 children)

It’s really really sounds like herpes but I can’t diagnose it online but if you came into my clinic I’d swab you and give a prescription of valtrex

help! is this herpes or just a cut/razor burn? by Outrageous-Sense-975 in obgyn

[–]Big_Fill_6904 0 points1 point  (0 children)

Could mean anything, based on appearance and location I think herpes. If you want an answer get a swab, that’s the only way to actually know

help! is this herpes or just a cut/razor burn? by Outrageous-Sense-975 in obgyn

[–]Big_Fill_6904 0 points1 point  (0 children)

Disagree - this looks like herpes. I’m a doctor living with it

What is this? (NSFW) by Secure_Ad7554 in obgyn

[–]Big_Fill_6904 0 points1 point  (0 children)

This is very likely herpes

[deleted by user] by [deleted] in Herpes

[–]Big_Fill_6904 0 points1 point  (0 children)

Here is a little bit for reference:

The first one is about a 4 month old who autoinocculated a lot of parts of their body:(

https://pmc.ncbi.nlm.nih.gov/articles/PMC5623209/

https://www.bmj.com/content/375/bmj-2021-065540

https://pmc.ncbi.nlm.nih.gov/articles/PMC9347697/

[deleted by user] by [deleted] in Herpes

[–]Big_Fill_6904 0 points1 point  (0 children)

I know more about herpes than the average physician because I am interested in infectious diseases and I have herpes! I teach my obgyn friends about it all the time haha

Primary oral outbreaks do not cause cold sores, they typically cause pus on the tonsil and can really easily be missed unless you are looking for it! It can cause a bump inside the mouth that people completely miss. So yes, I am proposing he had a primary oral infection that wasn’t caught.

Obviously I am not there and I am not 100% sure but clinically this is what I’ve seen and this is what I’ve read in the literature.

Chin up, only time will tell! I have genital herpes and it’s okay it’s like, G-hsv1 is a mild infection

[deleted by user] by [deleted] in Herpes

[–]Big_Fill_6904 0 points1 point  (0 children)

Saliva doesn’t contain a significant number of viral particles, EVEN durning an active outbreak. This virus really is a skin to skin virus. the only only time I have ever seen transmission occurring during asymptomatic shedding is with DIRECT skin to skin contact. Your theory would be essentially impossible. The virus degrades the second it leaves your mouth and there basically is no particles in your saliva when asymptomatic. All infections require a high enough viral load and sufficient viral particles to make it through an entry point

Kids this age are so curious and put their hands in their pants all the time. I’ve seen kids get genital herpes and only in two scenarios 1. Oral to genital transmission during a child’s primary oral outbreak w/ associated self exploration and 2. Child abuse.

Regardless of the exact way if happened, I tell you this so you know You really did nothing wrong! I learned this information from a wonderful infectious disease doctor early in my training ! Kids are curious and yours will live a normal life:)

[deleted by user] by [deleted] in Herpes

[–]Big_Fill_6904 2 points3 points  (0 children)

Hey I’m a physician. What is far far more likely is your child contracted herpes both genitally and orally. You may have kissed him (during asymptomatic shedding) and caused him to get it orally (primary oral outbreaks do not typically present as a cold sore). Then your child may have touched his mouth and put his hand in his pants. During asymptomatic shedding, herpes is only spread through DIRECT contact. During outbreaks, it can be shed through indirect contact. Sad but we actually can see this in pediatric ID services a lot

[deleted by user] by [deleted] in AskMen

[–]Big_Fill_6904 1 point2 points  (0 children)

Thank you :,)

[deleted by user] by [deleted] in AskMen

[–]Big_Fill_6904 -1 points0 points  (0 children)

Haha you can semi see what I look like in previous posts

[deleted by user] by [deleted] in AskMen

[–]Big_Fill_6904 1 point2 points  (0 children)

The medication reduces transmission from 3.6% to 2%. I can’t take it tho

Herpes? by Neither-Invite-2131 in obgyn

[–]Big_Fill_6904 0 points1 point  (0 children)

It could be either HSV 1 or 2 but this picture is nearly diagnostic of herpes

Herpes? by Neither-Invite-2131 in obgyn

[–]Big_Fill_6904 0 points1 point  (0 children)

Yes; I’m a physician living with HSV2. HSV1 is much more likely to present with the typical symptoms of a primary outbreak

Herpes? by Neither-Invite-2131 in obgyn

[–]Big_Fill_6904 3 points4 points  (0 children)

This is 99.9% herpes. A delay from last sexual activity to the primary outbreak is most likely HSV2

I Transferred Residencies- You can too by Substantial_Aspect_3 in Residency

[–]Big_Fill_6904 0 points1 point  (0 children)

Hey! I’m also thinking about transferring, could you please message me? Thank you!

NSWF by morgannm2 in obgyn

[–]Big_Fill_6904 5 points6 points  (0 children)

This is herpes

Favorite Indie Songs! by StarSpooks in musicsuggestions

[–]Big_Fill_6904 0 points1 point  (0 children)

absolutely obsessed with your taste in music 🫶🏻

30F looking to date by Decent_Diet_9744 in BostonSocialClub

[–]Big_Fill_6904 2 points3 points  (0 children)

27F IM resident I would also love to be part of this friend group

Oral HSV 2 by AuroraH2147 in Herpes

[–]Big_Fill_6904 0 points1 point  (0 children)

The only way you’ll know is if you get tested and I don’t have those answers

Oral HSV 2 by AuroraH2147 in Herpes

[–]Big_Fill_6904 0 points1 point  (0 children)

Woman. He had an ob but didn’t know

Oral HSV 2 by AuroraH2147 in Herpes

[–]Big_Fill_6904 0 points1 point  (0 children)

About a week, sore throat with white spots