Looking for advice

[jwop]

I am a 28 yo male.

Here is a description of my situation:

3/12/22 : sexual encounter, protected penetrative vaginal sex & unprotected frottage

3/13/22 : skin on shaft of penis felt raw to touch, no visual symptoms

3/14/22 – 3/21/22 : no longer any raw feeling, started to feel itching / tingling mostly on scrotum. Also during this period I noticed a fairly large rash on the back of my hand, not sure how long it had been there.

3/21/22 – 3/23/22: itching / tingling mostly subsided and was replaced by a dull ache in the right side of my groin and a slightly swollen right testicle. I went to the ER and the PA said I was experiencing orchitis. I was given a full STD panel (other than herpes) as well as a 10 day course of antibiotics, everything came back negative.

3/31/22: groin pain mostly subsided, but the itching / tingling came back. I went to see a urologist on this day, he gave me a prostrate exam and told me I have prostatitis and recommended I try taking some ibuprofen for a few days and see if it goes away.

Today is 4/21 — over the past few weeks, I’ve continued to experience both the tingling and the right groin pain on and off daily. Also, when I walk now, it sometimes feels like there’s some kind of chafing going on either on the scrotum or my inner thighs, but when I reach down and touch or look at the area, there’s nothing noticeable. There have never been any visual symptoms in my groin area whatsoever. Symptoms feel like they get worse when I’m stressed about what I’m experiencing, but then again maybe I just stress about it more when symptoms get worse. I’ve also noticed that there are hardly any symptoms at all when I wake up in the morning. Sometimes I feel like I have a tightness in my stomach. For a period of a few days a couple weeks after the encounter, I was feeling under the weather with a cough & fatigue.

Does this sound like it could be caused by herpes? What next steps would you recommend?

[jwop]

I also wanted to mention that the tingling is much more noticeable when I’m sitting down. Occasionally my testicle feel a little swollen.

[Terri Warren]

None of this sounds herpetic to me and good job using that condom!
But you did have some things going on down in the genital area and glad you sought out evaluation and treatment
I don’t really recommend testing for herpes at this time, based on what you’ve told me, but you certainly could. Remember that any low positive should be confirmed. But honestly, again, this doesn’t sound herpetic to me.

Terri

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