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Hi Terri,
More than 15 weeks ago, I engaged in mutual masturbation with another male, including 10 seconds of him rubbing his penis against mine. He claimed not to have STD’s.
A couple days ago I took the Quest IGG test. I was negative (<0.9) for HSV-2 (yay!) and positive (13.62) for HSV-1, which I expected as I had a problem with cold sores about 10-15 years ago.
I know you say it is unlikely for someone with oral herpes to contract HSV-1 in the genitals, but the urgent care doctor said the symptoms could be due to HSV-1.
Here are the symptoms:
About three weeks after the incident, I noticed a dull ache in my lower left testicle. I also had a stinging feeling at the tip of my penis.
About a month after the event, I noticed a rash was forming on the top of my penis near the base. A doctor told me it was probably fungal, and it seems to be clearing up with some cream on I had in my medicine cabinet (0.77% ciclopirox olamine).
Around this time, I also noticed what I thought was a small black hair on the underside of my penis shaft. This eventually split open, causing a papercut-type lesion along this line. I assumed at the time that maybe I had overstretched the skin due to my aggressive searching for STD’s.
The cut healed within a day, but then it reopened about a week or two later. Again, it healed and then reopened a week or two later. It was not due to friction from masturbation or sex, both of which have been nonexistent since the episode.
Here’s what the rash and cut look like (6 pictures): https://imgur.com/a/PHIe9Qs
I still have mild pain in my scrotum and the tip of my penis. I also have pain behind my left knee. It doesn’t burn when I pee and I don’t have discharge. I have tested negative for HIV, syphilis, chlamydia, gonorrhea, trich, UTI. It’s possible I have Mycoplasma Genitalium, but that would not explain the rash and cuts. An ultrasound of my scrotum revealed nothing remarkable.
If it’s not herpes, do you know what it might be? Thank you!
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The urgent care doctor is unaware of the natural history of HSV 1 in the body. And why on earth would he assume if you had herpes that it would HSV 1. I don’t get it.
When considering whether something might be herpes or not, it is important to consider the contact that raised the concerns. Your contact ( and clinical presentation) is so minimal I am unconcerned about the symptoms that you have described. You did a great job of practicing safer sex.
Terri
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