What else could the spots have been? I am worried that was the first outbreak and now this is a second. For the last few months i have had an itchy anus. What is the basis that handjob wouldn’t cause HSV given i had never had these symptoms before this. Is an itchy anus a symptom? I have had this for a few months now. I also noticed my wee is sometimes a light greenish colour. Is thisna synptom?