Hello, I currently would love to get another opinion/maybe some clarity. A little long, but hopefully someone can help.
Some background: I do have HSV-1. I've had cold sores since I was a little kid. They rarely ever, if at all, manifest. I may get some tingling or one or two super small white bumps that you can't see unless you're right up on my face maybe once a year. I have been sexually active with the same guy (my long-distance boyfriend) for the past three years. Our last sexual encounter was almost four months ago in October. We did not have vaginal sex, but he did perform unprotected oral on me. And of course, he's my boyfriend so we had been kissing. I do not kiss him when I feel tingling on my lip or if I have a visible sore. But of course, there may be some shedding at all times. And he's never shown any signs of cold sores to me. But again, shedding, so who knows? Also, I have been tested for all STDs (excluding herpes as routine tests don't screen for it) and HIV very recently and all were negative.
So here is the issue.
14 days ago, I started itching on my pubic area (not inside vagina or on labia minora) strictly where my pubic hair grows. I figured that maybe my hair had gotten too long and I needed to shave.
12 days ago, I shaved and was fine for a day or two. Then, the itching on my pubic area continued. I started to experience tingling in my legs and feet and maybe a little tingling in my vaginal area every now and then. Almost as if someone is tickling me. No pain, no change in discharge, no painful urination, doesn't hurt when I walk or sit or shower. Pretty much everything else is the same. I was worried because I knew that I was to start my menstrual cycle and I know that one of the things that triggers herpes can be a change in hormones due to menstruation.
I started my menstrual cycle 7 days ago (I am on the last day now). No new symptoms or anything. No outbreaks or pain or hurting. But still the tingling in my legs and feet and itching on pubic area.
Now today, I went to urgent care because I've been driving myself crazy thinking this is genital herpes. The doctor asked me all of my symptoms and I told him everything as I stated here. He examined my vaginal area and said he sees nothing that would indicate genital herpes as itching can be caused by anything. And if this were the first time I was to have a genital outbreak, I'd be in a lot of pain and the tingling would be followed by lesions. And the symptoms wouldn't last this long. And if I were to have a recurring outbreak, the symptoms still shouldn't last this long. He ordered a urinalysis and said that it seems I have a urine infection (dysuria).
But my thing is I don't have painful urine or urge to pee frequently or anything. But he's the doctor so I filled my prescription and went on my way. I will be getting a full woman's exam and blood test on Wednesday to figure out what's up, but my questions are:
1. Could this be genital herpes just causing dysuria?
2. Would I be in more pain if it were?
3. How often have you seen just tingling and nothing else for a first major outbreak?
Most articles say many people won't know they have genital herpes, but then it's like oh but your outbreaks will be very painful if you get them. So either I won't know or I'll be in pain? It's super confusing. Thanks so much for any help.