Hello,
Thank you for considering my question.
A little over 4 months ago I had protected oral and vaginal sex with a sex-worker of unknown STI-status (although she said she didn't have anything, it's hard to take her word for face value). I did not see any visible sores on her, but I didn't really look hard. The encounter was fairly quick, and I immediately took a shower when finished.
Several days after the encounter, I began to develop one of the worst jock-itch rashes I've ever had between my legs and groin. The skin was very red and tender, burned at times, but no visible blisters or ulcers were present. I immediately freaked out and went to see a clinic doctor. He diagnosed it has a fungal infection, gave me a cream, and told me I had nothing to worry about. The rash slowly improved over time, but flared back up once and while. As I fought the rash with the cream provided, I developed additional symptoms off-and-on. Occasionally I'd get tingling and itching sensations in my groin, I developed a series of red bumps near my butt-cheek (not fluid-filled or painful, just red), and a secondary rash on my lower thighs and behind my testicles which lead to burning and flaking skin, but no cuts, ulcers, etc.
Throughout this process, I have been extremely scared and anxious. I have since seen 1 clinic doctor, 2 GPs, 4 dermatologists, and I have an upcoming appointment with a urologist. Each doctor has said no to herpes. The dermatologists have diagnosed me with jock itch, intertrigo, and pruritus scroti. All seem to be convinced that if I had herpes I "would know it," even though the CDC and other informational websites say herpes infections can be mild, go unnoticed, and can be confused with other infections. I have also had 5 HerpeSelect tests done - including one after the 4 month mark - and all have come back negative for HSV 1 and HSV 2. This brings me some relief, but I have also read that false negatives can occur, and that some people never develop detectable antibodies.
My close family members are convinced that this has developed into a psychological/behavioral problem, and I have since started seeing a psychiatrist. Still, my rash persists, and I am convinced there is something wrong with me. I have even developed an additional series of red bumps, not far from where the first ones appeared, near my butt check. I am going to attempt to have them biopsied this week.
My questions are:
1. Given my situation, what are the odds of having HSV 1 or HSV 2?
2. What is the likelihood of not being able to produced herpes antibodies, hence revealing false negatives on all my blood tests?
3. Would acquiring a Western Blot blood test help in determining my status?
4. How can I be 100% sure I don't have herpes?
Thank you so much for your time. I look forward to hearing back from you.