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Possible herpes/low immune system?

I'm a 27 year old male, I engaged in mutual unprotected oral sex with a female partner 9 weeks ago. Within a week of the encounter I started to experience urethral discomfort, followed within a few days by itching and tingling around my genital region, and a short-lived pain in my right testicle. In the intervening weeks I have noticed a few tiny red/white lumps in my crotch, which haven't been painful to touch but have broken open after a few days. No noticeable lumps/sores on the head or shaft of my penis, but the skin on the head has occasionally been red or dry. I have experienced an excessive need to urinate since the incident. I have also been quite sick with a flu-type illness, night sweats and swollen lymph nodes etc. I have been treated with azithromycin, acyclovir, fluconazole and nothing seems to reduce the discomfort. I also seem to have a persistent white film on my tongue. Been tested for all STIs but nothing has come back positive. I did have one of the lumps swabbed for a herpes test but it wasn't open at the time. All doctors I have seen have said that herpes is very unlikely to manifest solely in the urethra without lesions on my penis, and that herpes wouldn't cause pain for such an extended period. They have also said the bumps don't look at all like herpes. However, the constant tingling around my testicles and tender nature of my pelvic area has me very concerned, along with the constant urethra pain.

Thinking back, over the past year I have experienced most of these symptoms but to a much lesser degree. Is it possible that I have somehow caught something that has compromised my immune system, leading to a mild herpes outbreak/oral thrush/general sickness?

I have been tested negative for HIV at the 9 week mark with a DUO test, and am confident that this is not the problem.

I'd really appreciate any insight, particularly into the potential compromised immune system. I'm pretty much going insane over here.

Many thanks
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Avatar universal
For anyone who is suffering similar symptoms to those I posted above (particularly following a regrettable sexual encounter), i.e. herpes like burning/tingling/itching in the urethra and groin but for far longer than herpes can cause problems, please look into CPPS (chronic pelvic pain syndrome) as a potential cause. I have been working for a specialist who is treating me with muscle relaxants and physiotherapy and I am feeling much better. I have also found that relaxing and doing things that I normally do, basically enjoying life again, has made a huge difference. Good luck
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15249123 tn?1478652475
Thanks and it is for you as well. Believe that.
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15249123 tn?1478652475
If I had to guess. I would say you being hyper aware and examining yourself has a lot to do with it. When I had my heroes scare I had the same symptoms and if you read other's posts these symptoms are very common. I had tingling in my scrotum and sensitivity at the tip....etc. gues what? After I tested neg and I relaxed everything soon went back to normal. My scrotum still tingles once in awhile but I believe it probably always did and before I became hyper aware it was just business as usual. See your counselor and try and get it off your chest. Your overall chances of hsv from a one time exposure of oral without a cold sore present is slim to none and far closer to the none.
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Thanks again, looking forward to seeing the counsellor tomorrow and being able to take a load off! Glad it was just a scare for you mate
15249123 tn?1478652475
Your Dr's are correct. These symptoms are not hsv.
Your HIV test is conclusive as well. You stated you have had these symptoms before.
I'm betting it's worse now because of stress and anxiety.
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Many thanks for the reply, much appreciated! I've been looking around the site and you obviously help a lot of people. Any chance you could hazard a guess at the reason for the constant itch/tingle/burn around my bits? Maybe there's something I've overlooked? Or maybe it is all in my head... I've booked to see a counsellor tomorrow so hopefully this will help.
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