Herpes doesn't cause any of the symptoms you mention. If and when it causes back pain (which is rare), it is in association with overt, recgonizable genital outbreaks.
You're obviously trying very hard to convince me (and seemingly yourself) that you have genital herpes. Sorry, it won't work. You're just going to have to accept the apparently difficult reality that you don't have it. If you continue to obsess about it, professional counseling would obviously be in order. It is very abnormal to remain so obsessed after hearing such strong, repeated reassurance based on well established science.
In any case, this thread is definitely over. Any more comments will result in immediate deletion of the entire thread.
Hi Doctor,
I respected your advice and am trying to move on from this encounter. I would trust your advice that I do not need HSV testing as I haven't had any other marks besides the supposed follucilitis mark. The only thing is that I have a consistent back pain and urine is yellowish. Maybe a slightly red penis tip. Not sure if it was red before the sex or not as I never really looked that carefully down there before. I also know from the research that HSV back pain comes and goes so I further agree with your advice. Please let me know if you have any comment on this. I know you said that there won't be any further comments but I am sorry I am trying my best to move on and Just needed some answers until my doctors appointment for this back pain next week.
Welcome back. However, Dr. Hook's last comment made two points. First, "This seems to go on and on. This will need to be the last answer." That was not an invitation to continue the discussion in a new thread. Only a limited Second, "Isolated itching in the absence of lesions is not a sign asign of HSV, I urge you not to worry about this."
You had a condom protected exposure, both the vaginal and oral sex. That means there was little or no more risk for herpes than any other STD. And your symptoms don't even hint at herpes. Any lesions due to herpes from that event would have to be at the exact sites of exposure, e.g. just above the condom on your penis. Initial herpes lesions don't appear as pimples of the buttocks -- but the latter is one of the typical sites for folliculitis or pimples.
As for testing, I have two comments. First, based on the exposure and your symptoms, you should not be tested for herpes. Second, at the same time, I have no patience for not testing for any medical condition because of fear of the results. It isn't the test that gives someone a disease, and if you were to have herpes, you have to know it. Further, when people delay testing for that reason, then finally get tested, anxiety levels decline, even if the result is positive. In other words, having the feared condition -- whether herpes, HIV, or breast cancer in a woman who fears a mammogram -- is less stressful than the anxiety of not knowing.
As I said, you do not need HSV testing on account of the exposure you have described. But if you continue to obsess about it, then testing is the way to know for sure. In that case, just do it. Do not ever tell me again that you fear testing because of a possible positive result. You're a grown-up -- at least grown up enough to have started having sex -- so you need to act like one.
Finally, you're obviously anxious about your first sexual experience, and you're manifesting that by irrational fear of STDs. If these fears continue despite the strong, reasoned, science-based reassurance you have had, you'll need to consider professional counseling.
There won't be any further discussion on this thread. Do your best to move on.
HHH, MD