Herpes Possibility

[Worrying999]

I had a protected vaginal sex with co-sexworked  in jamaica but the condom broke. This happened 3 months ago , tested negative for chlymadia ang ganorhea.
also tested negative for hiv 3 months after my exposure.
I had some white painful cold sores in my mouth , tested orally for herpes but it was negative.
Now I have 2 another small painful cold sores in my mouth , they generally come out when i am stressed about something.
I am worrying about Genital herpes. Because i think sometime between 2nd week 7th week there was a redness in my hand and it is still in my hand . It burned become red. that part of my hand is still red and it doesn't go away. it is as big as size of a coin.
I also see that there are white spots on my genital area but i dont know if it is the texture of my skin . they are not like bumps but if you look close you will see them . 1 of those spots are pretty bigger than the others.
do you think I have genital herpes or hpv 2 ?
also if i have genital herpes would they pop up in 3 months ?
when should i worry?
Thank you

[Edward W Hook, MD]

When the condom broke your sexual encounter became unprotected.  Thus it was appropriate for you to get checked for STDs including HIV.  You can have faith in your negative test results - you did not get gonorrhea, chlamydia or HIV from the exposure you describe.

The recurring oral lesions you report are unlikely to be herpes.  You did not mention oral sexual contact and HSV is transmitted by direct contact, thus there is no reason to assume that they might be herpes. In addition the location of the sores you mention are more consistent with canker sores than herpes.

The other dermatological findings you describe do not sound like herpes from your description either.  The lesion on your hand has persisted and that is uncharacteristic of herpes, as is your description. Similarly, the genital (penile) finding you describe sound in no way like herpes or HPV.  Sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital skin changes and sensations than in periods when they are not concerned.  This in turns leads to noticing what turn out to be normal findings and sensations that might have been not noticed or ignored at other times.  Perhaps this was a contributor to your situation.  My advice would be to not worry about them.  If that is not possible, I would suggest you see a health care professional, preferably a dermatologist, for their opinion.  I predict he/she will agree with me.  EWH

[Worrying999]

I forget to mention the most important part. There was a pain on the tip of my penis and it was also itchy and i always felt the tingling sense in my penis. also there is a very little (irritated-looking) tiny cold sore. i had those symptoms in the first 4 weeks.
When i checked online i see all of these refer to hpv or herpes
what do you recommend for me ?

[Worrying999]

I would like to ask 1 more thing. How does genital warts first show up. I think i have them on the part where i am circumsized . i read on the internet that they show up 3 months after the exposure and i read it after i recognize it. not before i recognize.
so i am now very concerned about it.
it doesn't look normal.
do you think that i am seeing them psychologically. or are they real ?
i am planning to go dermatologist today. this is depressing me so much.
thank you

[Edward W Hook, MD]

When people are concerned as you are they tend to look at themselves far more closely than they normally do, often noticing things for the first time that have been present for a long time.  What you describe may be normal but,, if you have warts they are readily treated.  You are doing exactly the right thing to seek a professional evaluation.  I would not worry.  EWH

[Worrying999]

Thank you doctor , dermotologist agreed with your predictions. I dont have genital wart :)
Thank you again for all your help.

[Worrying999]

also do you think that I should get tested for syphillis ? thanks

[Edward W Hook, MD]

No.  EWH