What is it?

About three months ago, I had an encounter I greatly regret.  I received unprotected oral sex from a female escort for about five minutes.  This is the only encounter outside of my 15 year marriage.  

I have not really had any symptoms for STDs, but one issue has caused some mild concern.

I have a very mild case of psoriasis that affects me in the genitals (scrotum, anal area).  These areas are red quite often and cause itching.  Also, I have jock itch often as I exercise a lot and sweat a lot.  The jock itch usually affects me in the inner thigh area and butt crack lining.  Usually, I use clotramizol or lamisil which seems to work just fine.  I also have minor hemorrhoids.    

The reason I am writing is because recently I had a jock itch-like rash on my buttocks.  The buttock rash itched like crazy, especially at night and became highly inflamed, almost welp like and covered nearly the entire bottom portion of my right butt cheek.  It also bled a little.  I wouldn

[H. Hunter Handsfield, M.D.]

You're clearly experiencing a left brain/right brain battle: rational understanding that you don't have herpes versus the more emotional reaction.  Your left brain is right.  There is nothing in your description that suggests herpes, either by location or the nature of the rash itself.  Even without your doctor being primed to the possbility, any dermatologist would readily recognize herpes.

And on top of all this, the risk of getting herpes from a single episode of receiving oral sex is very low; and if you did, the problem would have been limited to the penis itself.

I hope this helps.  Best wishes--

HHH, MD

[sparkeler]

It sounds like psorisis.  Psorisis produces red flaky itchy rashes that can bleed if itched too hard.  I don't believe this is herpes at all.  Like you said maybe a combination of the jock itch and psorisis.

[123abc_]

Thanks so much doctor.

Just one clarification.  The condition had resolved by the time I saw the dermatologist.  All that was left were the brown spots.  I only bring this up because you said the dermatologist would have recognized herpes.

Am I repeating something you already understood?  Just a quick answer would be greatly appreciated.