Worried About Symptoms

[mike_4]

On February 4, 2007, a girl gave me unprotected oral sex twice. There was a chaf mark on my penis the following morning so she definitely broke skin. Two days later, my urine was burning and the tip of my penis hurt if I would squeeze it. I had no discharge. This persisted for a week and a half and I went to see my physician. 02/16/07, I saw my doctor and on that morning a red raised mark appeared on the underside of my shaft. It didn't hurt or itch. I told my physician all my sypmtoms and what happened and he said it's probably urithritis. He said I had a swollen lymph node in my groin area. He ordered a panel to be done on me including herpes select test and he said nothing about my raised mark I had on my shaft. He said no lesions are visible. He gave me a prescription for doxycycline and it helped. My blood work came back negative but it was early though (2 weeks) after encounter. I kept playing with the raised mark because I was paranoid about it and I broke it open and blood and watery discharge came out. It still didn't hurt. I put ointment on it and it went away the next morning but it left a white smooth circle where it used to be. I read that usually happens with a herpes lesion that heals. It's been almost 3 weeks and the white circle is still visible. I had tingling in my thighs, butt, pain in my legs and weird sensations in my feet and headaches. Currently I have a rash on the fold where my thigh hits my groin and it hurts, no itch and there is another pimple by the rash on my thigh. What should I do?

[H. Hunter Handsfield, M.D.]

Clearly you had a pimple or sebaceous cysts.  Herpes does not cause deeper skin lesions of the sort you can pop like a pimple, and neither does any other STD.  The 'white circle' is meaningless.  No STD causes rash in the fold of the groin; that almost certainly is just irritation or a superficial bacterial or fungal infection (especially if you are overweight, i.e. not much air getting to your groin).

Intermittent testicular pain like you describe below isn't a symptom of any STD, especially if you don't have obvious large swelling of the testicle and tenderness to the touch.

If in doubt, return to your health care provider.  I'm sure he will agree you have nothing to worry about, now that your nongonococccal urethritis (NGU) has been treated.

Good luck--  HHH, MD

[mike_4]

During this period, I had severe testicular pain, like someone kicked me right in the groin and the pain shot up into my stomach. That happened a couple times.