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Anxiety & fear regarding potential HSV-1 infection

Hi,

I've posted questions to Dr. HHH and Terri and have gotten good answers. However my anxiety is getting the better of me again and I wanted to run this by the community as well.

I'm a 32-year old male. Recently had a session with CSW where she gave me unprotected oral and we also kissed using tongue. I'm worried about catching HSV-1. I also found out that the CSW has HSV-1 and gets outbreaks "about once a month" but did not have an obvious sore on the day. I myself was tested negative via IgG test 22 days post exposure.

Timeline:

6 days PE(post encounter): saw a doctor who said my chances to catch anything are low but ordered tests for chlamydia, gonorrhea

7-10 days PE: I start panicking about herpes, inspect my penis rigorously, when it got a little red I applied antiseptic liquid and tons of hydrocortizone. I also try to see inside my urethra for herpes lesions. My urethra starts to tingle and itch. This goes away in few days but is replaced by pain in the pelvic region and low pressure in urine stream. Prostate hurts when touched and also feels like it's constantly irritated, not relaxed.

11 days: see a doctor who thinks I've got UTI (but doesn't order tests), presses my lower stomach, which feels painful. Prescribes 5-day course of trimethroprim (160mg, 2/day).

12-14 PE: UTI & prostatitis type of symptoms start going away and disappear after taking the antibiotics. On evening of day 14 I go to do some outdoor activity with heavy clothing and my groin area is sweating a lot. I did not shower or wash afterwards.

Day 15: I notice two red patches on the tip of my penis (glans). I'm uncircumcized. There are no visible sores, blisters or any fluid coming, no pain, no itch. I was unable to get a swab done at this time. The patches were not raised, seem to be part of the skin rather than on top of it. I applied hydrocortizone 1% on the patches.

Day 16-17: I continue to administer hydrocortizone in the mornings and Bepanthen for the nights. On evening of day 16 patches look like they are recovering, day 17 gone.

No symptoms after this except a mild throat infection on day 23, which went away in less than a week.

The most worrisome symptom is the red patches that appeared on day 15. I can't seem to get past that and my mind keeps going in circles around this. Somehow I've convinced myself that it was herpes, especially because it can cause so different symptoms in different people. I'm afraid that it was a mild outbreak. I was unable to see a doctor but two doctors have told me based on my description it doesn't sound like herpes. They base it on the fact that it went away in 2 days and that it reacted favorably to moisturizer and hydrocortisone. I also realize that there is a lot of other things that could've caused it. I was on trimethroprim at the time. I had almost finished the meds when the rash appeared. I had also masturbated two days prior to relief the tension in my prostate. I did not feel like masturbating so I had to be quite rough. I might've damaged the skin. This combined with the sweating might suggest nothing than damaged skin reacting to sweat.

I have a regular partner and two kids so I think part of this is psychological. I've convinced myself that because of one stupid mistake I deserve to be punished. I have also noticed that quite many men get these symptoms (tingling, prostatitis) after regretting a sexual encounter and feeling extreme anxiety.

Nothing to do now but wait. I was planning to get tested at 12 weeks post exposure but I think I'll take one test at 8 weeks, the waiting is just killing me. And if I get a negative at 8 weeks, it would be encouraging result.

I've not kissed my wife or my kids since the incident. I have moved my toothbrush to the other bathroom. I wash my hands more frequently. Also no sex with wife but I fear how long I can keep this up before she starts to suspect. I just don't want to infect her with anything.

I have already gone through my confession in my head if I end up being positive. I am prepared to live with no sex for the rest of my life. I just don't want to lose my family.
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Avatar universal
I have been doing a lot of reading on yeast infections and your symptoms are very similar. The symptoms can be redness, itchiness, maybe a burning sensation and even tiny sores. I really dont think what you have is herpes. Just relax and when your test turns out to be negative tomorrow (which I am sure it will be) just put this behind you a move on. Good luck!
Helpful - 0
Avatar universal
One more day to endure and this waiting will be over. It's really annoying that this testing is so slow. I remember when I was waiting for my 3 weeks test results. They were supposed to call me on Friday but nobody called. That left me hanging in the air over the weekend. Thankfully I got the call on Monday and was told that I was negative. I remember feeling at least somewhat relieved after those results, but I knew fully well that they were not conclusive.

However, some people do develop antibodies that quickly.

Then when I got the second rash my world came crashing down and I felt sure that I was infected. And now I'm going back and forth in my mind. Sometimes I feel really positive and keep telling myself it's nothing, I've just worked myself up over nothing and am blowing this out of proportion.

Then I remember I shouldn't be too happy because then the fall will be so much harder if the results come back positive. And then my mind starts going in circles again - why would I get these two strange rashes, that I've never had before, after a risky and stupid encounter? It's just too much of a coincidence that it would be nonspecific balanitis or yeast or whatever. It just doesn't add up. Only thing that does add up is herpes.

Tomorrow I might find out if that's the case (only conclusive result of course being that I'm positive, a negative results might only give temporary relief as I might develop antibodies by week 12-16).
Helpful - 0
Avatar universal
My doctor called today as scheduled, one week from giving blood. Results are still not in, unbelievable. She will call again on Friday. So one and a half weeks waiting for results.
Helpful - 0
Avatar universal
Phew, I was able to pull of the thing at work I was worried about over the weekend. Didn't suffer a nervous breakdown.
Helpful - 0
Avatar universal
Good point about the sweetened yoghurt. I need to check some websites for tips on candida diet and make some changes to my diet.
Helpful - 0
Avatar universal
Beer does contribute to yeast and if you eat yogurt, it should be plain with live cultures. Sweetened yogurt has too much sugar which feeds yeast.
Helpful - 0
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