By definition, the initial herpes infection occurs within 2-3 weeks (usually 3-10 days) of catching the virus. A person can have an asymptomatic initial infection, with first *recognized* outbreaks months or years later. But rarely 18 years. Equally important, you can dismiss every symptom you describe. None of suggests herpes.
I never guarantee someone isn't infected. But based on the symptoms you describe and the overall story, I see no risk whatsoever to sex with your wife.
As I suggested, the way to know the cause of your penile rash is to see a health care provider. There in no point in trying to learn more by online searching or by this or any other health care forum; it won't get you anywhere. When you see a provider, if you remain fearful about herpes, you could have a blood test for HSV-2 antibody. Truly I believe this is unnecessary, but you could discuss it with your provider.
That will have to end this thread. Please accept the reassurance and move on.
Thanks so much for your assessment. I have been very depressed about the ramifications of herpes and have learned my lesson. You mentioned that there is no way this is a recurrent outbreak. Do you think it could it be an initial outbreak from a 18-20+ year asymptomatic infection from my past risky adventures, or recently acquired from my recent partner who has more recently been infected and has not had time to test positive? I can dismiss the sore throat and pimple-like rash on both butt cheeks; however, the small crusted areas (light scabs?) distresses me greatly. I think they could have resulted from tiny water blisters I didn't notice??? They did flake off after a couple of days and were slightly itchy. Is it plausible that this was a penile yeast infection contracted from this recent encounter? Biggest question: Is it safe to have sex with my wife in your professional opinion?
Your description doesn't at all suggest genital herpes, which simply doesn't behave the way you describe for your penile rash, nor does your description of the appearnce sound like herpes. I also agree with the reasoning and conclusion of your STD clinic provider; herpes doesn't behave this way and doesn't last so long. I doubt this has anything to do with your casual sexual encounter 2 months ago (in contrast to the advice you had on the STD community forum, where someone speculated about yeast you might have caught from your partner). Genital location and timing with a new sex partner do not necessarily mean an STD. Any of the innumerable skin conditions that can cause rash anywhere on the body sometimes affect the penis. And no, there is no chance this is recurrence of previous herpes.
I gather the appearance of your penis changed since you visited the STD clinic, since your follow-up with the STD provider apparently was by telephone. You need to be reexamined in person, either by returning to the STD clinic. Or see your primary care provider or a dermatologist. In the meantime, you can be very confident this problem is not herpes or any other STD, and that it probably has nothing to do with your new sexual encounter.
I hope this helps. Best wishes--- HHH, MD