Welcome to the STD forum. Bottom line: this doesn't sound at all like herpes. The jock itch explanation sounds right to me. You were not at risk for HSV-2 from oral sex; and most likely you are immune to HSV-1.
Herpes doesn't generally cause itching as the main symptom; herpes sores can itch, but you don't describe the typical blisters or sore. Diffuse redness and itching of the skin does not suggest herpes. Further, for HSV infections to "take", the virus usually has to be massaged into the tissues -- and therefore the first symptoms almost always involve mainly those areas that get the most friction during sex: the penis head and shaft in men, the vaginal opening and labia minor in women. Therefore, initial genital herpes in men rarely involves primarily the groin, but that is a typical location for non-STD rashes like jock itch.
As for intermittent mild urinary discomfort or irritation at the tip of the penis, you are correct that it could have indicated an STD and it was wise for you to get checked. However, most STDs that cause urethral irritation also cause obviously abnormal discharge; and more important, the standard STD tests are highly accurate.
As for your oral sores, oral herpes sores generally are much more prominent and severe than you describe. Also, all new HSV symptoms almost always show up withint 3-5 days of exposure. On that ground alone, most of what you describe doesn't suggest herpes, and my guess is that none of your symptoms is directly related to your recent sexual exposure.
1) Certainly it is possible to catch HSV simultaneously in the genital area and mouth, if both sites were exposed to a partner's herpes infection. But for the reasons above, I very much doubt this is what you have.
2) Oral infections with HSV-2 are rare; therefore, it is extremely rare that genital HSV-2 is acquired by oral sex. That doesn't mean it can't happen, but if it does, it is extremely rare. In my 30+ years in the STD business, I have never seen a case.
Assuming your oral outbreaks when you were young were cold sores (herpes), it undoubtedly was due to HSV-1. If so, you cannot catch HSV-1 again; people are immune (or at least highly resistant) to repeat infection with the same virus type.
If you like, you could be tested for HSV-1 -- but it probably will be positive because of your apparent oral herpes as a child. There is no blood test that can tell the location on the body of an HSV infection. All things considered, you can be very confident you don't have genital herpes and I do not recommend you be tested any further. Continue to work with your doctor if any symptoms continue that concern you.
Regards-- HHH, MD
Sorry...the first line didnt get posted.
Recvd unprotectd oral about 18 days ago from a girl. It lastd long time and was pretty rough. No ejac. A few days later I startd itching on my groin - in the crevice - noticd a rash and went to clinic
I am getting really freaked out that no one has answered my question but other Qs are being answered........
MedHelp standard is for a reply within 24 hours. Depending on how various moderators configure their browsers, we don't necessarily answer questions in the order received.
Thanks Dr.
I am less concerned about the jock itch piece of this (though a strange occurance right after) than I am about the feelings in the tip of the penis and the sores in my mouth that were there for a day or 2 at most. I am just very concerned about getting any type of herpes in the genitals. As far as the cold sores as a child, I usually got them on my lip (not like the sores recently that were inside my mouth) or right below/above my lip. I have school pictures almost every yr with a cold sore. Are there different types of cold sores (my mom and brother both still get bad ones but not my dad)? So they could have been cold sores but not HSV-1? If not HSV-1, then what are they? Thanks again.
There is only one type of cold sore (also called fever blisters), and your description is typical: blister-like sores on the lips. Sores inside the mouth typically are canker sores (medical term aphthous stomatitis), which is an entirely different condition and unrelated to herpes -- although some people mistakenly use the term cold sore for canker sores. It seems you had both. But in any case, you can be quite certain you had oral HSV-1 in childhood and therefore are immune (or at least highly resistant) to catching it again.
And in response to your question above and comment now, it is impossible for herpes lesions to clear up in 2-3 days. 10 days is the minimum.
I won't try to guess at what you might have now, but it doesn't sound like herpes. And I have already tried to reassure you about the genital symptoms and the reliability of the STD tests you had. But that's all a distant online expert can do. Beyond this advice, your only option is to continue to work with your doctor on this if the problem persists.
Sorry for the additional question(s).
I understand that if you have HSV-1, you are generally immune from catching it again, but that does that pertain to having HSV-1 oral and then being immune from it genitally as well? Could I have HSV-1 oral and still get HSV-1 genitally?
As far as the sores clearing up in 2 days, I guess what is confusing is that you read where you can have mild outbreaks the first time so my concern is that one of these sores might just have been a mild outbreak inside my mouth. I read where you can just get a pimple like herpe (at least genitally, not sure about orally) that is misdiagnosed as just a pimple and not herpes. Was wondering if the same could be said about orally. Maybe it was just a mild case?
The protection against new infection is for any part of the body. Your past oral HSV-1 means you'll never catch it genitally or anywhere else.
What you say is true about herpes mimicking pimples etc, but usually that is only in retrospect -- looking back, someone thinks "well, maybe I had a pimple about then", so that gets fixed in his or her mind as the initial episode. That's quite different than noticing a typical pimple and worrying it mght be herpes. The large majority of genital symptoms like yours are not due to herpes.
It is wrong for you to focus on only parts of my reply without remembering the others. My confidence you didn't catch herpes is based on the totality of information you provide -- the nature of the exposure, your past (childhood) history, and the nature and duration of your symptoms. Taken together, I remain highly confident you didn't catch genital HSV-1. I doubt you had even a "mild case".
Finally, even if you were to have caught genital HSV-1, it shouldn't be a major concern, since recurrent outbreaks are uncommon and transmission to future partners is rare:
http://www.medhelp.org/posts/STDs/Recently-diagnosed-with-Genital-Herpes-HSV1/show/969931
This thread has gone as far as it can. Please accept the reassurance I'm trying to give you and move on.