Worried sick

[ScubaSteve1999]

I am a male, and a few years ago, I received unprotected oral sex from a female.

I have taken 6 home oraquick tests which all came up negative for HIV in the past week.   My real fear is Herpes or gonorrhea.  I have never had any outbreaks since this exposure, nor any drainage that I have noticed. I have in the past few years had some constant muscle pain in my hamstring area (i dont work out) and lately some discomfort in my penis (could be anxiety). This past week I went to the Er because of some pain in my scrotum. They took an ultrasound and said everything looked normal. I was worried that I had epiditymitis caused by gonorrhea. Also, the other day I noticed a small spot on my scrotum. I picked it and it bled.  I went to the dr and told him i was worried about herpes.  He took a culture of it and I am awaiting the results. I'm trying to remember if I had any discomfornt in the past and it's possible and i just shrugged it off.  My questions are:

1.  How confident can I be in the HIV home tests that all showed clearly negative?

2. After almost two years is it likely I have never had a breakout for Herpes or gonorrhea? Would the symptoms be more clearly defined at this point?

3. What are the chances I did pick something up from receiving oral from this girl who blatently lied to me about her past and current status..

4.  Can I trust that I dont have herpes if the culture comes back negative?

I appreciate your help and realize that many of the current symptoms might be caused by anxiety. The one that really concerns me is the constant feel of a muscle pulls in my thighs for a long time.  

[ScubaSteve1999]

Thanks again Dr. You were extremely helpful!!

[Edward W Hook, MD]

This sounds nothing like herpes.  

Time for this thread to end.  EWH

[ScubaSteve1999]

Sorry one last question.  I do have red dots on my stomach and gave had back acne for a ling time. Stomach ones look like hives and are a relatively new development.
.Anyway genital herpes would appear on stomach and back?

[ScubaSteve1999]

Thank you. As you can imagine I'm petrified of my Wifes first prenatal apt on Friday.  The only good from this is I know ill never stray again..just praying all comes back normal. I will reach back out once my results come back. I'm an absolute mess over this...

[eyeamsam]

Just my 2 cents worth as I too tend to worry-on the very rare(and I mean that with the greatest emphasis on rare) your herpes test were to be positive DO NOT assume it was caused when you strayed.  First you must be clear that the test is for HSV 1 and HSV 2.  If positive for HSV 1 that most likely means you had a cold sore sometime in your life, like the vast majority of us do- If on the RARE chance it is positive for HSV 2- it is possible it was form a different sexual encounter unrelated to the straying incident.  Many people have HSV 2 and do not know it.  So, wait for the results, but do not freak out if there is a positive result.  Come back here with the results if you need to ask the docotrs a question about them.  All will be well.

[ScubaSteve1999]

Thank you so much Dr. My anxiety over this the past couple of weeks has done quite a bit of damage.  Still sweating out the results of the herpes test, but from your response I am more confident..

I sincerely thank you for your response and work on this site.

[Edward W Hook, MD]

I would not worry about gonorrhea.  The symptoms of this infection are tyipcally quite obvious.  EWH

[ScubaSteve1999]

Thank you so much Dr.  She is actually having her first appointment this Friday and they are running all of those tests. I've been freaking out that something is going to come up from this stupid encounter....Still waiting on the culture for Herpes, if that comes back negative my only other worry should be gonorrhea, which from your response, would have reared it ugly head already.  One last question on the gonnorrhea topic.  

Is it possible I overlooked/missed the initial symptoms of it long ago? I never remember any serious pain or discharge, but vaguely remember it being uncomfortable down there from time to time (much like im feeling now) Would they still be continuing/worsening if I had?  

Thanks again for your help on this Dr.  My anxiety over this has grown to epic proportions...

[Edward W Hook, MD]

Welcome to the Forum.  I imagine that your wife's pregnancy has stirred up your guilt and fueled your anxiety over your dalliance long ago.  This is not uncommon.  From your post it appears that your current anxiety has gotten the best of you.  In the absence of symptoms it is most unlikely that you are infected with any common STD. Further, I should mention that when a person becomes worried as you are, they have very much of a tendency to examine themselves more closely than they would otherwise and to attribute things that they would otherwise overlook to possible consequences of their sexual encounters outside of their primary relationship.  I suspect you are doing this as well.

As for your specific questions:
1.  How confident can I be in the HIV home tests that all showed clearly negative?
Believe the test results.  The home tests are highly reliable and you are testing at a time when the tests are highly reliable.

2. After almost two years is it likely I have never had a breakout for Herpes or gonorrhea? Would the symptoms be more clearly defined at this point?
If you had HSV, I suspect you would have had an outbreak by this time.  My advice would be to be confident that you did not get HSV from your exposure.  Similarly, over 95% of gonorrhea in men is symptomatic.  you should also be confident that you did not get gonorrhea from this encounter (BTW, I should also point out that your wife should have already been tested for gonorrhea, chlamydia, syphilis and HIV as part of her initial evaluation following her diagnosis of pregnancy).

3. What are the chances I did pick something up from receiving oral from this girl who blatently lied to me about her past and current status..
Few STDs are transmitted by receipt of oral sex.  I would not worry.

4.  Can I trust that I dont have herpes if the culture comes back negative?
Yes.  Also I would not recommend a blood test- it will likely be misleading

I hope these comments are helpful. Please do not worry- the encounter you describe is ancient history and you should put it behind you.  EWH