Herpes symptoms are highly variable, even more so in the anal area than on the genitals or mouth. Your STD risk from the exposures you describe was low, and as best I can tell from your description, herpes is an unlikely explanation for your symptoms, especially since red bumps (mostly acne or folliculitis) are extremely common on the buttocks. Anal itching is a very nonspecific symptom, and I do not know what to make of the "white growth" you see. Most likely you have nothing sexually acquired, but syphilis, chlamydia, gonorrhea, and anal warts are remotely possible.
Bottom line: You definitely need to see a health care provider. Most larger towns in the US have one or more providers who have particular experience with gay men's health problems; word of mouth from gay/bi friends might identify a knowledgeable, lifestyle-sensitive provider who would provide excellent, reliable care. Alternatively, visit your local health department STD clinic, where the care will be confidential, expert, sensitive to lifestyle issues, and likely free or very low cost. But do it soon.
Best wishes--- HHH, MD
I should add that i've never had a herpes test. i don't know where to get one.
I'm not the doctor, but I've been in your boat (gay male here, too). It is possible that getting "rimmed" may transmit oral HSV1 to the area in question, but the symptoms that you describe don't jump out and immediately suggest herpes. You should check out the FAQ and other posts. However, breifly, herpes manifests itself as clusters of open sores that generally start out as raised red bumps (water-type blisters) which could tingle, be sore, or itch and after about a day they become open sores for a few days. Then after they crust up and go away, generally lasting anywhere from 1-2 weeks. (This description has been adapted from the dermatology forum here)
The discomfort you are feeling now, as was mine back when I had a window period after risky behavior, is likely due to hypersensitivity due to your mind conciously worrying and paying attention to the affected reigon.
If you're the receptive partner in anal sex (or have been recently regardless of protection), discomfort in that area wouldn't be uncommon, and you'd probably dismiss it (if you noticed it at *all*) if you weren't this worried.
I'd check with you state's department of health for some low/no cost herpes blood tests if you'd like to put your mind at ease. I'm sure the Dr. can elaborate on the types that you would need.
However, in my *UNOFFICIAL* opinion, what you have doesn't sound like herpes and sounds exactly like my situation -- increased awareness that blows normal occurences "down there" out of proportion. I'd try and relax (stress probably isn't helping you), follow Dr. HHH's advice and enjoy the new year! :)
Thanks that's helpful... i will see what the doctor has to say. I have only had anal sex that one time and it was 5-6 months ago that is why i am concerned with this burning sensation now. I never did notice any crusting or blister though. just the red bumps. Thanks again.
Thanks that's helpful... i will see what the doctor has to say. I have only had anal sex that one time and it was 5-6 months ago that is why i am concerned with this burning sensation now. I never did notice any crusting or blister though. just the red bumps. Thanks again.
Glad I could provide a bit of insight.
Herpes manifests itself differently (which is why a large majority of people don't identify symptoms are being herpes oftentimes), but given your history it doesn't sound serious.
In the meantime, don't beat yourself up =)