Hi Doc Warren, I'm in a monogamous relationship for a year, and my last sexual contact was with my previous girlfriend about 2 years ago prior to my current relationship start date. I got scabies by wearing a short of a friend that had crusted scabies due to his suppressed immune system caused by the medications for his kidney transplant around 6 months ago. Me and my girlfriend both used Permethrin cream for treatment. We don't live together, but we spend most of our times together. After the treatment, I experienced a wide range of post scabies symptoms including big nodules around my groin, buttocks, and genital area. I applied tea tree oil on them and with time they went away. However, I noticed two more nodules at the tip of my penis probably a week ago. I didn't feel any pain or tingling priorly. When they came up, I felt itching around the tip of my penis without any pain like the first time. After a couple of days, the spots broke open and got oozed fluid out of them probably because of irritation of the skin due to masturbation etc. like the first time. Currently the itching and the spots are almost gone with a slight scarring at the tip. ı do have cold sores since childhood. Do you think its HSV-2 ? I never had an outbreak before not that I noticed. If I had something similar to this, I would've definitely noticed it. 

I do not know if my girlfriend has HSV-2, but we haven't engaged in sexual activities (meaning insertive vaginal, anal or oral, frottage and oral might be possible can't remember) prior to our scabies episode due to some other issues. So I can be confident that my current girlfriend did not give me HSV-2. She told me that she had a HPV episode back in the day, but I don't know if its cured or not since my knowledge on HPV is limited. I got tested for HEP B&C,  Syphilis (by VDRL/RPR I specify this because of the different accuracy rates of the test, but Dr. Hook had assured me that the VDRL test is accurate at two year mark.) and HIV. All of them were negative before starting out relationship.

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Thank you for the response doc. I’ll be glad to further explain my situation. I got scabies from a friend of mine. I’d wore a short of his while he had crusted scabies (we didn’t know) due to his suppressed immune system caused by his kidney transplant. No scrapes were done. I applied two doses of permethrin after hearing my friends case, and I had bad rashes between my thighs during that time as well.

Hi again doc, I'd like to apologize for repeating myself in my answer. I must have forgotten that I gave you the details on how I got scabies, but I think it was still useful to dig a little bit deeper. In addition to that, I think it is important that I should give you a bit of background on my sexual history for a better diagnosis.

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Thank you doc. As I stated, my sexual history is limited to only two people. Even though that does not eliminate the risk completely, it decreases the possibility a lot I believe. I also read that the herpes lesions don't usually appear on the tip, but rather around the shaft and genital area. During my scabies healing phase, nodules on my testicles and shaft did not break open and ooze fluid. That also adds to the possibility of them not being herpes I believe. They were like tiny stiff balls which is not characteristic of herpes. 

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