[Question #3362] HPV or genital herpes

38 months ago
I have developed an itch around my foreskin that comes and goes throughout the day.  I don't see any blisters or bumps but see itching is a sign of HPV and herpes.  I have had balantitis before so I'm currently applying clotrimazole in the morning on my penis.

I am happily married but made several errors in judgement by visiting Asian massage parlors.  I have never had sex with anyone other than my wife.   I never even received a hand job but did let female masseuse tickle my balls while i masturbated.  There also was a time when I had boxers on and a sheet over me that she put her mouth over my erect penis that was covered by the sheet and my boxers.  All of these encounters are haunting me and I am sure that this is why I have this itch now.  I'm going to my MD next week but am going crazy right now.   The last time that I got this type of massage was 2-3 months ago.  Would it take this long to have symptoms?   I will admit that I have worries before over this stuff but now I'm sure I messed up bad. Thank you for providing this service.
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
Welcome to our forum   I'll be glad to comment.  The activities you describe are no risk for STIs of any sort, including HPV and herpes.  No STIs are transmitted by hand to genital contact9even when one person transferes genital secretions from themselves to a partner) or through material such as underwear, even if that material is wet.  OTOH, when persons begin to worry about STIs and start looking for any evidence of infection, they tend to become aware of normal sensations which are normally filtered out in day-to-day activity.  Your symptoms are not due to any STI acquired through the exposures you describe. there is no reason for concern and reason for STI testing related to these activities.  EWH
---
38 months ago
Doc,

Thank you for the quick reply.  With your credentials, I know you are right but yet I still worry.   I keep evaluating my penis every time that I go to the bathroom, looking for redness, bumps.   It did seem a little red near the top of foreskin when it was itchy but it wasn't red this morning or itchy.   Is there any std where the redness and itchiness would come and go?   What about scabies?   I know that I sound crazy but I do have symptoms.  Thanks again for your support.
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
 There are no STI's cause symptoms to come and go in the way you describe. Further, when persons complain about the perception of "a little" redness or itch it is most often a sign of hyper vigilance.   When closely scrutinized there are many irregularities and  subtle color changes present in the genitall tract.  Scabies would not do what you describe.   My sincere advice is to work through the reason that you feel "haunted" by your past behaviors, perhaps working with a professional counselor rather than worrying that you have an STI that you are not at risk for and have no evidence of Having. EWH---
38 months ago
Doc,

Thanks for the reply.   I had a hard time sleeping last night because of the itch.  It seemed to be fine during the day but intensified when I got home.   Now it started to feel like discharge while I was laying down  even though I don't know what discharge feels like.   It may have been drops of urine trapped in my foreskin.   My appt with my MD is Tuesday.  I sure hope you are right.  I'm prepared to move out even though it will sadden me greatly to be away from  my family.   Last questions.  I know that you are adamant about nonexposure but does the timeline make sense.  If I went to  Asian massage in November and having symptoms now.  My foreskin feels smooth but a little red.  Would herpes or warts cause me to feel a bump?  Also, how can I make an anonymous donation to ASHA.  I think you guys are awesome and provide an excellent service.
38 months ago
Dr. Hook,

I'm sorry but it has been over 10 days.  Just wanted to make sure you saw my last questions?   I did go to MD and was diagnosed with jock itch.  You were right.   Any chance doctor got it wrong.
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
My apologies.  I missed your follow-up question and comment.  The additional information you have provided still does not suggest and STI.  In fact, that the sensations are not so noticeable  during the day when you are busy and then appear in the evening when things are quieter is compatible with the concept of becoming aware of normal sensations when one is focused on them (sometimes considered hyper-vigilance).  Fungal infections of the genitals or just dry skin can do this.  Repeated self examination can lead to this as well. 

I am quite confident that the sensations you have described are not an STI- your exposures were no risk and the sensations you describe are not suggestive of any STI, including HPV and herpes.  I urge you to move on without concern.

As you know, this is my 3rd reply to your questions.  As a result, this thread will be closed a few hours from now.  Take Care.   EWH
---
38 months ago
Thank you Dr.  Hook!