Dear Doctor,

I am 30 years old Male. I had intercourse with prostitute massager on September 3, 2017. The condom breaks off during sex which I didn’t notice till maybe 10 minutes later and stopped immediately. After that, she did hand job for me till I come, and this was another 5 to 7 minutes.

I am expecting to have asymptomatic HSV2 due to the following symptoms.

1-      3^rd day from the exposure I got fever and sore throat which last for 2 weeks

2-      4^th day from the exposure one white not painful blister (1cm diameter) showed on shaft and last for almost a week.

3-      Black blister showed inside my mouth.  (I am not sure if its due teeth biting thing as mention in the net)

4-      Two separate wounds showed on my shaft which remain for like 4 days. After couple months another 2 wounds show in different place on the shaft and remain for 3-4 days. The dermatologist said it might be from the soap that I used during the musterbation

5-      Superfine and sticky skin on shaft

6-      After masturbating I can clearly notice red spot (2 cm dia) on the penise head

7-      Two Super small (1mm dia) separate pimple on the penis head remained for a long time. The Dermatology said it might be folliculitis. But there is no hair on the penis head which doesn’t make any since for me. He prescribes cream, but nothing changed.

Lately and till now I experience:

8-      Very Strong Headache. I did the brain CT Scan, nothing wrong with it

9-      Heart Pain (80% of the day), doctor echo report conclusion: Could be early dilated cardiomyopathy

10-   Burning sensation on Penis and itching from anus. All urologist test was clean and nothing wrong including the prostate ultrasound

Here is the confusing part, all HSV1 & 2 tests (IGG, IGM, Blood and Urine PCR) showed negative after six months from the exposure. All other STD test showed negative except UU which I took doxycycline hyclate for it and turned to negative for the next test.

Please note that I was under very high stress for all that time.

My Questions:

1-      Do you think my issue related to asymptomatic HSV2? Or is it a psychological thing?

2-      Do you recommend me to do the Western Blot in Washington University?

3-      Does it have anything related to HPV?

Thank you for your response.
Yes, I have been seen by a professional, he did not take swab test. But, he asks for the urine and blood PCR test and both was negative.
 
1- With your experience which one is more reliable for Asymptomatic HSV2 PCR (Urine, Blood, or Semen)?
2- I live in the middle east, as far I know the western blot test exist at Washington University United State only? Is their anywhere else that I can get the test from!?
3- Since I still have the symptoms 8 months after the exposure (burning sensation on penis, anus itching, heart pain and very strong headache). What else other than asymptomatic HSV2 can that be!?