[Question #4368] Follow Up to Question #4293

30 months ago
I have a couple of new questions ... just to alleviate my mind. I'm sorry to bother you again but I have no one else to talk to about this.

It is now Day 23 - The burning on my thighs is pretty much gone, but I have noticed a persistent burning sensation on the tip of my penis. Its probably been there for 10 plus days. Its more noticeable when I urinate. The very tip of the penis is also a little red .. almost like a friction burn. My anus still burns during bowel movements. My penis used to also be sore with a sharp pain that would come and go, but once I stopped masturbation and sex that pain is gone .. just the burning on the tip of the penis remains.

Yesterday I noticed a couple of small blackish/brownish bumps on my testicles. I have no idea how long they have been there. That freaked me out. So I submitted a couple of pictures to an online dermatologist that does not believe them to be an STD but more likely Seborrheic Dermatitis. ( I was really worried that it was Genital Warts )

My questions basically are:

1) Does this still not sound like Genital Herpes? Would Genital Herpes symptoms be much more obvious than what I am experiencing? I still want to get tested because as you know my mind overreacts and I won't be able to rest until I have a test. Unfortunealty I have to wait 19 more days for the 6 week mark.

2) Would Genital Warts show up this early at Day 23? or am I again overreacting? I stopped wearing boxer briefs for 18 days because of my thighs burning so it was more sweaty down there than usual. I am wearing boxer briefs again and the sweating is gone.

3) Could the burning on the tip of my penis and anus be a sign of some non std bacterial infection? ie .. Prostatis? Would I need to see a Urologist to confirm?

Thank you so much with your patience with me. I'm sorry if you feel like you have to repeat yourself.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
Welcome back to the forum, but sorry you found it necessary after the reasoned, science-based reassurance you had from Dr. Hook. These new questions show the main problem remains your anxiety over a sexual decision you regret. Nothing you say suggest you acquired any STD from this event. Do your best to separate your emotional reactions from disease risk. They aren't the same!

1) No, your symptoms don't even hint at herpes. And with your online dermatologist's opinion that the skin symptoms aren't herpes or any other STD, you should not be at all concerned about it. You should not be tested for HSV on account of the exposure described. The chance of a falsely positive result -- showing positive when you did not catch herpes -- is much more likely than the possibility you were infected. Are you prepared to deal with a false result? And even if a true positive, it would not explain your symptoms and would not have come from the exposure on your mind. Therefore, you would have to discuss the result with your wife, with the possibility she is the source of your infection. Are you prepared to do that? If not, do not get tested.

2) Genital warts require at least 6 weeks to become apparent, and it's usually 3-6 months. 23 days if much too soon. Anyway, warts or HPV don't cause symptoms like yours.

3) Almost certainly these symptoms are not due to any infection at all. You don't need to worry about prostatitis or seen a urologist. There are purely psychological, i.e. your anxieties and fears magnifying trivial symptoms or even normal body sensations that otherwise you would disregard or maybe not even notice.

My strong advice is that you stop seeking medical care for these symptoms and that you continue (or resume) normal sexual relations with your wife. Resuming regular sex is often the best way to get beyond the concerns you are experiencing. Your symptoms will clear up once you understand -- emotionally as well as objectively -- that you have no infection from the exposure described and nothing that will ever harm you or your wife.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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30 months ago
Dr. Handsfield,

Thank you so much for your reply. I very much needed to hear that. I don't know how I could have made it these past 23 days without this service.

Yes, the guilt and anxiety have been overbearing. Your response has was very reassuring and I will take it to heart. There is still no way I can resume sex with my wife until I get tested but perhaps I will wait longer than 6 weeks in hopes of less of a chance of a false positive. A negative result unfortunately will be the only thing that can truly give me closure.

But at least between Yours and Dr Hooks responses I should be able to alleviate the majority of my anxiety.  I will not ask another question until than as I would like to leave this question active so I can share the results with you. That I believe .. will be the closure I will truly need to finally move on, and never to put myself in this position ever again.

Thank you so much and have a great rest of your day!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
I'm glad to have helped. Thanks for the thanks.---
30 months ago
Dr Handsfield,

While I wait a few more weeks to get tested I have developed some symptoms that i am hoping are just my overreaction and am hoping you could answer.

I keep re-reading your original reply to help calm my nerves.

The burning on my thighs is back (feels like icy hot) I feel it there, on my testicles,and my anus. It comes and goes and alternates so I feel that is definitely in my head. My boxer briefs just feel uncomfortable to wear I have to keep readjusting them. The feel too tight.  I'm buying new ones today.

My anus and top of the butt crack has started to itch .. along with my testicles. The itchy feeling comes and goes so it is not constant. Last night I applied Vaseline to it and that seemed to help.

Do these sound like symptoms of herpes or warts .. or is this more likely just my anxiety and fears magnifying sensations again? Im on Day 27 now. These started a few days ago.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
Contrary to what you think you learned online, herpes does not cause burning skin discomfort except for prodrome symptoms -- localized burning, tingling, numbness, etc for a day or two before an outbreak begins, and limited to the area where lesions are about to occur. It does not cause anything at all like you describe. Same for itching: herpes lesions may itch, but itching alone is never a sign of herpes. And HPV is always entirely without any symptoms at all, except for visible warts. And see my comment above that tells you it is too soon for HPV to show up anyway. These are more anxiety symptoms, as discussed in my main reply above.

I recommend against testing for HSV. If you do it despite my advice, be prepared for possibly false positive results that will not mean you actually have herpes, but would still have to explain to your wife or other partner.

That completes this thread, your second about this sexual exposure and your symptoms. Let's make it the last. Thanks!
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