1.  I commented previously on the tendency of persons in your situation to notice normal sensations.  I suspect that is still the case.  The absence of white blood cells in your urine tests reduces the likelihood that a typical STI I like gonorrhea or chlamydia is present however on rare occasions they may still be present. The only way to be completely sure is with a urine test for these organisms. In your case however I will remind you that the events you described did that put you at any risk whatsoever for these infections.

Red bood Cells in the urine are not a sign of any STI.  It is not at all unusual for persons to have small amounts of red blood cells present in the urine. It typically warrants no follow up. If the problem persists, evaluation with a urologist may be helpful.  

2.  The marks that you have noticed may reflect heightened self-examination, repeated self examination (no matter how gentle), or some other dermatologic process. In no way do they suggest STI.

As I indicated in my earlier reply. I think you are overly concerned over this exposure and suspect with guilt is a contributor to your continuing concerns. There is no indication or evidence that you have an STI. I hope this somewhat repetitive reply to your questions is helpful. EWH

My broader concern is that I could have herpes, HPV or another STI  just inside of my urethra hole. I would love to put my mind at ease about this, and I think I am almost there. In re-reading your initial response to my first post, you said biologic transmission of herpes is very rare. What does biologic transmission mean? I have been wondering if it would put my mind at ease to get a genital herpes blood test. The STD clinic would not test for herpes unless there are visible symptoms. 

The term “biologic transmission” is a synonym for transmission.

Once again, no expert would recommend a blood test for herpes at this time. For persons who have recently acquired herpes it can take up to six months for a test to become positive. On the other hand if your test was positive there is no way to know if this represents recently acquired infection and, given your lack of typical herpetic lesion, Would most likely represent infection acquired in the distant past. I continue to recommend against blood test for herpes although you will obviously do what you feel you need to do. 

EWH

For informational purposes, persons who have initial herpes most typically have visible lesions. Following resolution of those lesions, on occasion, persons without lesions may have shedding of the virus from normal skin. This process is called asymptomatic viral shedding. It is an occasional source of transmission of infection. Our estimates however are that even when someone has asymptomatic herpes viral setting, transmission through direct contact occurs far less than 1% of the time. Nothing that you Have the scribe is in anyway reminiscent of herpes or herpes related symptoms.

Contact of your partners ejaculate with your penis would not lead to infection.

Your inability to get an erection again emphasizes your issues with anxiety. Not an STI.

Neither the tingling in your arm nor your testicular tenderness which may be due to repeated self-examinations, suggest the presence of an STI From the encounter that you have described.

As you know with this third reply, this thread is now complete and will be closed shortly. At this point I have provided all the information I am able to provide. I remain confident that the problems you are reporting and are so focused on represent your own anxiety and guilt over the exposure you know now regret. The way to address this is not with more medical testing or more questions on this form but is with seeking professional counseling to help you address your guilt.  I hope you will do this. Further repetitive, anxiety-driven questions to this forum on this topic may be closed without an answer and without return of your posting fee. I hope you will understand. EWH