Hi Dr,

I am a virgin. On 24th July I visit a Thai massage with handjob. Right after I had major regret and guilt, anxiety started. I felt itching, burning and prickling sensation in the groin area (scrotum, shaft, thighs, perineum, anus) lasting a week. Over next few days I developed rash on my body (chest, thighs, arms) and also single angioma type spots on chest and both biceps. On 11th September the burning, itching and pricking came back and still persists till today. I started noticing a lot of new bumps on my body. I got a filiform wart like growth on my shoulder, pinsize bump on my right thigh, penis glan seems to have more bumps, flat wart like bumps on forehead. I'm worried about HSV And HPV. 2 months after encounter I developed about 7/8 bumps in my groin creases, they were spread, single and smooth/shiny and I could flip it like skin tags. Two bumps in right crease were slightly raised brown like a mole but next day they were raised and grey like a skin tag. Also got a single skin colour bump on my lower left pubic area which resembled a wart, it was very small and could only see when zooming in with mobile camera. I saw 4 doctors and they all said it's not warts/HPV but didn't tell me what it could be. I have picked/scratched the growths and they went away. This all happened after the massage and handjob and I am almost certain that I have been infected with something. You mention massage/handjob is safe but I have physical symptoms from this encounter.

Thanks

I do note that you have experienced major regret, guilt and anxiety over your encounter. In my experience several things can happen in such situations.  One is that persons tend to examine themselves more closely than they might have in the past, often noticing lesions and changes that they would normally overlook.  In addition to this hypervigilance, in some instances anxiety and repeated self examination can lead to atopic dermatitis.  

Bottom line, nothing you have described suggests an STI of any sort, including HPV.  If one of the clinicians you have seen has not been a dermatologist, you might seek a dermatologist who might have a better and more specific diagnosis.  Irrespective however, I urge you not to worry about an STI of any sort coming from the encounter you describe.

I hope this perspective is helpful.  EWH

Thank you for your quick response

I have some questions:

1. No

2. No, warts are typically pai

3.  These are questions for a dermatologist.  What you describe does not suggest PV.

4.  Warts would not appear overnight This is in no way suggestive of HPV.  It is suggestive of hyper awareness related anxiety

EWH

 I forgot to ask one more thing. I was prescribed an anti fungal jock itch cream called Daktacort. Could a jock itch persist for more than 2 months and present without the typical red rash around the thighs. My groin looks normal but because of the burning, itching and tingling I'm thinking this could be caused by fungus? Could this be a possibility.

We provide up to three responses to each client's questions.  This is the 3rd response.  Thus, this thread will be closed shortly without further responses.  Take care.  Please don't worry.  EWH