My last sexual contact was 3 years ago, I am with my current girlfriend now. It's been a year. priorly, I did not have a sexual experience for two years. I had a scabies episode 6 months ago. I'd wore a short of a friend that had crusted scabies caused by his suppressed immune system due to his kidney transplant. The rash appeared between my thighs first, then I heard that he was diagnosed.
Me and my current girlfriend both did the permethrin treatment two times. I have a very problematic / atopic skin so I experienced a wide range of post scabies symptoms including continuing rashes, eczema which I still deal with, and post scabies nodules on my thighs, buttocks and genitals. They first appeared after around 10 days post treatment. The ones on my genitals were mostly on my testicles. They were firm, round, and very itchy. I read extensively about the post scabies nodules, and learned that they were caused by the overreaction of the immune system. I applied tee tree oil on them and they slowly (took months) went away. I also had them on my penis. Around the head, and sometimes on the shaft as well. The ones on my shaft didn't break but were firm and very itchy. The tip ones, however, sometimes broke and oozed fluid. It was probably because of irritation (masturbation etc.) NONE OF THE NODULES WERE PAINFULL, NOR DID I EVER FELT DISCOMFORT FROM THEM APART FROM ITCHING.
Last week, approx. 6 months after the initial treatment, I felt one nodule on my tip again. It came with itching not localized on the nodule itself, but around the head like the first time. Me and my girlfriend did not have sex, but engaged in mutual masturbation, and frottage which might have caused irritation on the nodule and caused it to break and ooze fluid again. I did not feel any pain during that process. However, I began questioning the possibility of herpes. I think it is important to note that my sexual history isn't extensive. I had two girlfriends previously. I didn't engaged in any penetrative sex with the first one (only oral) which was around 5 years ago (I am 25 years old). I engaged in some frottage and mutual masturbation with the second girlfriend. I tried penetration once without a condom, but it didn't happen otherwise I would know. She didn't mention me having herpes, nor did she complain about having an outbreak. When I asked her about her STD status, she said that she never got tested but would use condoms for any penetrative sex, and I believe her. This second relationship lasted 4 months. I never experienced any type of genital discomfort or itching before my permethrin treatment.
Considering my history and symptoms, Do you think that it is herpes? Can I have such a delayed first outbreak? Can I have herpes lesions without pain and burning for the first outbreak? Mind you, my first nodules on my testicles and shaft did not break open and ooze fluid. I can't remember feeling sick either.
Thank you