Male, 35 yrs.
On May 1, I had protected vaginal, unprotected oral (both gave and received) sex with a female sex worker. No activity around my anus at all. For a couple of weeks after that, I felt stressed and had red eyes, fatigue, low grade fever, stomach cramping (IBS like symptoms), itching (around lips and genital area), some burning sensation down there with no obvious outbreaks.
About 3 weeks later, on May 20, I noticed some anal wetness that caused constipation like symptoms but that came with bowel movements. I wanted to go but the stool wouldn't come out, instead only some gas would be released. With a lot of straining, some stool with mucus would come out. However, no pain or itching. Very occasional and very mild burning sensation around my anus sometimes. Also, when I strained, some discharge came out of my penis that didn't really hurt. One of my testicle also became a little sore and started hanging lower than the other as well. Went to my doctor and he told me to use Ibuprofen for testicle pain, eat more fiber and use Miralax as needed. All of which helped me to pass stool.
About 11 days after that, on May 31, my constipation is feeling better (not perfectly normal) but some fluid still comes out of penis when I strain a little. My testicle still hangs a little lower than the other, but doesn't hurt much.
Btw, the doctor knows about my encounter and has tested me for UTI, Gonorrhea and Chlamydia, all negative. Sphyllis test was also done after 4 days which was negative as well. I am planning to get tested for HIV, Sphyllis and HSV after 3 months again.
My question is:
Could this be herpes proctitis given that there was no anal activity during my exposure? I (and my doctor) did not see any lesions, sores around my genital area or around my anus with naked eye. If this could be herpes proctitis, could it show up without other traditional herpes symptoms? If not herpes proctitis, what else could it be? Until I get tested for HSV, can I have protected sex with my wife?