48 yr old male. 3 weeks ago today (Aug 12, 21 days ago)I had a body rub nude massage with a girl working out of her apartment. No intercourse, either oral or vaginal, but there was some brief genital rubbing. Nothing seemed out of the normal until 18 (Aug 30) days later when I found a tiny scab just under the head of my penis. It brushed off easily and underneath was just a red spot, not raised or ulcerated, just like a bit of raw skin. I saw nothing in this area in the days before that and I had been looking because I was concerned about the possible exposure. Since it was painless, I put a little lotrimin on it and the redness went away mostly in a day or so. Today (Thurs 9/3) you have look hard and stretch the folded skin to see that there was anything there at all.
A few other points to make
1. I’ve tested negative in Jan in routine std screen for HSV 1&2 by IGG test. So if this was a first outbreak wouldn’t it have been worse?
2. The skin on my penis is extremely dry that I can see when erect. The underside looks a bit white And ashy actually. I haven’t had sex in about 10 days or masturbated in a week. Why so dry? New soaps maybe?
3. I reached out to the girl in question and she told me that there was no direct genital rubbing, that she just makes it feel like that, and that she has recently tested negative for HSV 1 and 2 when they took her birth control out? Not sure why she mentioned that part, but also no idea how honest she’s being.
4. Recently had a physical (7 days ago) and had a urinalysis done as I am having Prostatitis symptoms (for the third time in 5 yrs) No WBC’s or Nitrites in urine. I was concerned that urethral herpes may have been part of this too but I think that usually would show up with WBC’s in urine? My dr saw nothing on my penis in the physical exam either.
All these things being said, do the symptoms above sound like Herpes? The small scab concerned be greatly but it was so mild with no initial sore or blister apparent that I saw. Also, the potential exposure is very limited and the girl claims she is negative. But, I’m still worried. Question: Should I test at 4 weeks (HerpesSelect IGG) for this (I know 12 wks is best but don’t want to wait) or is there such limited chance I am infected that a potential false positive outweighs the benefit of an not completely conclusive negative test?