I don't think it is herpes, I think it's an abrasion. You expected it to heal in a week? That seems pretty fast.
He possibly could have scraped you with his teeth since you mentioned he was rough. If you were to get a herpes test, you should have done it within 48 hrs of seeing the lesion. The doctor could have swabbed it and sent it off for testing. If the lesion is almost healed, it would not be enough dna for the doctor to test for herpes. You can get a blood test, but it will test for antibodies for herpes 1&2 but if you ever had a cold sore ever, it will show antibodies for herpes 1. So if you don’t have any more lesions or bumps that itch, more than likely you don’t have herpes. You can take blood test after 4 weeks or more after unprotected exposure but the swab of the lesion before 48 hrs would have been a more accurate test.
If it were me, I'd get checked out. While herpes may be doubtful, it could also be going on. You just don't know. You could have had the abrasion AND gotten herpes. Blisters and sores can be just that. A doctor often can visually inspect and tell you if they think it looks like it. Then they can test you. Go get tested. Let us know.
Do you know what kind of blood test you got? You should have gotten a type specific IgG herpes blood test.
Do you know if she did a type specific culture on it? That's the best she can do - it will tell you if this is herpes, and what type it is.
Getting a herpes sore the next day is too soon. The minimum time from infection to symptoms is 2 days, but this could be an established infection you didn't know you had and something - the rough sex, maybe - triggered an outbreak. The tricky part will come in if you test positive for hsv1, but didn't get a type specific culture. You could have an oral infection of hsv1, but something else genitally, and the blood test doesn't tell you what you have where.
Can you call her and ask her if she ordered a type-specific culture? She can probably call the lab and ask them to do that if she didn't already.
Don't panic yet. You've put a lot of stuff on it, and your genitals don't like hydrocortisone, especially. Much of what you used wasn't made for the genital area, so it could just be an abrasion made worse by what you put on it, or the mix of what you put on it.
You said your partner had recently been tested. Do you know if herpes was included in that testing? It often isn't.
Hang in there - whatever it is, you're going to be fine. :)
Do you intend to keep seeing him? In your shoes, I wouldn't want to, the sex being that rough sounds pretty unappealing.
You definitely need to find out what test showed the hsv 1, because if it was the blood test that showed it, that would mean you had already possibly acquired it, and your body had enough antibodies to show it in a blood test. Your body wouldn’t have had enough antibodies to have shown it with the new partner because you had the blood test done before 4 weeks. If the swab test showed it, which is a more accurate test if you tested within 48-72 hrs after seeing those lesions, then you possibly got the hsv 1 from your partner during oral sex. You mentioned you had unprotected penetration as well, and the swab of your lesions didn’t show hsv 2, so it was probably from his mouth/oral sex that you contracted it. Just to make sure you don’t have any false positive tests going on, you might want to follow up with the western blot exam. You definitely need to say something to him to let him know. He doesn’t need to infect anyone else if you did contract something from him. If he knew he had it, he shouldn’t have had unprotected sex with you.
Also, was he the only guy you have been sleeping with recently? Not to ask anything personal but if there are other partners those are some things you need to take into consideration as well. Hope all is well with you and that you get better soon.
I *think* I'm understanding from what you wrote that you got a positive result for HSV1, but you don't know whether it is for oral herpes or genital herpes. If it turns out that it is the oral type, it's logical that your doctor was trying to rule out whether you had it already, because it is very common, and also common for people to have gotten it in childhood. It doesn't always manifest as cold sores.
When reading your posts, I keep thinking of the psychological phenomenon in which something dramatic happens and another thing happens, and the person to whom both things happen assumes the second thing came from the first thing. (I.e., the sex was rough and you regret it was unprotected, you subsequently got a positive herpes test, therefore you had to have gotten herpes when you had the rough, unprotected sex that you feel bad about, not from earlier tender, loving sex and not from childhood exposure.) I know you aren't saying that all the time, but you sigh and are anxious and mention your regret. That seems premature. If you got it in childhood from a kiss from grannie, why regret? And why waste time thinking about what to say to the guy, until you know FOR SURE what you need to say to him? It might be that you have to tell him you had the oral herpes virus well before you met him, not that he gave you anything. Don't sweat it until you know.
Best wishes for the talk with the doctor. :)