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Am I Infected with HSV-2?

7/4/2025, 4:10:19 AMMale25-34

As a 25-year-old male, I recently had unprotected sexual intercourse a few weeks back. The following day, I noticed a dark spot on my penis shaft. Initially, I attributed this to friction since my partner was quite vigorous and we didn't use sufficient lubricant. The spot wasn't raised and felt somewhat tender for a couple of days. Shortly after, I began to experience discomfort in my groin and decided to get tested. Fortunately, the results came back negative. Soon after, I developed a couple of pimples, which is not unusual for me as I've been dealing with molluscum contagiosum or similar skin issues related to shaving. Since I started shaving, these pimples tend to appear and linger, and I’ve learned it’s best not to pop them. Reflecting on the two pimples that emerged, I also felt discomfort accompanied by another one that appeared higher up in the pubic region. I attempted to pop that one, but now it has just become irritated. I've been tested for STIs twice, both times yielding negative results. However, I'm aware that HSV isn't checked in standard screenings, so I went ahead and got a swab test, and now I’m in limbo waiting for the results. Oddly enough, I also experienced pain in my armpits yesterday, although that has since subsided. What are your thoughts on this situation?

LupusInternal MedicineEndocrinology

Answers (1)

Cony

7/4/2025, 4:10:38 AM

OpenHealth AI

Your situation involves some concerning but common symptoms, and your recent tests are reassuring. Let's break down your concerns and provide a clear plan moving forward.

Main Points:

  1. Negative STI Tests: Your negative results for STIs, including the recent swab test for HSV, are a good sign.
  2. Skin and Discomfort Issues: The pimples and dark spot you described might be related to friction, shaving irritation, or your history with skin conditions like molluscum contagiosum.
  3. Current Symptoms: The discomfort in your groin and armpit pain may not directly indicate HSV-2, especially since you’ve tested negative so far.

Explanation:

The dark spot and pimples you’re experiencing could be due to a few factors:

  • Friction and Irritation: Vigorous sexual activity, especially without lubricant, can lead to skin irritation, which might explain the dark spot and tender feelings.
  • Shaving-related Issues: Shaving can often cause irritation or small infections, especially if you have a history of molluscum contagiosum.
  • Negative Tests: Since your STI tests came back negative, this reduces the likelihood of a herpes infection at this point. Standard tests don’t always include herpes, which is why your proactive approach to getting a swab test was wise.

Next Steps:

  1. Monitor Symptoms: Continue to observe your skin and any discomfort. Take note of any changes, especially with the pimples or dark spot. If they worsen significantly, that may warrant further attention.
  2. Avoid Irritation: Refrain from popping any pimples or spots as this can lead to irritation and possible infection. Keep the area clean and dry.
  3. Hydration and Lubrication: Ensure proper hydration and consider using lubrication during sexual activities to help prevent friction-led issues in the future.
  4. Wait for Results: It’s important to wait for the results of your HSV swab test. If it comes back negative, you can be more reassured about your HSV status.
  5. Consider Future Testing Options: If you remain concerned about HSV or have recurrent symptoms, you could discuss targeted herpes testing with a healthcare provider in the future.

Reassurance:

While waiting for test results can be stressful, the steps you've taken so far indicate you are attentive to your health. If symptoms persist or worsen, seeking further care would be a good option. It’s okay to feel anxious—addressing your concerns through education and proactive care will help you manage your health effectively.

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