Negative test results, but still have sypmtoms?
So I do not make a habit of it, but I had unprotected sex one time. With the exception of a condom breaking once, this would be my first time, and it was with a different partner. The day after this recent time, I had itching, burning and what looked like pimples. I also had UTI symptoms, like burning urination and urethral pain, as well as aches in my groin and hips. I instantly became worried that I had an STD, so I went to the emergency room. They told me that what I had just looked like pimples, and since they appeared within around 12 days of exposure, they said it was not likely that I could get a herpes rash that fast. They treated me for Gonorrhea and Chlamydia and gave me a swab test, which I would find out would yield negative for both infections. They also gave me a cream to use in case I had genital lice, which I used. I'm not exactly sure if it did anything and I don't feel as though it relieved any itching
By about 3-4 days after possible exposure, I went to my regular doctor. By this point, the UTI symptoms were more painful, but the rash I had sort of disappeared in one area, and moved to another. The rash was not in a cluster at any point, looked a lot like pimples and each pimple seemed to be like under a hair, which I have read is very common of acne in that region as it is basically bacteria getting into the base of hairs. This doctor also believed the rash to be acne. They tested me for a UTI, which proved to be negative. Then the doctor tested tested me for most common STDs like HIV, Syphilis, Hepatitis and Herpes. At first, she was not going to test me for Herpes, but I made sure that she did. Important to note at this time was that I got the IgM Herpes test for types 1 and 2. I ended up getting this test on about day 5 after possible infection.
It is now about a week and a half since possible infection. The UTI-like symptoms have been steadily getting better and now there is not really any burning associated with going to the bathroom. The itching/burning in my genital and inner thigh region has been dissipating more slowly, but it is also on its way out. I still have soreness in my groin, hip and leg, which also seems to be getting better. I have several questions as to what I should do next.
1. I understand that there is some accuracy problems associated with the IgM Herpes type 1 and 2 test, so I will of course be following up with the IgG test after 3-4 months. I will also recommend my partner get the type specific type to see if I was actually exposed. My result for this test was negative for both Herpes 1 and 2. From what I understand, much of the confusion and inaccuracy associated with this test comes from getting a positive with either or both of the antibodies. If I get a negative for both, and by negative I mean <1:10(<1:10 titer) for both type 1 and 2 (whatever that means), how sure can I be that I did not contract the virus? Should I be a lot less worried than if I got a positive for one or both of the antibodies? Assuming that I did not contract Herpes type 2 from a partner previous to this most recent one, what do you think the likelyhood is at this point? I know that I will definitely need the IgG test, but I want to have whatever peace of mind that I can in the next 3-4 months.
2. A specific question branching off question one is how this reading may be interpreted if I had oral herpes in the past. I remember having sore lips, but I don't exactly have vivid memories of having cold sores on my mouth, so it's not impossible that I do not have HSV type 1. But if I did have herpes type one orally, contracted herpes type one genitally (from what I understand, not a particularly likely scenario), would it show a double negative IgM result assuming I got genital HSV1 five days before testing?
3. Is it too soon to be tested for some of this stuff? I know I have to wait 3-4 months for the IgG test as well as 6 weeks for another HIV test, but do you recommend I get tested again for any of this stuff? I did not get a blood test for Gonorrhea and Chlamydia. Is the swab and accurate test for these infections? Should I get a blood test for these two or would that be unnecessary?
4. If I didn't get one of the common STDs, what else could have happened? Just sensitive skin? Possibly some other UTI-like infection? If itching persists, I could try another treatment of that cream for lice/scabbies. But other than that, what else could this be? I have heard of other things like jock itch and other stuff that could be responsible.
My doctor who gave me the results was optimistic. She told me not to even bother with the IgG test. My symptoms were definitely not imaginary and I just can't put it out of my head that it was nothing and I figure getting additional testing certainly couldn't hurt. Answers to these questions would help me greatly. Thanks in advance!