Should a groin hernia be a concern after sexual exposure?

Hi doctor,

Four years ago, I had a high-risk sexual exposure with a male. I was receptive. I did not know until the end that he did not use a condom. From that moment on, I was under so much stress and anxiety. I tested many times. I had HIV Duo test negative, Syphilis negative, Chlamydia and gonorrhea (urine, urethral swab) negative, Trichomoniasis negative, Hepatitis A, B, and C negative, urine test negative, and microorganism (urethral swab) negative. Now, because I was very scared of catching HIV, I would wake up every day vomiting bile. I would feel burning throughout my body at night and tingling and numbness in my feet. I could not sleep regularly at night due to fear of catching STD. I normally use socks when masturbating so that the semen is contained in the socks.

After I masturbated, I ejaculated and immediately felt a sharp pain inside my urethra, exactly underneath the glans. The pain kept happening for more than a month. After that, the pain referred to my groin area. I did an ultrasound and found a 6 mm hernia in the left groin. I also did a prostate ultrasound, and this is the result. The prostate is normal in size, with a volume of 20 g. The echotexture is normal. The peripheral zone is smooth. The seminal vesicles are normal. There is no suspicious abnormality. KUB is unremarkable. The pain in my groin area was gone, but the pain in my penis is still there today.

I saw so many doctors and urologists, and I took Azithromycin one gram, Doxycycline 14 days twice daily, Ciprofloxacin, Hydrocortisone cream, Clotrimaderm, and Fucidin Cream, and Rapaflo. Now, I am taking Sulfatrim DS 800 and 160 mg twice daily for 14 days and Bederm twice daily. But nothing is working. I have three types of pain now. Pain underneath the glans inside the urethra happens only when I press or squeeze the gland. This does not bother me a lot.

However, the second pain is all the skin around the urethra is in constant pain all day. The third pain is if my bladder is full and I press my bladder with my fingers, I feel the pain in the urethra underneath the glans. I have attached the pictures to display where the pain is. There is no discharge or anything. Maybe there is discoloration or dark skin underneath the glans where the line is. I am taking the antidepressant medication Sertraline because of December exposure and all the symptoms I have. Please help.

Thank you.

Hi doctor,

Thank you for your reply.

I just recently saw a urologist, and he said the exact same thing you said. He said you have a guilty penis, and I need to see a psychiatrist. He refused to give any medication. Can this be a skin issue? Should I also stop taking Hydrocortisone, Betaderm, and Clotrimazole cream? I just noticed that sometimes I feel a little bit better when applying ice to the tip of my penis and blowing air to the penis when applying cream. Will this pain ever go away? It keeps coming and going. It comes back mostly after masturbating. I have also attached a picture of my semen. Is this normal? Why do I have so many lumps? Please help.

Thank you.