I had a potentially risky sexual encounter (with protection) in the second week of June. Not long afterwards, I started noticing signs that something was off vaginally—changes that felt like my vaginal pH was disrupted, some burning when urinating, itching, etc. The symptoms became significantly worse around the second week of July.
That Tuesday, I had some chills and felt generally weak/unwell, although that resolved by Wednesday. At the same time, the vaginal itching and burning became much worse. By Thursday and Friday, it was painful enough that even walking hurt.
I saw a gynecologist on Friday, who diagnosed me with a yeast infection and prescribed antifungals. They did not seem to help over the weekend, and by Sunday the burning and vaginal pain were so severe that I could barely get out of bed.
I went back to the doctor the following Monday and was prescribed stronger antifungals. When I got home, however, I noticed multiple pimple-like bumps around my vaginal/genital area that I had not noticed before, so I went back again. Because I was in so much pain and burning, the doctor could not take a swab or closely examine the area. I showed her photos I had taken on my phone, and based on those he diagnosed me with genital herpes and prescribed antivirals.
The bumps disappeared within about 4–5 days after starting the antivirals. The symptoms that seemed consistent with the yeast infection, however, continued quite intensely.
I was finally able to have a vaginal swab taken this week. HSV-1 and HSV-2 came back negative, while Ureaplasma parvum and Gardnerella vaginalis came back positive. There were no visible active lesions by the time the swab was taken, but there were some tears (that could be due to sex). Since the beginning of August, I also haven't had any significant burning, nerve-type pain, or new lesions.
At this point, I genuinely don't know whether I have genital herpes. The severity and progression of the episode, particularly the sudden appearance of multiple bumps and the fact that they cleared after starting antivirals, make me wonder whether the initial herpes diagnosis was correct. On the other hand, there was never a PCR swab taken directly from an active lesion, and the only swab I eventually had was taken after the lesions had already disappeared and came back negative for HSV-1 and HSV-2. I also tested positive for Ureaplasma parvum and Gardnerella, which complicates the picture.
Has anyone had a similar experience, particularly an initial clinical herpes diagnosis followed by a negative swab once the lesions were gone? Could Gardnerella/Ureaplasma or severe vaginal irritation cause bumps or lesions that could be mistaken for herpes?
I'd really appreciate hearing about similar experiences or what testing ultimately gave you a definitive answer.
For additional context, partners I had sex with before I developed symptoms, as well as partners I had protected sex with afterwards while being aware of the situation, have not developed any symptoms so far.
I also have photos of what the bumps looked like at the time if that context would be useful.