Blotchy red rash/irritated skin on penile head (lasted for over 3 moths now)?

I also have still no solution for the exact problem.

Goes on for 6 months already now.

But my closest guess is: candida albicans

Even though I treated it with 10 days clotrimazole and diflucan pills for 3 days.

Candida can be really hard to treat.

2. Guess hpv high risk

Even though all doctors say, probably not and also the swab test for hpv showed negative. I can't get it out of my head.

3. Non typical herpes flare-ups.

I suggest you to do a hsv1 Hsv2 test, and hpv swab test.

I just did a new candida swab test and I am waiting for the results right now.

This may be an unwelcome theory, but I'm wondering how many of these cases are atypical manifestations of herpes.  Lots of people here are saying they've had "full STD tests", but those don't usually include an IgG blood test for HSV 1/2. You have to ask for it, and often the doctors will refuse if you don't have the typical blisters and sores.  (Understandably, the results can be ambiguous and can create more questions than answers.)

HSV infects the nerves, and I'm wondering if this irritation is caused by nerve irritation caused by that infection. Irritated nerves release substances that cause inflammation (cytokines, substance P, etc.) Some 80% of HSV infected people don't even know they have it, because their immune systems are keeping the virus suppressed.  So perhaps what we're experiencing is a "mostly suppressed" HSV infection that has still resulted in neuropathy/nerve damage.

FWIW, I've been in contact with Dr. Hook at the American Sexual Health  Association, who used to post here, with this theory and he did not think it was plausible.  Every other doctor (2 derms, 1 urologist, and my GP) also think this is not possible.  The Drs are all telling me that "post herpetic neuroalgia" only occurs with herpes zoster (shingles) and not HSV, but I see many reports of this on various HSV websites. That said, I am a skeptical person and it's plausible that these people are OCDing about their infections and creating their own somatic symptoms due to anxiety. It's tempting to get sucked into anecdotal stories from anonymous people.

I really hope my theory is wrong. I twisted my GPS arm and got her to order me an IgG blood test, which I took a few days ago. I'm anxiously awaiting the results.  I've been experiencing this same constant irritation for the past 3 months, which came on suddenly, 5 weeks after a massage that involved some mutual touching but no genital-genital or oral-genital contact.  I never had a sore, bump, or visible lesion, just rawness and irritation. 

Questions for anyone reading this:

How many of you are certain about your HSV status?

Has anyone passed this mystery irritation on to a partner?

My doctor said perhaps auto immune like BXO after a biopsy. Nothing has worked.

If it was HSV then it would involve fluid filled sacs. The symptoms Jason and others are having does not match this. It's not HSV period.

HPV - Yes there are strains that manifest differently but they like an infection they go at their own pace where to the symptoms for this red blotchy is fairly static. To aggravate the symptoms friction, heat, water are needed (at least for myself) - this does not follow a pattern of infection or HPV.

Systematic Candida - If you took a Fluconzale pill and it has no affect, its not this.

Penile Psorisis - maybe....

Auto immune....maybe

Post Inflammatory Hyper pigmentation  - These are more like moles. Jason and others issue is nothing like a mole.

Like many others I'm so pleased to have finally found a thread matching my issue.. maybe between us all we can find a solution..

My symptoms are identical to those described by Jason at the start of this thread and like many of you I have had numerous trips to the doctors, sexual health clinics and recently the top genital dermotologist in the U.K. since my issue begun over 5 years ago. Ive tried all the usual creams mentioned and am definitely clear of ALL stds. The latest 'top' dermo guy just gave me the usual contact dermatitis diagnosis I've had several times now. Nothing ever changes or improves. I use all the special creams for washing and protecting my old boy with no changes. 

Interestingly after a recent hair analysis test I have been diagnosed with stomach and gut issues (I have had problems for as long as I can remember with digestion) I took this test after feeling low and fatigued for most of 2017. Apparently the state of my gut system is very poor, overrun with bad bacteria and over acidic, most likely caused originally by an antibiotic course and maintained by my poor diet. The specialist said she feels all my issues are related to the poor state of my digestive system. This seemed to fit with some of the other comments I've read here. So I am currently on high doses of probiotics and vitamins whilst eating a controlled diet, eliminating sugars and trying to alkalise my body and restore my good bacteria in the body. This is all fairly new so I will repost if I feel I see any correlation with the changes. Before this I ate a poor diet, sugar rich and was prone to binges of chocolate and sweets which may relate to the way my symptoms have flared up now and then seemingly for no reason. 

My only other thought 'outside the box' is that through use of viagra the blood vessels in my penis have become damaged as the most obvious change for me over the years of these symptoms is the appearance of tiny vessels which have slowly covered my penis head just under the skin. I hope we can sort this one guys, I'm still trying after 5+ years and it gets my down sometimes!