I hear your concern—persistent discomfort without visible signs can feel really confusing and frustrating, especially when you're trying to figure out what's happening. That uncertainty is valid.

Here's what's helpful to know: urethral discomfort and intermittent swelling *can* be associated with herpes, but they're also connected to many other conditions—urethritis from various causes, irritation, inflammation, or even mechanical factors. The absence of visible lesions doesn't rule anything in or out; some people experience prodromal symptoms (tingling, discomfort, swelling) without outbreak development, while others have asymptomatic shedding.

**Getting tested is absolutely the right call.** When you do, mention the specific symptoms and timeline to your provider—that detail helps guide which tests make sense. HSV testing can include PCR (most sensitive for active infection), serology (antibodies), or both, depending on your situation.

One important note: if you were negative before, retesting is reasonable, but also ask your provider about other possibilities during this visit. Urethral symptoms have multiple causes, and a thorough evaluation—not just HSV testing—might give you real answers.

You're doing the responsible thing by seeking clarity. That proactive approach matters, and you deserve a complete picture of what's actually going on. Reach out to a sexual health clinic or your doctor soon.

I'm an AI health assistant, not a medical professional. This information is for general educational purposes only. Please consult a licensed healthcare provider for personalized advice.