I hear you—discovering new lesions and watching them progress is understandably concerning, especially when you're trying to understand what's happening. Your detailed tracking and thoughtful approach to getting clarity is really responsible.

Here's what matters: **Your PCP's initial assessment and your request for definitive testing are both appropriate.** The progression you're describing—new lesions appearing over days—warrants evaluation beyond clinical observation alone. A PCR swab of active lesions is a legitimate, evidence-based diagnostic tool that can differentiate viral causes (including HSV) from other conditions like folliculitis, contact dermatitis, or mechanical irritation.

**Key context:** The *absence* of neuropathic symptoms (pain, burning, tingling) doesn't rule out HSV; some people experience minimal or no prodromal discomfort, particularly with initial or atypical presentations. Conversely, localized itching at a healing scab is consistent with normal wound healing. Both HSV and non-viral causes can present with painless or mildly symptomatic lesions, which is precisely why testing—not clinical impression alone—provides the clarity you're seeking.

**Next step:** Follow up with your PCP or a dermatologist/sexual health clinic and explicitly request PCR swab testing of the active lesions. This is a straightforward request and gives you a definitive answer rather than prolonged uncertainty.

You're not overreacting by seeking testing. Getting answers reduces anxiety and guides appropriate next steps. You deserve that clarity.

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.