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What causes this?

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I had a sexual encounter over 2 years ago. After that I had a red looking infection in the butt area, went to ER was diagnosed with Follicles, prescribed  Doxycycline 100mg 2xday 10days (Swap Culture was not performed unfortunately). The Antibiotics helped but I have to keep extreme hygiene (soap after every stool)or itching starts for 2+ years now. Also, lower abdomen feels infected, causes frequent diarrhea. Tested positive for  HSV 1 (from Childhood) and neg for, HSV2, Gonorrhea, Chlamydia, Hep ABC, Syphilis, HIV 1,2. after proper time frame. 

What would you do in my situation? If you recommend antibiotics which ones would you recommend? 

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