George felt quite embarrassed that he had injured himself, and angry at himself for having made love to his ex-wife again. He became quite depressed and began to doubt himself sexually. About this time he also developed urethritis, which was treated with antibiotics. He sought therapy and tried to resolve the guilt feelings which continued to plague him. He began to feel good enough to begin a new relationship, which he was enjoying very much.

The inflammation of his penis resolved. The only residual symptom was a brownish discoloration of the skin on the shaft. About eight months later, George suddenly developed a bright red inflammation of his penis and scrotum, (3) close to the anniversary of his marriage to his ex-wife. It felt like a bad sunburn. He could not touch it or tolerate tight underwear. He became very worried. He saw a number of doctors and had many tests. The diagnoses were varied, including contact dermatitis, yeast allergy, seborrheic dermatitis, and antibiotic allergy. After four months the condition resolved using topical tea compresses.

A year later, he made love with his girlfriend who subsequently developed a vaginal yeast infection and cystitis. Five days after the intercourse, George developed a sore on the shaft of his penis. He took antibiotics. A few days later his scrotum turned bright red again. It felt hot and burning, and profuse perspiration which caused stinging. The skin in the genital area became dry. He used Hypericum tinture topically, which seemed to help.

George again began to feel guilty about having had sex with his ex-wife. He obsessed over the injury he had done to himself. He started psychotherapy again. He began to avoid sex, fearing that his symptoms would return. He worried that it would never go away. He couldn't stop thinking about it, and felt like kicking himself for it. He felt sad and moody, and frustrated that he couldn't enjoy sex anymore.

George had married at twenty-five. He and his wife had a child, but the relationship began to go sour after his wife had an affair and left him. They got back together and had another child, but eventually divorced, with shared custody of their two children. After the divorce, George felt lonely and like a failure. He felt guilty for having relationships for "just sex". He felt particularly bad about the last sexual encounter with his ex-wife. During his marriage, his wife didn't want to have sex with him very often. He felt kangry that he had to ask for it. He felt pressured into having a child too early. "It robbed me of the joy ot the whole experience."