I’m so confused

so , always use condoms . My last partner without a condom was over 2 years ago. i had sex the other day with my ex ( with a condom) and we did it from the back. im on acutane ( its a strong medicne to clear acne scars ) . they say dont wax because your skin could rip off. i notice when i scratch my face it burns and my nose bled and skin came off from that, i wear thongs a lot so it itched a little so i scratched it until it felt better then i noticed this. im so worried and confused .. could this be herpes ? image

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only way to really knownis to get it swabbed and tested . could be a friction rash or several different non std related things . go get checked ?