March 2, 2020 at 8:23 pm #69466OpusNo8Participant
Thanks for these forums and the great advice.
I was diagnosed with genital HSV2 about 2 years ago, although I suspect I’ve had it longer. Because my partner is not HSV+, I take Valtrex daily as suppressive therapy. I am at 1 gram/day now, but I double my dose when I’m having symptoms. So far I’ve only experienced a handful of outbreaks since my diagnosis (i.e., ~3 per year or so). In the past, my outbreaks each only lasted a few days.
With apologies for the TMI, I exclusively get symptoms inside my anus/rectum. Sometimes there is a small bump/lesion near the anal opening. Most often, however, my symptoms are a dull tingling sensation and/or a slight itching, and some general soreness, but no lesions. Sometimes the tingling feel much sharper and feels more “electric” (I think maybe this is prodrome?).
Given the location and nature of my symptoms, it can be difficult to tell when I’m actually having an outbreak, when one is coming (prodrome) or going, or even if there is another issue besides herpes. I would welcome any general thoughts you have about identifying and controlling HSV2 symptoms in the anus/rectum.
In addition to your general thoughts, I do have a specific question. Currently, I am experiencing an unusually long bout of symptoms. The tingling/itching has gone on for a full month, even though I have been taking a double Valtrex dose for several weeks now. I can handle an occasional outbreak that lasts a few days, but this is something new, and it is maddening! Have you encountered this before, and do you have any advice? Should I try to “nuke” it with a very high Valtrex dosage? Alternatively, one thing I’m considering is discontinuing Valtrex and letting this outbreak run its course (instead of feeling like I’m locked in a war of attrition). Do you have any ideas about what may be happening? I had a stressful January at work, but otherwise no noteworthy lifestyle changes.
Thanks again for this resource and for your expert advice!
March 2, 2020 at 9:52 pm #69477Terri WarrenKeymaster
Anal herpes is genital herpes, you know, the virus has just traveled to the surface of the skin along a different nerve.
I suspect that what you are experiencing for a full month is not herpes. is it likely something else and it would be good to see a clinician for a diagnosis. People who have herpes sometimes make the mistake of thinking that anything that is abnormal happening in the genital area is due to herpes, but often, it is not. Have you ever had a yeast infection? Could this be one? You might also need a bacterial swab test done to see if there is some bacterial infection going on. But these are things you need to see someone about, in person.
- This reply was modified 2 months ago by Terri Warren.
March 16, 2020 at 1:16 pm #69602OpusNo8Participant
Thanks Terri. Three points as follow up:
1. I saw my healthcare provider two weeks ago. She said that my anal area was irritated but she didn’t see any lesions. She did not want to do any form of swab test, including an HSV2 swab. She said that an HSV2 swab test requires there to be a lesion present. Is this accurate? In other words, can the swab test detect asymptomatic shedding? If yes, then I will go back and demand the test, since it would be useful to know whether this is an outbreak/shedding symptom, or something else. (If I am not shedding, then at least I can resume sex with partner.)
2. Since seeing my doctor, I fell ill for a few days with a cold (I do not believe it was coronavirus). During the time that I was sick, the tingling sensation went away! This is unusual, since I know people often get an outbreak during or after an illness when the immune system is compromised. Can you glean anything from this?
3. Now that I’m back to health, the mild tingling feeling has returned. Note that I just started taking my daily valacyclovir again (I had stopped before I saw my doctor two weeks ago). I am starting to suspect this sensation isn’t indicative of an outbreak. Can genital herpes cause neuralgia or other nerve symptoms separate from an outbreak?
March 24, 2020 at 11:23 am #69643Terri WarrenKeymaster
1. While an asymptomatic area can be swab tested for herpes, the yield is going to be low and a negative swab does NOT mean you don’t have herpes.
2. I cannot glean anything from that, no
3. Tingling for an extended period of time is not likely to be herpes.
Remind me how you werediagnosed with HSV 2 again?
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