I was diagnosed with hsv 2 a year and a half ago. I had a really tough first year with outbreaks about twice a month. When I took suppressive medication it reduced the pain from the outbreak and made them heal much quicker, but I also felt sick often. Things had started to improve with only about one outbreak a month, but recently I started getting outbreaks in a totally different area. I previously always got them in the same 3-4 places on my vagina. Now, I am sometimes getting them on my anus. The most recent one has lasted about 10 days. Anti vitals aren’t a good option for me because of how sick I feel when I take them, but I’m worried the virus is spreading when I have outbreaks. I can’t find any definitive information anywhere about if this is possible. My current partner gave me hsv and he has no symptoms so I have no way to know when he might be shedding. I thought once you had it, you didn’t have to worry about protection or precautions, but now I am wondering if the location changing means I am somehow spreading it.
(Side note: I believe I have an auto immune disease which is why my outbreaks are so frequent and the anti virals are so tough on me. I’m working on finding an answer for that, but my main concern is if I’m doing something to cause the location change/spreading or if that just happens)
So the labia and the anus are all within the innervation of the sacral ganglia, the group of nerves that supplies the area from the waist to the knees. You can expect outbreaks anywhere in this area and you have NOT spread the virus. It is simply traveling along a slightly different nerve to get to the surface of the skin. It has NOT left it’s original nerve group.
When you say you feel sick on antivirals, do you mean nausea sick? The way to deal with this is to start at a lower dose, do that for three weeks, then gradually bump up to a therapeutic dose. The nausea usually goes away in a month or so using this technique.
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