I am sorry, I couldn't explain clearly.

[summer2000]

Thank you Terri for your help.

I am quite confused, I think I couldn’t explain clearly enough.

About 15 years ago my doctor took swap on few tiny blisters on my left buttock and it came back with herpes, not sure what type. Since then it came back few times per year itchy for few days without pain. Also I’ve never seen it on or in my genital area. It didn’t bother me too much so I didn’t buy medicine,it’s expensive. Every time when the blisters were gone, they left the dark mark on my buttock. Those blisters normally show up with not much tingling ahead of time, sometimes I could tell, sometimes I couldn’t.
Now after 6 years of being single, I wanted to date again. Last June I had 3 times unprotected sex and and I had an obvious outbreak with a lot of tingling with 2 blisters right close to the anus. They looked different with those blisters in the past.
I just got the result for both Shv 1 and 2 positive, have been so sad.

1/ is it possible to have hsv 1 in the past with that many recurrence per year with the dark skin mark?
2/ now when I explained my situation clearer, I would love to know your opinion if I really contracted hsv 2 in June ?
3/ I did have recurrence the same way for the 3 stressful months. So far for October and November I’ve been okay. Would I benefit from increasing valtrex? If yes, how long should I stay with 1000 mg?
4/ how can I become your patient?

Thank you very very much.

[Terri Warren]

The most likely explanation of what is going on here is that you have HSV 1 orally and HSV 2 genitally. I don’t think you just got this in June. It is far more likely and in fact almost certain that you had it 15 years ago when you had the positive swab test. Even though the outbreaks are on your buttocks or anus, you are infectious genitally as well. And you are definitely a candidate for daily therapy. I don’t know where you live but you can get acyclovir (400 mg twice a day) for about 16$ per month.
You ask about increasing the Valtrex but I don’t see that you are taking it – thought it was too expensive? I’m a little confused now. The acyclovir 400 mg twice a day is as effective as valtrex 1000 mg once a day – you just have to remember to take it twice a day. If you take daily therapy, your risk of infecting others drops by about 1/2

Terri

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