October 27, 2023 at 7:00 am #83196Confused2251Participant
A few months ago I noticed a small sore on my upper R buttock at the crease. Very little itch no pain no drainage that I know of. I asked the gyno about it. She was unsure said it did not look like an STI. I did have a swab done. Positive for herpes 2. My first outbreak was maybe 8 days long in total but I applied antifungal cream and it helped clear it in a few days. Since then I will get a raised area same spot or almost same spot apply antifungal and it’s gone next day or 2. I have tried Zimc also but antifungal helped more. These areas seems to happen often. I was told antifungal does not help herpes. So I wonder do I have herpes? I did a mail in blood test because my gyno would not do one because a swab test is never wrong. Is that true? The blood test also came back positive but no percentage just the word positive. So guess some of my concerns are should I get tested again? Western blot maybe? I have never had a sore or outbreak in my vagina. I have been with the same guy for 25 years. Our marriage is now ending. I am wondering about new sexual encounters. 1) Do I disclose always with having mo outbreaks in my vagina? 2)should protection always be used now? 3)is herpes in my vagina secretions with no breakout in that area? 4)Other than skin to skin contact on my open sore on my buttock how would I pass it to someone else? 5) will I end up with herpes outbreaks in my vagina also at some point? 6) how easy is it to spread it to other body parts.7) is my vagina contagious? I am just confused on how I got it on my buttock in the first place and how contagious am I? I do have a weak immune system and have had other skin issues with the medication MTX I have been off it a while though. My husband has no s/sx.
October 28, 2023 at 2:40 am #83210Terri WarrenKeymaster
A positive and typed swab test for HSV 2 combined with a positive antibody test says you have HSV 2 infection and are potentially infectious to others, even though your outbreaks are on the buttocks.
Yes, you should disclose your herpes status to new partners
Condoms reduce transmission from females to males by 65%
Yes,you can shed virus from the vagina as well. You may end up with vaginal outbreaks at some point, yes.
With a positive antibody test, you are extremely unlikely to get this in a new location, outside of the boxer shorts area.
You acquired this vaginally, but in your case, the virus chooses to travel along a slightly different nerve branch and show up on the buttocks, though it can also be given off from the vagina.
You should consider daily antiviral treatment like Valtrex to reduce the frequency of outbreaks as well as reduce the risk of transmission to a new partner.
Just because your husband has no s/s, doesn’t mean he’s not infected.
October 29, 2023 at 5:13 am #83231Confused2251Participant
It is pointless to get a western blot since I have sx and other positive results? Are the mail companies that do STI panels reliable? Swab test have 100% accuracy?
Is it normal for the raised areas to heal so quickly? Overnight or within 2 days? On their own or with antifungal cream? I am struggling with this DX is my main problem I guess. I have been with the same partner for 25 years and no one else. Are they really close to vaccine?
Thank you for your help.
November 1, 2023 at 12:50 am #83251Terri WarrenKeymaster
The mail companies do have some false positives and false negatives, yes. A positive swab test combined with a positive IgG result should be definitive. I know this is hard to accept but I think you need to. What heals in two days may not truly be a herpes lesion as the other one was that lasted 8 days.
They are working on a vaccine and other treatments actively now. There is hope.
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