November 26, 2014 at 12:19 am #2007stunnedMember
I Terri – I’m a 58 year old white heterosexual male. Up until now, I’ve never had an outbreak or other sign of infection. I’ve had several partners during my life. I’ve been in a monogamous relationship for 8+ years (although she did have sex once with her husband 2 years ago during a reconciliation attempt). Ten days after we were last together over a weekend, I developed a raised reddened area just above the base of my penis. I was mildly chaffed in the same area from the weekend. I initially thought it was a spider bite, as I had been outdoors & in underbrush 2 days before it appeared. It progressively got worse (quarter sized area, several small scabbed over spots) and I went to the Dr 8 days later and was given antibiotic. 2 days later small blisters appeared, went back to Dr and a culture of the blister fluid was confirmed HSV-2 by monoclonal antibody microscopic immunoflourescence and went on 10 days of 1 gram Valtrex, which is worked well. I just went back for blood testing (32 days after the weekend together) – neg for HIV & syphillis, positive for HSV-2 with antibody count of 4.66 (IGG test). She is being tested in about a week, but has never had symptoms.
My initial thought was I got it from my current partner -10 days after, being chaffed. However, the 4.66 antibody count seems to indicate I’ve had it long term.
Does the antibody count indicate with some certainty that I’ve been infected longer than 32 days, and given the location of the outbreak (wouldn’t be covered by a condom) is suppressive does of Valtrex and avoiding contact during future outbreaks the only practical way to minimize transmission?
November 26, 2014 at 7:58 am #2008Terri WarrenKeymaster
No. An index value of 4.66 32 days after your last sexual contact could be new infection or could be old infection. If you told me two weeks, I would say yes, old infection. But at 32 days, it cannot be determined.
I would wait until she gets tested to know what to do next. If she is positive, you don’t need to do anything differently. She cannot be reinfected with something she already has. However, if she is positive, you can’t know who gave what to whom. Either of you could have been infected for a long time and just recognized a first outbreak. It is also possible that she has been infected for a long time and just infected you. If she is negative, she is vulnerable to your infection. It is also possible that if she has recently had a new partner and just got infected, it could be that not enough time has gone by for antibody to be developed.
What are your feelings about her recent fidelity?
November 26, 2014 at 4:59 pm #2013stunnedMember
I’m completely confident that she has been faithful to me. Does the fact that my outbreak 10 after we were together and in the very same spot that I was chaffed from the weekend indicate any likelihood that she gave it to me, or not? How long before an upcoming hip replacement surgery do you recommend I be on a suppressive dose (500 mg 1 x daily?) of Valtrex to best minimize an outbreak from the stress of the surgery? Anything else to consider long-term to minimize outbreaks? Anyway to predict where she might have an outbreak, based on my location, if I have infected her?
Thanks so much for providing this service!
November 26, 2014 at 6:20 pm #2015Terri WarrenKeymaster
No, that does not indicate new infection. It could be that the chafing that you experienced was enough irritation to bring out an outbreak. The only way to know if this is new infection or not for you is if she tests negative – then we will know that it is not new. Otherwise, if she tests positive, then we can’t know.
I would recommend starting suppression 7 days in advance of your surgery for best luck at suppressing outbreaks.
If you have a lot of outbreaks, you can take the medicine every day to reduce the frequency or definitely is she is uninfected.
There is no way to know where she might have outbreaks if she is already infected. If she is not infected and you infect her, then the first outbreak will likely be genital.
You have one more question if you have another concern.
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