Normally genital HSV 1 is quite a benign infection with few recurrences and very little shedding of the virus. The fact that the Valtrex doesn’t really work consistently to me suggests that your symptoms are not really related to herpes. I’m not sure why sometimes it does seem to help and other times not. Eliminating coffee and nuts shouldn’t really be doing anything different about your herpes. I am also confused by what you are calling “chronic mono”. That’s not something I have ever heard of before and I”m not sure how such a diagnosis would be accurately made. I’m wondering if someone is interpreting those lab tests correctly?
I doubt that Famvir would make a difference. I don’t find in my own practice that it works as well as acyclovir or valacyclovir (Valtrex).
Has your health care provider discussed any other treatments for this pain, like Lyrica for nerve pain?
I also don’t think the pain you are describing is due to BV. BV is not an inflammatory condition (thus an -osis rather than and -itis).
Perhaps acupuncture would be worth a try, yes. I just doubt that this is due to herpes, it just doesn’t fit very well with how this disease state normally works.