I’ve managed to arrange a Western Blot for myself (if I can get the sample centrifuged somewhere in my province). I spoke with a lab supervisor at UW and she mentioned that the Valtrex should not affect results? Can you point me to some evidence/research on the subject? I imagine it’s limited but I’d like to investigate; researching this virus has become an obsession. I can see why you work in the field. It’s fascinating when it’s not happening to you.
As I mentioned, I am immunocompromised. I would be absolutely devastated to get (another?) outbreak on my anus, as you can imagine having Crohns makes that whole area a war zone. For the record I did receive analingus. Lucky me!
I just don’t know what else the white tender spots could be. My nerve pain/lymphedema/discharge felt classic. They were gone when I woke up and removed the ice pack hours later; replaced by significantly tender raw spots that REALLY HURT for 3 days, took about 10 days to heal visibly and 18 days to stop itching internally They were not on a red base (though there was erythema and scant swelling once the spots disappeared). I know shingles is usually unilateral. My gonorrhoea/chlamydia & syphilis are negative.
I’ve been reading about aborted lesions when antivirals are introduced quick enough. I did have some itching both internally and externally until today as well. I saw the STI clinic yesterday and the RN agreed a IGG test is unlikely to be very helpful. She did do a spec and swabs and noted healthy tissue and vaginal flora.
At this point I’ve made a small care plan for myself. Bear with me:
1) repeat the HSV2 test I listed above in mid to late November
2) I’m so scared to go off these antivirals, especially given the reduction in transmission rates in discordant partners. How deeply could they affect results?
3) if the test is negative proceed with the Western Blot, as HSV1 remains part of the differential diagnosis
4) obviously if I have a fresh crop of lesions I’ll swab promptly.