1. If I already had hsv2 genitally and later aquired hsv2 orally, would that new oral hsv2 infection, since it is at a new site be considered a first episode? Or if I already had hsv2 gentially, would the newly acquired oral hsv2 infection be considered an outbreak, as far as treatment goes?
This wouldn’t happen, so there is technically no name for that happening. I would treat such a thing as a recurrence.
2. Is valtrex better than acyclovir? If so, can you please explain?
No, studies have shown that the two drugs, taken as directed, are equally effective.
3. I know what the recommended dose is for acyclovir, but what is the recommended dose for valtrex in the treatment of hsv2 infections?
Suppressive treatment with Valtrex is 500-1000 mg daily, once a day
Episodic treatment of outbreaks is 500 mg twice a day for three days.
New infection would be 1 gram of Valtrex twice a day for 7-14 days
4. If a person has hsv2 orally and genitally, would an oral outbreak trigger a genital outbreak, and will a genital outbreak trigger an oral outbreak, since they are both hsv2?
No, but if someone acquired HSV 2 orally and genitally at the same time (which is how that would happen if it happened at all), then a person could have recurrence of both at the same time, but an outbreak of one would not “trigger” an outbreak of the other, they just may occur at the same time due to some dip in the immune response.