I think that I am one of your atypical cases. For over a year, I felt that I had contracted genital herpes from my boyfriend. I did not have the classical presentation of sores and lesions, but I had the areas of irritation to the vaginal, rectal and perineal areas. If I wasn’t experiencing those symptoms, I was having stinging, burning sensations in my pubic area. These sensations were almost constant for months and months. There was not a day that went by that I didn’t have some type of odd sensation down there. It was a daily nightmare/reminder. I know that research says that herpes doesn’t behave this way, that its intermittent, but I knew that something was wrong, and I got tested over and over again, and all IGG tests for HSV2 came back negative, even the one that I took just 2 weeks ago was negative, and this was one year after possible exposure. I decided to get the Western Blot from your clinic and it came back positive for HSV2. After receiving my Western Blot test results, I decided to get on treatment. I have a prescription for valacyclovir 1gm bid for 10 days and then 1 gm qd for suppressive therapy. I am on day 6 of the 1 gm bid.
It is my understanding that since I have HSV2 genitallly, and have had it for over a year, that I would be immuned to getting it orally. I just started treatment with valacyclovir 6 days ago, but in June, I performed oral sex on my current partner. I felt a rough area on the tip of his penis and immediately stopped performing oral sex. Almost two weeks later, I started to have oral symptoms, which I believe is HSV2. I have what I think is a sore on the bottom of my gum. It is painless, and I wouldn’t have known it was there if I weren’t intentionally looking. I have daily burning of my gums and lips and a clear fluid blister on the inside of my cheek that goes away, but keeps coming back. My hard palate, towards the front of my mouth is rough and burns, and little areas of irritation are recurring mostly to the inside of my top lip. I have these little itchy barely visible bumps above my lip, on my forehead, and on the front part of my scalp. I also have the sensation at times that something is stuck in my throat, which I now believe is probably a blister. I honestly think that I have hsv2 orally. This is baffling considering what research says about being immuned after 4 months. I also understand that hsv2 orally wouldn’t last this long, and wouldn’t be a constant sensation, but that is how my genital herpes presented itself (constantly). Here are my questions.
1. I have been on valacyclovir 1gm bid for 6 days, and my oral symptoms have not subsided, and have shown no signs of improvement. As I type these questions my lips, palate and gums are burning, and I have an intact clear fluid blister on the inside of my left cheek that goes away and comes back, but is currently present. These symptoms have been present for a very long time, weeks and weeks, but did not start until that encounter of oral sex.
My question is ….With me being on this medication, shouldn’t I be feeling some type of symptom relief by now from my oral symptoms. The clear fluid blister is what’s really pushing me to believe that this is HSV2.
2. Since being on the valacyclovir, I have had a genital outbreak, but again for me, they are not typical sores, but areas of open irritation to my labia, and tingling in my pubic area. With me being on valacyclovir, I don’t understand why things aren’t clearing up instead of me having more genital outbreaks. Is this normal?
3. Since I am not seroconverting by IGG, does that mean that my body is not building up antibodies the way that it should, therefore, I may have contracted oral HSV2 even though my initial genital infection was over a year ago?
4. How long does it take the medication to work. Should I have began to feel some relief by now either orally or genitally?