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I have a few follow up questions.
First, I have both OHSV1 and GHSV1, as noted in previous dialogue it’s IGG confirmed only. Not swab confirmed. I know it’s both sites because I experienced my primary infection in the perineal area. My primary had no lesions, only redness and strong stinging/burning. Orally, I only get rash above my lip. Also, I am male and my partner is female and negative for both types of hsv
With that, I’m on 1g daily suppressive and reaching 1 year of being hsv1 positive.
Since I get rash/flare ups above lips & inside nose irration and no other traditional lesions genitally included, my question are about viral shedding absent of lesions for GHSV1 and both flareup/viral shedding for OHSV1.
1- If my partner wants to perform oral sex on me, how much of a risk is it to perform oral on me while I’m on suppressive.
2- Should I take a high dose like 2g before allowing her to perform oral)
My GHSV1 seems very quite, just 2-3 flare ups all year and haven’t had one since November. Id like to receive oral sex but don’t want to if there is risk.
3- I’ve read conflicting info on transmission. I drool a lot when I sleep. Does my pillow pose a risk?
4- How about if I wake up don’t shower and I drool all over my pillow and it likely touches every part of my face and hair?
I ask this because the conflicting info.
Regarding kissing, I break out or have herpic irritation frequently which has been difficult all year for me. Since increasing to 1g I experienced less occurrence and irritation. But get at least 1-2 my minor flare ups.
5- When is it safe for me to kiss? Again, I experience burning above my lip and inside my nose on and off all the time.
6- do you have any leads to swab testing for shedding?
What swab should I get?
I’m being told that 1g daily suppressive is unhealthy for the now and long term. Why is that?
I was instructed to take 2g in morning, 1g 12 hours after and an additional 1g 12 hours after that during outbreaks. This is very confusing to me.
Also, when get flare-up orally it’s never worth sores so I get push back from the doc when I asked to swab with no sores.
My outbreaks orally are, intense itching, burning with irratated/dry skin.
Again I believe I have it genitally also, but all I get is jock itch or anal burning or irritation
What type of swab test and I want to take 1g daily suppressive but they keep telling me that’s too high and longterm unhealthy. I’m getting push back on my request for 1g daily and stabbing with no sores (which I never had, just intense burning, itching and irratated/flaky skin. What are your thought?
During an outbreak I was told to take 2g in morning and 1 gram 12hours after that and 1 gm 12 hours after that dose. I’ve very confused with this.
That’s my concern that my pcp doesn’t know much about hsv1.
I believe I have it both gentailly and orally. I know it’s mentioned this is rare but I think I may have spread it to my face during self inspection.
Is it possible to be on suprisive therapy 1g daily?
How often do you shed oraly?
I want to makeout/kiss or perform oral, how safe is it to do so with no sores?
On your response: I don’t know if your infection is oral or genital.
I mentione: This started as a burning and redness in perineum area with no sores, then eventually Irritation in the nose and above the lips. (Never on the lips).
I believe I have it in both locations. Because how it started and not the irritation/episodes I know have on my face. Because I don’t get typical or common outbreaks Can doctor swab the surface of my skin with no breakout and detect the virus? I want to know if my constant itching, burning and off&on rash and dryskin is hsv1 presenting itself differently from the common signs
Could you address these 2 questions from my 1st questions
In August I received an index of greater than 5 and at 6 months index 45. My greater than 5 index would have been 5 weeks after infection,(end of june) would that mean I got infected 5 weeks before or was this long standing?
Also my 45 index was while I was on Valtrax for 3 months. (500 MG daily) does being in suppressive therapy make my antibodies higher?
I’m at 9 months of abstaining and 6 months of suppressive therapy, is it okay for me to have sex and kiss now?
It’s for HSV1. I believe I was negative prior to june interaction due to only experiencing symptoms after that. I never had a cold sore prior.
This started as a burning and redness in perineum area with no sores, then eventually Irritation in the nose and above the lips. (Never on the lips).
To help me process this, could you answer by line each of my questions?
Regarding shedding, so I only Shed from my nose? Like inside or exterior as well. And for mouth, if I have no sores? So people can kiss my cheek or touch my face and not be infected asystematicly from touching me and themselves?
And to be clear for a male, I can only shed on shaft of penis and anus? So not from pubic area, inner thighs or but?
My PCP told me that valtrax is not good to take for longer then a few months and wants me to get off of it. Is this accurate? Seems conflicting to what I’ve learned
Also, since taking supressive therapy for 6 straight months I’ve become familiar with the taste of my prescription pill. I’ve noticed that sometimes when I like my lips or around my mouth, I can taste it on my skin. Is this an undocumented sign of shedding? I know that sounds odd.