[Question #2570] HSV-2 suppressive treatment

42 months ago
I contracted HSV-2 Winter 2017, and was diagnosed May 2017 by my gynecologist. I've had repeated reoccurrence of rash, pain and aching joints and have taken VALACYCLOVIR six times as prescribed. My partner and I (I was infected by him) have read the book Managing Herpes. He has HSV-2 antibodies but is mostly asymptomatic. Guessing I will need to start suppression treatment (I am a 70 year old woman), I wonder what type of physician is best to consult. Continue with gynecologist? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
When you say that you've had repeated recurrences of rash,pain and aching joints, is the rash and pain genital? Are there sores present?  I'm not clear that the aching joints have to do with herpes but I suppose that is possible.  I think you might mean that you contracted this early in 2017, is that correct?  So you've had this about 6-8 months? How many recurrences have you had of genital sores?  You could certainly talk to your GYN about going on daily suppression since you were diagnosed by that person as well.  If you are having more outbreaks than you want to have, daily antiviral therapy could be very useful for you.  The two possibilities are valacyclovir 500 mg once a day or acyclovir 400 mg twice a day.  They both work equally well when taken as directed.  The acyclovir is generally cheaper but slightly less convenient. 

People generally have the most frequent outbreaks and shedding in the first six months of having herpes so I would expect things to slow down soon, but taking daily medicine can really improve your physical and likely emotional response to herpes. 

Please let me know what other questions you might have

Terri
---