[Question #3189] Hsv1 genital

39 months ago
Hello,
I acquired hsv1 genital about 7 mths ago, tested positive on a swab.  My primary outbreak was 2 small blisters on my clitoris which caused pain to that area.  I am now having what might be my second ob.  I had a tiny tiny bump appear on my outer labia and had some tingling burning in my groin which I thought I had just irritated my muscle at the gym as this was when I first felt the burning.  And then noticed the tiny bump when I looked with the mirror that night. The bump wasn’t painful but I did poke it with my nail and a qtip which caused it to loose the skin off.  (Likely I should not have poked it) I went and filled my valtrex presciption that the dr gave me incase of further ob.  It was for  2 tablets a day (500) For three days.  I took them but the burning pain in the groin (inner thigh) stayed.  The burning was away from the bump and more on my inner thigh going down towards my bum.  The bump on the outer labia healed and the tiny white scab peeled off yesterday a day after ending the valtrex.  On the 3rd day of valtex I only took one tablet and then took my last tablet on the 4th day.  In total 6 tablets.  The skin shows no evidence left behind of the bump but I still have the burning skin pain down the inner groin.  Does this sound like a normal second outbreak?  Am I still considered contagious to spread the ob if the blister healed and is gone but I still have the burning skin?  How long do I wait before resuming any sexual activity to ensure I don’t pass it to my HSV negative partner? Is the burning a nerve pain that means the virus is still active even though the bump healed?  Any advice you can provide would be much appreciated.  Since I didn’t make it a full year without a 2nd ob does this mean I am more likely to have recurrent ob’s? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
39 months ago
Yes, this sounds like a second normal outbreak to me.  You may not be infectious now but we know that people can and do shed virus even when they have don't have outbreaks so I cannot of course be certain that you are not infectious at other times.  I believe we are also communicating on my home forum?  Is that correct?

BTW, the IgG test for HSV 1 misses 30% of infections compared to the gold standard western blot so your partner may or may not be infected.

Terri
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39 months ago
Thank you for your response.  I did ask a question on your Home forum when I first got the HSV swab back in June.  Does having a second outbreak in this first year mean I will have occurances more often?  Will the burning feeling start to subside soon now since the scab has fallen off and the bump is gone? 
39 months ago
I did ask this question on this site the other day but due to a glitch I couldn’t reply to you so I purchased again to be able to ask and reply .  That may be why the question is familiar to you:-)
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
39 months ago
So it does NOT mean that you will have more recurrences.  You'll just need to see how that goes and if you are having more outbreaks than you want to have, regardless of the number, you can go on daily therapy and change that.  Safe and effective medicine.  If the burning is actually due to herpes, it should stop soon.  Could it be something else like yeast?

Terri
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39 months ago
Hi Terri,

Thank you so much for your advice and help.  I think it was yeast as The burning worsened and then I ended up with an angry red looking vagina.  I took the one day yeast treatment pill to treat it and most of the burning is gone now and redness has subsided.  That you for your support.  It helped me to feel better about my hsv 1 genital ob.  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
39 months ago
You are most welcome!

Terri
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