[Question #3333] Herpes outbreak concern

40 months ago
Hi Terri,

So since my diagnose with genital herpes this is what I know. I have had a blood test and still no results are positive yet. In my life I also have never had a cole sore so I assume I have hsv2. Anyway I been taking the medicine everyday, once in a while I forget and skip a day but usually everyday, vacylcovir 500mg or might be acyclovir 500mg, I know it’s 500mg and I take one pill a day. Can I stil experience a outbreak if I’m constantly on the medicine. I’ve havent had a outbreak since my first one back in April when I contracted this. Is every outbreak the exact same spot? Will I see it? Feel it? Right now I’m feeling a itch and irritation going on, since I put tea tree on my penis yesterday lol it’s been kinda stinging. I heard tea tree oil helps. I don’t see anything just a little redness and itchy n irritating. Is this a outbreak??? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
40 months ago
OK, so you kind of jumped ahead here.  How were you diagnosed with genital herpes?  Was a swab test done?  And you have had blood tests done since April but have they been negative for both HSV 1 and HSV 2?  The treatment dose for daily therapy for herpes is 500 mg once a day of valacyclovir or 400 mg twice a day of acyclovir.  You can experience an outbreak while on medication, yes.  Outbreaks can vary in their location but they occur somewhere in the boxer shorts area.  I cannot tell you if some individual symptom is herpes - you would have to have that diagnosis made by someone in person.

Terri
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40 months ago
Ok so I was diagnosed in April through my first outbreak, I went and got a swap test which came back positive but they didn’t tell me which kind and I forgot to ask. I’m assuming hsv1 because my blood test still say negative for both hsv1 and 2 and I’ve never had a cole sore before.  It’s been almost a year and I still haven’t experienced a outbreak? But because I have sex often and occasionally I don’t want to get of the medicine. I want to reduce all chances of transmission.  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
40 months ago
Okay, thank you for clarifying about your diagnosis. It would be very useful for you to determine which type of herpes you have, one or two. If you are having sex with someone who has ever had a cold sore, there is very close to a zero risk of you transmitting your virus to them since they already have it in their body. However, if you have HSV-2 infection that is a rather different story. I'm not sure how long it has been since sure first outbreak but it is possible that you did an antibody test to soon after new infection to be accurate. It can take up to 12 weeks off antiviral medicine to develop antibody. If you are taking antiviral medicine daily, antibody development Will take longer. However, it sounds to me like you are taking antiviral medicine to reduce the risk of transmission to sex partners and if you come off of the medicine to allow antibody to be made so you can tell if you have type one or two, the risk of transmission is higher. So it may not be worth it to you to find out what type you have. That needs to be your call. Eventually, even if while on medicine, you will likely develop antibody down the road.

Terri
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