[Question #5500] HSV2

23 months ago
Hi there, 

I have HSV2 and I have just started a new relationship.  I previously had the virus to this relationship, and have told my new partner. She is really good about it and is understanding. 

 Since we have been together for about 7 weeks I have had repeat outbreaks. I went to see a doctor 2 weeks ago and was put on famciclovir 250mg. Since taking the medication I haven’t had any noticeable outbreaks, but have had the onset feelings constantly come and go still- sore lower back, aching legs, the feeling around the crutch before an outbreak. But yeah nothing has shown up.  Is this normal? And am I still contagious/ as contagious while this is happening? 

Thanks
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
It's not possible to say if you are still shedding virus or not, without  swab test of the genital skin.  But it certainly is possible to have a swab test done of the skin of the penis (you are male?) even with no outbreak, using the best possible test, a PCR or NAAT test rather than a traditional culture.  It might be good for you to consider doing this since you continue to have symptoms.  Also, in our research, some populations did not respond to Famvir as well as others.  In my practice, I use either acyclovir or valacyclovir (Valtrex) and have found this drug to be very consistent.  The CDC approved dose for daily suppression with Famvir is 250 mg twice a day, not once a day and you should not consider once daily dosing adequate- for valacyclovir it is 500 once a day and for acyclovir it is 400 mg twice a day.  While the antiviral medicines reduce viral shedding greatly, they do not eliminate it and using a condom as well offers the greatest protection.l  But that's a decision you can make with your partner.

Terri
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23 months ago
Thank you for the response.

Yes I am male. 

I know that stress can play a factor in cold sores so imagine it’s the same for this? Is there anything other than the valtrex you could suggest to add to my diet aswell, ie: lysine tablets? Any foods or drinks? Vitamin C tablets? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
We have not identified any food or drinks that consistently cause issues of people in terms of outbreaks.  Some people swear by Lysine but in studies it has not been proven to be effective.  Stress that is extended in time MAY  have an impact on frequency of recurrences.

Terri
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