[Question #6455] Where did this come from? Who is at risk?

15 months ago
Hello! I'm a female who was dx with HSV2 on 12/26 via IGg of 5.1 I have been with my current partner since Jan 2019. He says he has never had symptoms, but did have "jock itch" about 2 months ago. I believe I got the infection from him. He is going on the 3rd to be tested.  Here's the question. I was tested for HSV1/2 Igg in 2009 and 2012 (negative). Met my ex Oct 2012 and I again was tested in June 2013 (Negative). We broke up Jun 2015.  Then Jul/Aug 2015 I met a man had protected sex 3 times.  Nov 2015 get tested cuz me and the first guy get back together.  All HSV testing is negative at that time. I'm told I don't need more testing since we're monogamous and it's always negative. We break up Nov 2018 never any issues but never was tested for HSV again. Meet new boyfriend Jan 2019 and we have had issues  with sex since being intimate. Go to Gyn in Feb and she tests for STDs but didn't test for HSV (I'm annoyed by this). My boyfriend also gets tested for STDs but again no HSV.  The question is should my ex be tested? Could I have got this from my ex? Any chance I could have got this from the brief protected encounters in Jul/Aug 2015 even though I was negative in Nov? We are all stressed about this.  Also I had a sexual assault attempt a few years ago but thankfully no penetration he barely touched my labia. I do not have external lesions only internal.

15 months ago
I'll also add this is my first "outbreak". I have been feeling annoyance in my right labia  and noticed a cut in a sulcus just past the vestibule.  Saw the gyn on 12/23 and was told I was just dry and and had a fissure due to sex. She was shocked when my Igg was positive.  But I'm positive it's GHSV symptoms that I believe began several months after being with my new boyfriend. I'm terrified the symptoms will get worse as I'm having burning in my buttock. I'm on Valtrex day 2. And my ex says he has never had symptoms and he was married for 18 years before meeting me and his wife never had symptoms either. My current boyfriend has dry skin and a few cases of "jock itch". 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
15 months ago
Clearly, your current partner will benefit from testing and my guess is that he may be positive and doesn't know it.  Now that you are on Valtrex, I don't think your symptoms are going to get worse.  You say you are on Valtrex - what is your dose per day?
How difficult would it be to ask your ex to be tested?  What it be awkward or OK?  I think it is reasonable given everything you've said for you to suggest that he be tested to be clearer about all of this.

Terri
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15 months ago
Hi Terri. Thank you for your response. I'm a medical professional as well and feel very let down 
15 months ago
Sorry reply submitted before I was done.  I have just been beside myself not eating or sleeping since hearing my results especially since the Gyn said she was sure my exam was normal and I was the one who asked for testing. I'm blaming myself for letting my guard down even though we both went and were tested for STDs but of course didnt test for HSV. 
1. Yes my ex and I already spoke and he will be getting tested 
2. What are your opinions on lysine? I'm on 500 of Valtrex. Should I ask for a dose increase?  I feel like I'm a time bomb waiting for all the blisters ulcers and pain. I can't stop examining every little itchy twinge or strange feeling. 
3. You don't think I could have become infected from the Jul/Aug encounter since I was tested in Nov. Correct?  Also what about the fact there was an attempted sexual assault on me (no penetration and I don't remember what year this was but I believe after my last testing in 2015).
4. Thanks for all your support. I'm so mad at myself and feel just disgusted. Are there support groups or therapists? I feel like I will never be able to have a baby or find someone else if me and my boyfriend break up.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
15 months ago
1. Yes my ex and I already spoke and he will be getting tested

that's good and will give you more clarity, I think

2. What are your opinions on lysine? I'm on 500 of Valtrex. Should I ask for a dose increase?  I feel like I'm a time bomb waiting for all the blisters ulcers and pain. I can't stop examining every little itchy twinge or strange feeling.

There isn't any well done research that says Lysine is going to help you though some people do find it helpful - not sure why though.  I think your dose is just fine at 500.
And if you've not had blisters and pain by now, I think that ship has sailed.

3. You don't think I could have become infected from the Jul/Aug encounter since I was tested in Nov. Correct?  Also what about the fact there was an attempted sexual assault on me (no penetration and I don't remember what year this was but I believe after my last testing in 2015).

I think infection at July/Aug encounter is very unlikely to have infected you, correct, if you were negative in November.   And I don't think the assault  has anything to do with this herpes situation.

4. Thanks for all your support. I'm so mad at myself and feel just disgusted. Are there support groups or therapists? I feel like I will never be able to have a baby or find someone else if me and my boyfriend break up.

Go a little easy on yourself, join the ranks of fallible people in these situations. 
Once you know this partner's status and the other partner's status, you'll know more.  If for some reason, they both test negative for HSV 2, I think you should obtain the herpes western blot, for sure.  I'll leave this open for you to post partner results, OK?

Terri
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