[Question #7048] Sciatica or HSV-2?

7 months ago
I have had HSV-2 confirmed from a blood test and visual inspections and have had it for 2 years and a month.  I currently take 1000mg of valtrex daily (500mg in the AM and 500mg in the PM) and use condoms during sex with my female partner who is HSV negative.

I have not had a breakout since December 2019 which I attribute to the valtrex. 

My question is:  The last two days I have had pain at the bottom of my back in the middle or right side along my belt line.  I thought it was b/c I have slept on a couch a couple nights and/or a different bed recently.  (although I've done it before and have not had any back pain)  

It's worse when I lay down or sit and better when I walk or stand  up.  I was looking online and thought maybe I have Sciatica or something like that.  

Yesterday, the back pain went away and I noticed my right butt cheek and right thigh hurt.  
If I clenched my right buttuck it would also hurt. As of now no breakout or anything.  No itching either.

But then I thought maybe it's the HSV-2?  I have had this pain before maybe about 3 months ago.  I have also have had prodrome before without the back pain and just my right buttuck hurting or right thigh hurting.

Sorry if this is hard to follow.  lol 

Is there a way to tell if it's something like Sciatica or HSV-2?  

If it is HSV-2 and I have sex with these symptoms with a condom while on valtrex with my partner will it increase my chances of giving HSV-2 to her?  I tried to keep my shaft as covered as possible.  No breakout at the time or currently.

What if she touches my penis with her finger and then touches her vagina can she transfer it that way?  Again with no breakout.

I also notice when i think of the herpes more is when my butt pain is more pronounced.  
7 months ago
When I did have sex I did not notice any pain but I wasn't sitting or laying down or paying attention to it.  I did notice some buttock pain immediately after but it was very minor.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
7 months ago
I can't say if this is caused by herpes or not.  But the activities that you describe do not put her at risk.  Condoms reduce transmission by 96% from males to females and add Valtrex daily and the chances that you would transmit to your partner IF these were herpes symptoms are incredibly low indeed.  We can't even know with any certainty at all if these symptoms are herpes prodrome, but if they are, your risks are very low of transmission. Good job on doing all these safe things with your partner

Terri
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7 months ago
Thanks Terri!

I did notice a horizontal rectangular/long oval shaped raised area with curved edges on my GF.  As far as she knows she is negative for HSV. 

It’s about half a cm long and about a mm in width.  It looks white or light pink based on the lighting. It’s not clear looking.  It’s sealed and not open or leaking.  

If you go from left to right, If you’re looking at her, it looks more whitish and then pinker and then whiter on the right side. I could be wrong based on lighting.

If I am looking at her it’s located to the bottom right just outside her vaginal opening.  It doesn’t hurt her if I touch it.

I first felt it at over a week ago and got a look at it Monday and then saw it again Thursday. It hasn’t changed. 

Is that typical of a general herpes lesion? Or could be some other skin issue?
7 months ago
To add: I was thinking could it be an unpopped HSV-2 lesion? But it hasn’t changed in 3-4 days when I see her.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
7 months ago
This is not typical at all of herpes - herpes doesn't look like that AND if it was a new herpes lesion developing, it would most certainly have changed by now. 

Terri
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7 months ago
Thanks Terri for listening. I was with my GF again and saw it yesterday. Lighting was different and it looked like the color her skin tone this time. It didn’t look clear or “watery” filled like my experience has been when having a breakout. 
It felt the same to me and when I touched it she didn’t even flinch.  Same shape. 

I’m guessing if it was herpes it would’ve popped by now or at least be open? It’s been over a week at this point.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
7 months ago
Yes, I believe if this was a herpes lesion, it would most likely have changed significantly over a week's period of time

Terri
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