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Hi, I was diagnosed last week and have some major concerns and my Doctor is being dismissive.  I will give a little background: I had bumps on my butt last Sunday and went to the Doctor on Monday. She ran lab work - HSV 2 IGG and IGM and both came back positive.  She couldn't culture b/c the blisters popped.  I took valtrex for 5 days, kept the sores covered and here I am 10 days later.  I'm itchy and uncomfortable down there - not where the bumps were but my lady parts.  My question is, is it common to get a yeast infection after the bumps go away?  Or is this more bumps internally that I can't see?  Is it OK to run and ride a bike during an outbreak? Is there any way to keep the rash JUST on my butt and not spread anywhere else?  Or is that out f my control?  Any help is greatly appreciated. thank you

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Hey and welcome, I think we can really help here.

First, can you describe more exactly the bumps on your butt? Where? What did they look like? Individual red spots?

Next what were the actual results on the HSV-2 IgG test?

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Hi WilsoInAus, Thank you for replying.  There were 2-4 liquid filled blisters kind of on the fold of my butt cheek, maybe an inch and a half from my bottom dollar hole.  They did not hurt and just felt like zits with a little pressure in them.  The dermatologist said they looked like herpes but couldn't culture b/c they popped.  She had me take the HSV-1&2 IGG and IGM tests. Results are below: 

v 1 And 2-Specific Ab, Igg

 
 
Test Low Normal High Reference Range Units
Hsv 2 Igg, Type Spec     8.51 0.00-0.90 index
Hsv 1 Igg, Type Spec   <0.91   0.00-0.90  
 

Hsv 1 And 2 Igm Abs, Indirect

 
 
Test Low Normal High Reference Range Units
Hsv 2 Igm Antibodies     1:10 <1:10  
Hsv 1 Igm Antibodies   <1:10   <1:10
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I Have recurring outbreaks on my butt cheek. They start out as small pinkish lumps like mosquito bites, but do not hurt and very mild to no itch. They are about the size of a nickel. Two to three little pimple heads form in the middle of the lump which then pop and blister over before healing. It's not painful or itchy.

There is no way of confining the outbreaks to your butt cheeks. Since I was diagnosed, I've had an outbreak just below the head of my penis.......2 tiny pimple heads barely visible to the eye but I felt them when washing the area with my hand. Again, no soreness.

The virus travels along the nerves..........which nerve it chooses to travel on is out of our control and known only to the virus. So it could pop up anywhere around your vagina, butt cheeks, upper thighs.

There is no issue with you exercising during outbreaks, unless it's sore or uncomfortable for you to do so.

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My initial OB is over and I now feel more uncomfortable than I did when it was happening.  My butt is fine and the sores are healed but my lady parts are itchy. I am using hydrocortisone and keep checking and can't tell if there are more bumps or if I'm just spazzing out. Should I take valtrex again? Should I go back to the doctor?

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After I was diagnosed and I stared taking Valtrex, it felt like my whole body was itchy and tingly, even after the outbreak had gone. Valtrex can give you tingles and itchiness and even a slight warm/burning sensation over your body. I think a part of it can also be psychological........soon after my diagnosis I felt like I was in a constant state of outbreak, even though I wasn't.

I stopped taking Valtrex. I am not in a sexual relationship at the moment, so there is no reason for me to take Valtrex. If you are not in a sexual relationship or having sex, then go off the Valtrex and see how your body reacts. If the outbreaks are not painful and you are not active sexually, then personally, I don't see any point in taking Valtrex.

Perhaps go back to your doctor to confirm whether you also have a yeast infection in your private parts. If it is a yeast infection, you will obviously treat that differently. I had a bacterial infection on the inside of my thigh at the same time as a herpes outbreak and it was very confusing, but the doctor confirmed it was bacterial and not herpes affecting the inside of my thigh, so I got an anti-fungal. A few weeks later, I had a herpes outbreak on my inner thigh lol..........it's a very random and crazy virus with a mind of its own. You will get kind of used to it after a while, it will still be annoying, but it won't affect you as much as it does now.

 

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