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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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    • WilsoInAus
      I really suggest that the best thing is for both you and your boyfriend to obtain the Westernblot HSV test. He has a 50%+ chance of being positive and you have a 50%+ chance of being negative. Only the Westernblot can sort this out for you.
    • WilsoInAus
      Hi @kpn the first thing to note is that it is all OK to have HSV-1 or indeed any HSV type. It is not negligence, it is just being human. Oral HSV-1 is not an STD in the sense that the primary transmission is non sexual and the majority of it occurs between parents to children. If any of your children contracted HSV, you would know it. It wouldn't be a silent infection for children. HSV-2 tends not to shed from the oral region for people who have it there in any event. At age 73, about 80% of the population has HSV-1. There is no reason to believe that your mother isn't one of those people. About half of all carriers of oral HSV-1 do not realise they have it and have no living memory of cold sores as they were infected when very young. The most logical explanation is that your mother has oral HSV-1 from her childhood and that your daughter doesn't have oral HSV. Not that it is relevant to anyone but yourself, but your wife might find she actually has genital HSV-1 having had an untyped swab when she was diagnosed.
    • WilsoInAus
      Hi @Dylan86 and welcome to the website. First note that you cannot pragmatically become infected with HSV-1 from sharing a drink. If you carry HSV-1, it did not come from that episode. As such it is extremely unlikely HSV-1 is the primary cause of your issues. Can the WB miss a HSV-1 infection? Rarely but its feasible in less than 1% of carriers who test with WB. Note that the WB does not have values, it has positive or negative as you say. It is way more accurate than IgG as it looks for all 30+ antibodies that are in your blood for HSV. Could you have HSV-1? Yes it is feasible, but it would be a very old childhood infection. Could HSV-1 be causing your oral issues? No herpes will not cause the burning mouth syndrome you describe. Could some of the lesions be herpes related? It is feasible if you are a carrier. But it is unlikely to be the primary cause of the issues, but its an opportunistic virus that can cause issues when something else is taxing your immune system. The best thing you can do is the PCR test on a oral lesion and that will be pretty definitive. Either way, in summary. I'd suggest there is <1% chance you are part of about 70% of the population that has HSV-1. Further there is less than a 1% chance that herpes is the primary cause of your issues.   
    • kpn
      My wife has had hsv 2 for around 8 years. We have two young children 3 years old and 18 months old. My wife only had one outbreak when she was first infected so we didn't worry too much about passing it on to our children. I understand the risk to be pretty low under those circumstances. I don't believe my wife took antivirals during either pregnancy. My younger child has diaper rashes pretty often and has had what I thought was hand foot and mouth disease. That was going around the daycare a while back. I haven't really given it much concern though.  About a week ago, my mother kissed my youngest on the lips. My kid was congested at the time but they pretty much always are. About 3 days later, my mother developed a cold sore on her mouth. She has never had cold sores in her life and she is 73 and happily married so she is not going around messing with anyone. She pointed to the fact she had kissed my youngest and presumed that is where she was infected. At first I said that's not possible since my child has never had any cold sores but since then I have really started to consider that maybe it is possible she contracted it from my daughter. This has me worried that my daughter does indeed have hsv2 and was shedding in her mouth. Does anyone have any experience with this? I am really losing sleep about this. Two people I care so much about got hsv from my negligence. I am fine if I were to contract it, I am not worried about what others think at this point in my life. I just don't want anyone else to have it. 
    • CHT
      Hello DavidGua.... based on the two pictures, I'm not seeing anything that resembles a typical herpes outbreak.  I am not sure what those spots are on your penis.  Please have a doctor take a look and I'm sure you'll get a proper diagnosis.  Have you ever received an HSV antibody test (IgG)?  Again, I doubt your symptoms are herpes-related but, if you'd like some peace of mind, you could request the IgG antibody test for HSV2.   Best of luck.... let us know if you have any other questions/concerns.
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