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    • Voyager2
      Sure hope this pans out. 
    • Voyager2
      Don't forget there are two promising vaccines on the prophylactic front (but only pre-clinical): The Trivalent vaccine worked well on guinea pigs:  https://pubmed.ncbi.nlm.nih.gov/32347775/ The Einstein (Xvax) vaccine also has a ways to go: https://x-vax.com/ The fact HSV529 is in yet another clinical trial is good news for herpsters. 
    • Davrk8
      thank you for the info. I am uncircumcised. I applied some clotrimazole cream during the last outbreak I noticed, which seem to do the trick (around a month ago). But now, there new dots are appearing at a different location on the glans. Wasnt sure if balanitis can come back so soon or if it could be something else. 
    • Josse
      Looks like mild balanitis. If you are uncircumcised then thats normal every now and then due to accumulation of yeast and the irritation of the foreskin
    • MikeHerp
      I think the simple reason is that this is a fund raiser that was started by our community rather than by Fred Hutch.  Or rather, FHC started it in response to our request.   I still think they should somehow feature it in their pages.  But anyway, that's just how they do it. Keep in mind that FHC's main focus is curing cancer.  It's a cancer research institute.  They might feel that putting stuff on their website that isn't directly related to cancer might give people the impression, especially cancer cure donors (who are by far the main donors to FHC), that FHC is losing its focus. So we have to work within these limits.   However, I do draw strength from the fact that FHC has tried to help us with the fund raiser.  Among others: 1.  When the new research paper is released, FHC has gotten an agreement with a prominent sexual health blogger, to promote the research and the fund raiser. 2.  There is another potential promotion in the works that might get back on track if the US is able to get the coronavirus under control. So FHC has actively helped us to promote the fund raiser.
JustMe&TheDogs

Sacral herpes and vaginal shedding?

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JustMe&TheDogs

I’m so confused. I read something (I think on this forum) that said even if you have sacral herpes, you shed the virus vaginally because it’s still genital herpes. But then a nurse practitioner told me yesterday that wasn’t true as the infection is on my sacrum not in my vagina, so I couldn’t shed it vaginally. Does anybody know what the truth is?

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WilsoInAus

Hey @JustMe&TheDogs in the end the reality is that genital herpes creates the potential for shedding anywhere in the combined nerve ganglion that happens to reside in near your sacrum reaches to. This is approximately the area marked out by a pair of boxer shorts.

A person with genital herpes cannot assume that they do not shed from any particular part in this genital region. There is unfortunately no other assumption to make but that you may shed from anywhere in that region with a higher likelihood in the mucosal areas such as the vagina.

Note that there is no certainty that the issue with your sacrum was actually related to HSV-2, but that isn't a relevant issue here. What is relevant though is that your sacrum was almost certainly not the site where HSV-2 entered your body. There was probably another site where the virus entered the body such as the vagina. The entry site and nearby is very likely to be a region that experiences shedding and outbreaks.

This is all probably not what you want to hear, but it is the truth.

Is the incidence of HSV-2 high for your demographic, such as South American or African American?

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JustMe&TheDogs
5 minutes ago, WilsoInAus said:

Hey @JustMe&TheDogs in the end the reality is that genital herpes creates the potential for shedding anywhere in the combined nerve ganglion that happens to reside in near your sacrum reaches to. This is approximately the area marked out by a pair of boxer shorts.

A person with genital herpes cannot assume that they do not shed from any particular part in this genital region. There is unfortunately no other assumption to make but that you may shed from anywhere in that region with a higher likelihood in the mucosal areas such as the vagina.

Note that there is no certainty that the issue with your sacrum was actually related to HSV-2, but that isn't a relevant issue here. What is relevant though is that your sacrum was almost certainly not the site where HSV-2 entered your body. There was probably another site where the virus entered the body such as the vagina. The entry site and nearby is very likely to be a region that experiences shedding and outbreaks.

This is all probably not what you want to hear, but it is the truth.

Is the incidence of HSV-2 high for your demographic, such as South American or African American?

I’m waiting on the culture of the sacral sore, which two doctors have said is herpatic. It’s also my third OB in the exact same spot. I’ve never had an outbreak anywhere else, and can tie my first outbreak to a sex episode where semen got into open abrasions on my sacrum (I know what caused the abrasions.) So while sacral herpes seems to be uncommon, the nurse said the sores recur where the virus entered your body, and this is 100% consistent with the timeline of my OBs. So... uncommon, yes. But also logical. Proveable? No... but if it walks like a duck, talks like a duck, it’s usually a duck  

I’m not in a higher risk demographic.

Thanks for the confirmation about shedding being able to happen anywhere. That is also more logical to me than shedding only occurring at the OB site. I appreciate you taking the time to respond! 

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