Genital Herpes: Useful info for those looking for answers like me!

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Ever since I suspected genital herpes (GH) and was recently confirmed to be going through a primary outbreak of HSV-2 (ugh, the "bad" one), I have been researching the topic like crazy! Guess that's a pretty normal thing to do, lol, and I'm sure many others here have done the same.

Anyway, I thought it would be helpful to share everything that I have learnt thus far, and I will continue to add to this thread as I come across more useful, interesting and/or relevant info.

Genital HSV symptoms https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776485

Testing for HSV https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776488

Does having one HSV type protect you against the other? https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776489

Autoinnoculation (self-contagion to other areas) https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776492

When is genital HSV most contagious? https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776494

Genital HSV transmission risk https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776497

Antiviral meds for genital HSV https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776501

Natural treatments for genital HSV https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776503

Genital HSV and increased risk of HIV https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1776505

Transmission risk via inanimate objects, swimming and blood https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1778698

Genital herpes and menstruation https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1778703

Genital herpes and BV and yeast infections https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1778708

Is there a vaccine for HSV-1/2? https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1778714

Possible complications of genital herpes https://patient.info/forums/discuss/comment?discussionid=482438&commentid=1782789

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  • Posted

    Antiviral meds for genital HSV

    There are three main antiviral meds for genital HSV at present: acyclovir, valacyclovir and famciclovir. Acyclovir is the most established and cheapest of the three, but valacyclovir is fast becoming the antiviral med of choice with both doctors and patients, being just as effective (if not more so) and involving fewer tablets.

    All three meds can be taken for primary outbreaks and as episodic therapy (for recurrent outbreaks), although only acyclovir and valacyclovir are recommended for long-term suppressive therapy. (Note: While taking these meds, ensure that you remain well hydrated.)

    A note about episodic vs suppressive therapy and asymptomatic shedding. Episodic therapy for reccurrent outbreaks does not reduce general asymptomatic shedding, so does not necessarily serve to protect sexual partners. Those in monogamous relationships with a negative partner should ideally opt for daily suppressive therapy (e.g., typically 1 x 500mg of valacyclovir per day, as noted previously).

    http://www.ashasexualhealth.org/stdsstis/herpes/herpes-treatment/

    http://www.cdc.gov/std/tg2015/herpes.htm

    http://www.emedexpert.com/compare/herpes-antivirals.shtml

    http://www.ncbi.nlm.nih.gov/books/NBK47444/

    • Posted

      Hi FelisCatus, My first gh symtoms started mid January and I have been taking Valtrex and Vaclovir on and off since.  My symptoms doesn't go away may be sometimes 2 days then back on again.  I get bad headache, abdo pain and vulva pain & inflammation every single day and blisters on and off as well.  My body still hasn't made antibodies to fight the virus.  I am 64 and always have been very healthy until I got this nasty virus from my ex-partner in mid Nov'14.  I don't like taking tablets all the time but have no choice.  For long-term suppressive therapy, what dosage do you recommend I take for Vaclovir(valacyclovir). If I take any less than 500mg a day, it doesn't seem to work for me so I have been taking 2 by 500mg and even then I get blisters and bad pains.  My diet is pretty good and I weigh only 45 kilos. The virus/meds has affected my hair, skin & nails not to mention the emotional and psychological effects, although I am not stressing as much now.  Any help would be appreciated as I feel the doctors are sick of me.
    • Posted

      I'm so sorry to hear about your persistent problems! Yes, GH is definitely a nasty virus, and unfortunately more so for some.

      For 10+ outbreaks per year, or continued bad recurrent outbreaks, a daily dosage of 1000mg (2 x 500mg) valacyclivor is the recommendation I've seen.

      Continue to maintain a healthy and balanced diet, and especially whilst on the antivirals, drink lots of water/fluids. Perhaps you could try various herbal teas. You can also try a lysine supplement, although studies are not conclusive as to its benefit in the case of GH. Probiotics specifically for women/vaginal health may prove helpful.

      For topical relief, try soaking in a bath or tub of Epsom salts, but don't underdo it. Personally, I love the cool, soothing relief provided by *diluted* tea tree oil, which is also antiseptic. Zinc oxide may help lesions dry and heal faster.

      Hope this helps! smile

    • Posted

      Thanks very much FelisCatus,  yes I do take probiotics and follow sort of lysine diet.

      I get lot of abdo/pelvis pain, headaches and vulva pain everyday, it's like the virus keeps on multiplying, is very aggressive in my body.  I get blisters on and off but other symptoms everyday.  Have been taking Vaclovir almost everyday for few months.  My antibodies are still negetive.

      Is there anyone out there with my symptoms?

      Any help would be appreciated.

      Thanks again.

    • Posted

      By saying 'taking the suppressive therapy daily', does that mean everyday even after the outbreak or sores are gone, to lessen the transmission chance? So need to be all my life? Am I correct?
    • Posted

      Yes, suppressive therapy is every day, outbreak or not. Usually only for genital HSV-2 if recurrent outbreaks are numerous or if trying to protect an uninfected partner. If no discordant relationship, it's not usually recommended for the first few months to a year in order to see what your outbreak frequency is like first. Can be taken daily for years without any issues.

      Episodic therapy is only treatment for each outbreak as they occur, then you go off the meds. You need to start as soon as symptoms are noticed for only 3-5 days.

    • Posted

      I know this post is old , but you said you get inflammation, where do you get inflammation at ?
    • Posted

      I have hsv 1 and 2 ,the only reason I knew I had anything was from my partner / wife breaking out with hsv 2 . I want know if she can get hsv1 even if I don't show any symptoms . We also have a child of 5 yrs worried about him so much .this virus has changed my life completely it's hard to stay strong ,but need to for my fam.I just need someone to guide me.

      I show no signs of hsv 1 or 2 but my partner only shows signs of 2 .can she get break out with hsv 1 even if I don't ever break out . We kiss all the time I'm afraid she will have breakout soon.

    • Posted

      Sorry to hear about your situation. Do you never get a bump or pimple in your genital area at all? Usually there are symptoms, even amongst asymptomatic carriers, just not recognised symptoms. Only around 10% of carriers are truly asymptomatic.

      Anyway, regarding your questions, did your wife test for HSV-1 IgG antibodies to see if she already carries it? She might already have it and be asymptomatic like you (common for Type 1). If not, once her HSV-2 becomes established (after 3-4 months of antibody production), she should no longer be able to contract HSV-1, as HSV-2 provides immunity (but not vice versa).

    • Posted

      It is effective, but it is not approved for daily usage beyond a year and is the newest, most expensive, least common of the three options, probably for these reasons.
  • Edited

    Natural treatments for genital HSV

    Many websites and people claim that certain foods/supplements are good/bad for genital HSV. For example, lysine-rich foods and supplements are "good", while coffee, chocolate and nuts are "bad", etc. However, none of these claims have been scientifically proven, or cannot be replicated in subsequent studies.

    It is therefore unnecessary to change your diet, provided you already have a balanced one and remain well hydrated (especially if taking HSV antiviral meds), unless you strongly feel that certain foods/supplements are helpful or triggering. Instead, anything that diminishes your body's immunity should be reduced or avoided, like stress, insufficient sleep, alcohol, steroids, etc.

    Having said that (and being a tea lover!), I quite like the idea of drinking therapeutic herbal teas, and for genital HSV the following are *supposedly* beneficial: lemon balm, licquorice root, St. John's wort, echinacea. Turmeric is supposedly another good one, but I prefer to use the powder form as an additive to certain meals.

    For topical relief/treatment, it's best to keep lesions dry, but *diluted* tea tree oil is both antibacterial and very soothing/cooling. Many people also swear by soaking in an Epsom salt bath.

    There is a wealth of other information out there regarding natural treatments, but remember that it may not be backed by research/studies and there is presently NO cure for HSV no matter what any website, product or person claims!

    http://www.ashasexualhealth.org/stdsstis/herpes/herpes-treatment/

    http://www.herpes.org.nz/questions/diet/

    http://advocatesaz.org/2013/04/15/can-herpes-be-cured-naturally/

    Herbal treatments for skin conditions (see GH section) - http://www.ncbi.nlm.nih.gov/books/NBK92761/

    Tea tree oil - http://www.ncbi.nlm.nih.gov/pubmed/11338678

    • Posted

      Hello,

      Two days after unprotected sex I developed a discoloured, shiny foreskin and penis head and was bleeding from four distinct points under my foreskin. I attributed it to poor hygiene coupled with friction. I showered and repeatedly used tea tree oil in an effort to restore proper hygiene. All my symptoms went away in 2-3 days. However, I had no idea of tea tree oils ability to combat herpes. There is no blood test available where I live so I was just wondering if tea tree oil could reduce a primary outbreak by so many days, if this was even HSV2 

    • Posted

      Pity you didn't get it swabbed, as that's actually better than the blood test, and I'm sure they can do swabs in Canada (saw your original post). Having said that, it's hard to say what you had. Herpes doesn't usually bleed and often presents with blisters/ulcers on the penis. Your symptoms were pretty quick for a first outbreak as well, but not necessarily for a subsequent one. Tea tree oil never sped up healing for me, but then everyone's different. I'm guessing it probably wasn't herpes, but that's strictly a guess. Next time you plan a trip across the border, schedule an IgG test for herpes (not IgM).

    • Posted

      Thanks for the input,

      ya i really regret not getting a swab while there was blood seeping from my foreskin. I was ignorant and assumed that since it wasn't a blister I had nothing to worry about. A couple days later when I started to get really paranoid there was nothing to swab. Definitely will be more responsible from here on out

    • Posted

      This is actually so much better than google, thank you so much. I'm a few days after what I think was the end of my first outbreak, however, it's still a little swollen and itchy down there- is this normal?

    • Posted

      Yes, it can a take a little bit longer for the swelling to go down, and itching is fairly common before and/or after an outbreak (during healing). Diluted tea tree oil locally applied can minimise itching, if it's bothering you too much, otherwise just leave it alone.

    • Posted

      Another good soothing remedy is magnesium milk, on the blisters. It will dry the area making healing faster
    • Posted

      I have been using New Zealand Manuka Honey, and when I feel a genital herpes outbreak I cover the outbreak with a layer of Manuka Honey, this becomes absorbed by the skin within an hour. Usually my undies get a bit sticky, but not much, and it washed off easily. I find it eases the pain and sort of makes the skin more healthy. It seems to heal quicker too. I only know of one study and it was quite a limited number so is still anecdotal as to whether manuka honey helps. In my opinion it is likely that high strength activity Manuka Honey helps, considering there is a lot of science that shows it speeds healing for burn victims and affects other viruses. I also mix CBD in with the honey, while I am not exactly sure how much CBD helps, there seems to be a lot of studies on it, it certainly does not seem to do any harm. More than happy to direct people to the sources that supply these products, private message me if you want too. All the best , Danny

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