Echoing what many others have written, thank you very much for providing this discussion outlet, plus taking time to carefully share facts/answer questions with seemingly unending patience and wonderful compassion. YouÃ¢â‚¬â„¢ve already helped me so much. Thank you.
IÃ¢â‚¬â„¢ve not seen my primary care physician (PCP) - scheduling an appt. ASAP w/ him to check what you suggested and possibly get a referral to a gynecologist or other doctor w/ more specialty training w/ STIs. Regarding yeast infection possibility: first sign anything wrong was full genital itching beginning 2/28/11, which I attributed to yeast infection b/c had them on occasion in past, except this one did not have thick, cottage-cheese like discharge; no abnormal discharge to speak re: texture/amt/odor. Since itching/clitoris pain continued, went to convenient care (same hospital as my PCP) on 3/7/11 and diagnosed w/ a yeast infection via a wet culture (?) viewed under microscope. Was asked then if I had any concerns of having an STD and I said no, so no further inquiry ensued. Received two doses of oral treatment for yeast infection, one taken immediately and the other taken after three days b/c symptoms still present, as directed. Three days after 2nd oral treatment, symptoms continued so returned to convenient care 3/14/11 (correction from time in 1st post; PCP on vacation), where yeast infection diagnosis confirmed again, plus I asked nurse practitioner about the -tiniest- little nick near my vagina - she thought it was HSV, cultured results confirmed HSV on 3/17/11, w/ no type discernable. Received 7-day vaginal treatment, which I completed on 3/20/11.
1) 3/21 PCP visit - blood draw only, no visual exam
HSV-1 IGG AB = 4.42 H index
HSV-2 IGG AB = >5.00 H index
2) 3/23 Test results from 3/23 PCP visit - visual exam at my insistence, swabbed apparent tiny new blisters near/below vaginal area (different location than NP swap site 3/14/11). Internal vaginal/cervix exam revealed no visual sighting/identification of HSV or any other abnormality inside of me.
1) HSV1 and HSV2 by PCR (is that the swab culture? Note on printed results indicates test developed by my hospital for clinical purposes, not approved by FDA b/c FDA deemed such clearance or approval is not necessary)
HSV 1 Negative
HSV 2 Positive A
Specimen Source: Genital
Specimen Site: Perianal
PCP phoned me w/ all results on 3/28/11 and said blood test result shows IÃ¢â‚¬â„¢ve had HSV-2 Ã¢â‚¬Ëœfor a very long timeÃ¢â‚¬â„¢ and that it was not a recent exposure, such as from my partner (w/ him since 9/2010, abstained from sex for one year prior to that). Is that necessarily true or actually indeterminable?
Yesterday, tingling reappeared and continuing nerve pain intensified all over my buttocks area, plus shooting pains outside vagina/on labia. Last night, discovered two new ulcers last night in same exact locations as those swapped on 3/14 and 3/23, respectively. Since this Ã¢â‚¬ËœhumdingerÃ¢â‚¬â„¢ ob has been ongoing since either 2/28/11 or 3/14/11, in your opinion should I do a 2nd round of 1G Valacyclovir/2x day across ten days or is that pointless/too late? PCPÃ¢â‚¬â„¢s nurse told me 3/31 2nd round unnecessary and instead continue suppressive therapy of 1G Valacyclovir/1x day; however, ob has continued since and again worsened. Also, safe to believe that Valtrex and its generic Valacyclovir work exactly the same or should I pay for the brand-name version? Is there any possibility my body resists Valacyclovir, thus the continued outbreak? I also have hypothyroidism, for which I take 88mcg/day of levothyroxine (sp?) but none of my Ã¢â‚¬ËœresearchÃ¢â‚¬â„¢ has indicated that would cause problems w/ HSV2.
Your suggestions for how to bring up this topic w/ my partner are fantastic! After reading a LOT of info (only from credible sites (CDC, Mayo, womenshealth.gov), plus sites and books as suggested/deemed credible to educate myself and prepare to disclose this to my partner, I noticed a general recurring theme: if the person positive with HSV2 remains calm and optimistic about it accepting it, the partner likely will also. So when I told him on 3/24/11, I did that - got a little emotional but reeled it in; now am worried that I will seem to be freaking out about it and upset him.Ã¢â‚¬Â¦believe I just got to the heart of whatÃ¢â‚¬â„¢s freaking me: not HSV2 diagnosis, rather unknown of is this is a deal breaker to him b/c I cannot have sex - itÃ¢â‚¬â„¢s hard enough to be in a long-distance relationship, then to add THIS atop it - yes, I have many other great qualities and we can be sexual w/ out having sex (did the weekend of 3/24), yet I now see myself as damaged goods and wonder if that will ever change. OKAY, TMI - feel better having typed all that out.
Thank you again, Betsy - being able to ask questions is such a HUGE relief as I cannot talk w/ any of my friends about this and am panicking while trying to remain very calm. In fact, such a huge relief that I write way too much in my post, apologies for that.
P.s. You are right: I always thought my annual exam and other blood tests included HSV testing, especially since my PCP always discussed STIs w/ me. What a shock to learn that was not the case! My partner gets blood tests w/ his annual physical, so he assumes it included HSV testing...told him it very well may not.
Also a shock to learn that so many women in the U.S. have this (is it 1 in 5?) -- while things are gloomy now, am ultimately glad that I do know.