So I've been going back and forth between doctors with symptoms of burning and stinging in my vulvar vestibule and urethra, incessant urge to urinate, and low grade fevers. I got tested for Hsv 2 through separate labs using iGM antibodies twice (2-3 weeks apart) with results of first 2.53, then 2.25. Both igG tests were negative. I'm confused because I haven't engaged in any high risk behavior in the past year. So I guess my questions are (1) Can HSV II be causing my vulvar aching even without any sores? (2) Can HSVII remain latent in the body for 2-3 years, with first outbreak occurring w/ no prior igM or igG upregulation?
I've been with the same person for a year and a half. I had abstained from sex for the past two months in response to the symptoms. My doctor put me on valacyclovir 1gm/daily after receiving the igM +s. I recently noticed some very small cuts on my vulva. I applied hydrocortisone to the area and it feels slightly better. Doctor put me on Vesicare 10 mg as well, but I still feel the urge to urinate after I void my bladder. He's sending me for a pelvic MRI next.
also topical estrogen or even just a barrier cream like aquaphor is probably a better choice for cuts in the skin than a topical steroid. steroids just further thin the skin and aren't really made for our sensitive genital skin. you don't want to add to your problems. you need a prescription for the topical estrogen from your provider but first be seen to make sure that you don't have a vaginal yeast infection causing the skin tears. if there is a general thinning of the genital skin, applying topical estrogen regularly for a few months is also a good idea. It is often helpful with genital pain issues like this too.
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