igM +, no symptoms, vulvar pain

[quandrycat]

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?

Thanks!

[gracefromHHP]

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.

[gracefromHHP]

there wasn't a good reason to start valtrex based on a + igm :(

has your partner been tested yet to know their status? if not, that's your next step. absolutely no way it's a recently acquired infection if your partner is negative.

also herpes won't cause these sorts of symptoms for this long.  I recommend seeing a vulvodynia specialist if you can find one, at the very least a urogynecologist for a consult at this point.  

[quandrycat]

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.

[gracefromHHP]

herpes igm testing is greatly flawed and we don't recommend it being used. a + igm result for herpes doesn't really give you any answers at all.

when did you last have any sexual contact?  do you ahve a regular partner?

grace