I'm 25yo male, posted on this forum a year or so ago and got some good answers but there is something that has been concerning me for a while. When I contracted HSV-2 in 2007 (confirmed via swab test) the initial outbreak was half way along the left hand side of my penis. In the next two years 2007-2009 I only had 1 outbreak a year and they were both in that spot.
From 2010 onwards I was getting outbreaks almost every month, I had 6 outbreaks in the first 8 months of 2010 and so decided to go on suppressive therapy (500mg/day). This has stopped the outbreaks but I occassionally (every 6 months) stop taking the suppressive therapy to see if I can start going without it.... I can't. I get an o/b within a week or two of stopping the valtrex.
What concerns me is since 2010 and the regular outbreaks, they are nearly always (I'd say 90% of the time) now on the frenulum just below the head. The o/b's are always very mild, usually a single small hard ball under the skin on the frenulum. They don't itch or hurt but I can feel them with my finger. They are gone in a few days when back on valtrex, but it's always the same place, and not where I originally got it. If it weren't for this area I could probably stop suppressive therapy and just deal with the 1-2 outbreaks in the original spot per year.
Is it common to get outbreaks on the frenulum?
Will I ever be able to come off suppressive therapy and not suffer from multiple outbreaks per year?
If I choose to stay on suppressive therapy are there any long term side effects?