Dear Dr. HHH,
I was diagnosed with Genital HSV 1 in October through a culture swab and I reconfirmed it through a blood test in February. I got it from a guy who performed oral sex on me a few days before a cold sore developed. However i didn't develop any symptoms until a week later after rough sex. My main sore was at the entrance of the vagina with lots of others in the area. The initial outbreak was horrible and very painful. After the diagnosis my doctor put me on Valtrex 500mg daily for 3 months, I didn't have any recurrent OBs during that time. I stopped taking the Valtrex end of February and just a few days ago I developed lots of itching and seem to have only one blister right at the entrance of my vagina again. This seemed to happen just a couple days after i went in for my pap smear. My Questions are:
1) Since I seemed to have an OB so soon after going off of valtrex, does this mean that I am going to be one of the unfortunate ones who gets an OB all the time despite it being HSV 1 unless i stay on suppressive therapy?
2) Are my outbreaks triggered by anything entering my vagina in a painful way, in other words will i have an OB every time i have sex now?
3) Also, my doc told me that I am probably more susceptible to recurrences due to they fact that i have hypothyroidism and am taking accutane for acne. Is this true? Does that mean the OBs will lessen once i stop taking the accutane?
I am getting married soon to a wonderful man and although he is ok with my status, he is negative for both and I do not want to pass it on to him. I am also worried that if sex is a trigger that i will never be able to have a normal sex life again. Any help would be greatly greatly appreciated!!!
Thank you!