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.
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.
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.
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