Hi,
I wonder if any of you could perhaps enlighten me about this condition.
I first contracted herpes through a single encounter with a woman abroad
about 12 years ago. At the time I had a small cluster of spots on the head
of my penis. I had some pain whilst urinating and it all cleared up with
about 10 days after taking some tablets (sorry, I cannot remember what they
were) and some ointment prescribed by a local doctor. He tested the woman
rather than me and informed me that she had herpes.
A few months later after returning to the UK I had another, lesser outbreak.
I went to the STD clinic and it was formally diagnosed as herpes (I wasn't
told which form). I was told then by the doctor that in many cases if it
doesn't re-occur within 3 years there is a good chance that it wouldn't come
back- I now know this to be untrue.
Gradually, the outbreaks became less frequent (maybe once a year) and were
never really much of a problem, nor was I in as much pain as many others
seem to be. There was the occasional tiny cluster on my penis. I didn't even
feel the need to go back to see a doctor about it.
I then went from July 95 until February 2000 without a single outbreak.
During this time I assumed that it had simply gone away as the doctor had
told me it may do. Also during this time I had a couple of long term
relationships with women where we did not use condoms. Both of these women
are still friends of mine and have never given me any indication that I may
have passed it on. If I had known there was a possibility i would have told
them and would have taken precautions.
Towards the end of 1999 I started a relationship with another woman. Shortly
into our relationship she sat me down and told me that she had been to the
doctor that day and the doctor had told her she had an outbreak of herpes.
Before she could go any further I said something along the lines of "Oh my
god, it must have been from me. I thought it had gone...".
Shortly afterwards (Feb 2000) I developed a fairly large cluster around the
top of my pubic hair area- somewhere I had never before had an outbreak.
Since then I have had quite regular outbreaks and they always seem to be in
the pubic area rather than on my penis. They seem to be completely different
from what I experienced before. They don't seem to heal quite as quickly,
and there is often a redness in the area for up to 2 or 3 months afterwards.
We managed to get through it and continued to have a relationship for a few
years. I am quite prepared to admit that I was very careless in not
researching this condition more comprehensively, but I really did think that
it had just gone. But, she always would throw this back in my face in times
of arguments. This really got me wondering whether there is the possibility
that I she may have already had it and used the fact that I jumped up and
admitted it to disguise the fact that she was just about to tell me she had
it? Especially considering the difference in symptoms.
I am now in the early stages of a new relationship. We have not had sex yet
but I fully intend to tell her before we get that far. I am really very
concerned that I may pass it on to my new girlfriend. I really need to know
what I can do to avoid passing it on. I am intending to try to get Valtrex
prescribed from the STD clinic, or even try going private.
Can anyone advise me on this?
Tim Fitzmaurice - 14 Oct 2003 15:57 GMT
> A few months later after returning to the UK I had another, lesser outbreak.
> I went to the STD clinic and it was formally diagnosed as herpes (I wasn't
> told which form). I was told then by the doctor that in many cases if it
> doesn't re-occur within 3 years there is a good chance that it wouldn't come
> back- I now know this to be untrue.
Umm its is pretty accurate - its just not any guarantee - obviously you
have found this out the hard way. This is the issue of talking to you
about disease outbreaks (ie clinical herpes) and what happens there as
opposed to the biology of the virus (ie HSV transmission etc)....there's a
paper sitting on my desk here that goes through what they think should be
discussed in Europe with every patient and how certain elements are
not, with too many docs generally sticking to discussion of clinical
disease rather than the whole shebang...
> Before she could go any further I said something along the lines of "Oh my
> god, it must have been from me. I thought it had gone...".
Ah....yes not a good reintroduction to the subject. Had this sort of
discussion with several friend who ask when they find out what I have
worked with....
> it had just gone. But, she always would throw this back in my face in times
> of arguments. This really got me wondering whether there is the possibility
> that I she may have already had it and used the fact that I jumped up and
> admitted it to disguise the fact that she was just about to tell me she had
> it? Especially considering the difference in symptoms.
Reaction to it is too personal for that.....there are people in the NG who
have caught it off partners who had no symptoms yet have had raging
outbreaks...
> concerned that I may pass it on to my new girlfriend. I really need to know
> what I can do to avoid passing it on. I am intending to try to get Valtrex
> prescribed from the STD clinic, or even try going private.
Private will just cost you more. Its available in the UK, along with both
Acyclovir and Famciclovir.....ACV might be cheaper on private prescription
(depending on how much they charge for it) but the others are way aboe the
prescription charge)
Ways you can cut the risks - condoms help, as does going on suppressive
therapy to shut the virus down and limit asymptomatic transmission.
Male to female transmission has a higher risk factor (around 10% chance
per year if avoiding sex around outbreaks if I remember crrectly) than
female to male. The suppressives seem to half that risk (that data is
around a year old and the average GP may not be aware of it, I may be able
to dig it out for you to wave at them) and condoms I think did much the
same....
Together I dont know if they cumulate or not. Keep asking qustions here
and there's various as will answer you.....
Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
Mo - 14 Oct 2003 16:13 GMT
Tim,
thank you so much for your invaluable advice. I have just been in such a
panic about the fact that I have met someone I really like and am terrified
that I may pass it on. You have been a great help.
Tim Fitzmaurice - 14 Oct 2003 17:16 GMT
> Tim,
>
> thank you so much for your invaluable advice. I have just been in such a
> panic about the fact that I have met someone I really like and am terrified
> that I may pass it on. You have been a great help.
No problem - I do the biology side of this, thats my perspective - wait
overnight for the various USAians to get a reply to you on the more
'living with it' and how to tell and what to tell aspects - as that's
going to be the bits you really need and will find useful and its an area
I just can't help with.
Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
M.L.S. - 17 Oct 2003 03:48 GMT
<snip>
>We managed to get through it and continued to have a relationship for a few
>years. I am quite prepared to admit that I was very careless in not
[quoted text clipped - 4 lines]
>admitted it to disguise the fact that she was just about to tell me she had
>it? Especially considering the difference in symptoms.
There's really no way to know which scenario is the truth, but since
you know you had it prior to the relationship you pretty much have to
accept the likelihood that you did pass the disease on, though, since
you honestly didn't know that you could (a lot of people, especially
pre-late-nineties were misinformed about herpes) I don't think you
should get much blame. And it certainly doesn't do any good to throw
it in your face more than once. After a person has said their piece
they should move on.
The different location of your outbreaks isn't necessarily an
indication that you picked up another strain of the virus (a thing
that doesn't really happen amongst people with healthy immune
systems), sometimes it just happens. Theoretically, you could have an
outbreak anywhere in your boxer short area. Mostly it seems like they
come back to the same spot over and over, but they can surprise you.
>I am now in the early stages of a new relationship. We have not had sex yet
>but I fully intend to tell her before we get that far. I am really very
>concerned that I may pass it on to my new girlfriend. I really need to know
>what I can do to avoid passing it on. I am intending to try to get Valtrex
>prescribed from the STD clinic, or even try going private.
>Can anyone advise me on this?
Valtrex or Acyclovir, and condoms are your best bets, coupled with
just plain avoiding sex altogether when you think you might be nearing
or experiencing an outbreak. You might have noticed, often, just
before an outbreak starts you'll feel a tingling or itching in the
area where the blisters will form. If you're taking the anti-virals
remedially, that's when you should start taking them.
Female condoms will give slightly more protection than the regular
ones. An attention to common hygiene -- taking a shower before sex is
a good idea -- may help, too.
Probably the best thing is just talking about it, getting informed and
being comfortable with it.
Good luck and let us know how things go.
Mike