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Medical Forum / Diseases and Disorders / Herpes / April 2005

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The Pill Triggering Outbreaks

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ScarletDamsel - 20 Feb 2005 03:09 GMT
Has anyone else ever heard of a specific birth control bill triggers
outbreaks?
Grant - 20 Feb 2005 11:52 GMT
>Has anyone else ever heard of a specific birth control bill triggers
>outbreaks?

I have not heard of anything like this.  However, it is common for women to have
their outbreaks either right before, during, or right after their periods.

The only thing I can think of is that a particular formulation of the pill is
creating a hormonal imbalance and that,in turn, is creating a dip in the immune
system and allowing the virus to become active.

ar
ScarletDamsel - 20 Feb 2005 12:14 GMT
Really, so it is normal to have the outbreaks around my period.  I
havent heard of that but lately that's what has been happening...I have
dealt w/ this for close to 14 years and have never experienced such
frequent outbreaks.  Good thought about the dip in the immune system; i
didnt think about that.

Thanks...ar
Angela S. - 20 Feb 2005 16:04 GMT
It's not uncommon for ladies to have their outbreaks around their period. To
be honest I think it just varies from person to person. Most people usually
take some sort of herpes antiviral medication to keep those outbreaks under
control. At least until their body is able to handle things on it's own. If
you are having too many outbreaks then you might want to consider
suppressive therapy. It's the only thing that's been proven to reduce
transmission, shedding, frequency and number of outbreaks.

Hang in there,

Angela :)

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> Really, so it is normal to have the outbreaks around my period.  I
> havent heard of that but lately that's what has been happening...I have
[quoted text clipped - 3 lines]
>
> Thanks...ar
Grant - 21 Feb 2005 22:28 GMT
If you are "suddenly" experiencing more outbreaks, then it is a good time to
take a look at what might have changed in your life.  New job?  New stress?
Diet changes (started drinking caffienated beverages or perhaps you started
using protein drinks, etc), change in laundry detergent or fabric softener.
There are all sorts of things that could be contributing.

However, I do remember that some women have an increase in the amount of
outbreaks when they get to the age where their hormones start changing.  So, if
you are susceptable, then that could be your problem.  It's not the bcps, per
se, but the fact that you are putting hormones in your body that aren't
"natural."

ar

>Really, so it is normal to have the outbreaks around my period.  I
>havent heard of that but lately that's what has been happening...I have
[quoted text clipped - 3 lines]
>
>Thanks...ar
Tom - 21 Feb 2005 23:14 GMT
That could probably explain why this outbreak was the worst. I have been in
training for a new position at work, been working new hours, not getting
enough sleep, under alot of stress at work and home and drinking alot of
coffee. I think it all adds up after a while.

> If you are "suddenly" experiencing more outbreaks, then it is a good time to
> take a look at what might have changed in your life.  New job?  New stress?
> Diet changes (started drinking caffienated beverages or perhaps you started
> using protein drinks, etc), change in laundry detergent or fabric softener.
> There are all sorts of things that could be contributing.
Grant - 22 Feb 2005 04:08 GMT
>That could probably explain why this outbreak was the worst. I have been in
>training for a new position at work, been working new hours, not getting
>enough sleep, under alot of stress at work and home and drinking alot of
>coffee. I think it all adds up after a while.

I think you're right, Tom.

ar
ScarletDamsel - 26 Feb 2005 11:44 GMT
No, nothing has changed recently; I keep real good track of that for
obvious reasons.  I guess that's why I got so concerned about the bcps.
The strange thing is that I have been taking them for several years;
but like I said this is a new kind - so maybe that has something to do
w/ it....The thing that really stinks is that I thought I finally found
one w/ no bad side-effects to my body.
Grant - 26 Feb 2005 13:40 GMT
>No, nothing has changed recently; I keep real good track of that for
>obvious reasons.  I guess that's why I got so concerned about the bcps.
> The strange thing is that I have been taking them for several years;
>but like I said this is a new kind - so maybe that has something to do
>w/ it....The thing that really stinks is that I thought I finally found
>one w/ no bad side-effects to my body.

Talk about it with your doctor and see s/he knows of any connection with the
other patients using it.

ar
ScarletDamsel - 20 Feb 2005 12:23 GMT
Really, so it is normal to have the outbreaks around my period.  I
havent heard of that but lately that's what has been happening...I have

dealt w/ this for close to 14 years and have never experienced such
frequent outbreaks.  Good thought about the dip in the immune system; I
didnt think about that.

Thanks..

I still would like to know if anyone has come across this correlation...
Angela S. - 20 Feb 2005 16:01 GMT
I don't believe birth control pills have anything to do with outbreaks at
all...

Angela :)

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> Has anyone else ever heard of a specific birth control bill triggers
> outbreaks?
Anonymous - 12 Apr 2005 01:55 GMT
> Has anyone else ever heard of a specific birth control bill triggers
> outbreaks?

http://www.medicalnewstoday.com/medicalnews.php?newsid=22421
M2slo2cht@nospam.invalid - 12 Apr 2005 03:16 GMT
>http://www.medicalnewstoday.com/medicalnews.php?newsid=22421

Nice find.
Methinks it bears repeating
-------------------------------------------------------------------------------------------------------
Hormonal Birth Control, Bacterial Infections in Women Linked to
Increased Shedding of Herpes Simplex Virus Type 2
07 Apr 2005

Women who are infected with herpes simplex virus type 2 (HSV-2) may
have an increased risk of transmitting the virus to others if they use
hormonal contraceptives or have certain bacterial vaginal infections,
according to an article in the May 15 issue of Clinical Infectious
Diseases, now available online. The study underscores the importance
of diagnosing and treating vaginal bacterial infections to prevent the
spread of the herpes virus.

HSV-2 can remain latent in the body for some time, but when it becomes
active and begins to multiply (a process known as "shedding"), it
becomes transmissible to others, particularly through sexual activity.
HSV-2 is a common infection--20 to 25 percent of American adults are
infected--and can remain asymptomatic, so most people who are infected
don't know it. Evidence suggests that HSV-2 infection can increase the
risk of HIV transmission, which is further reason for trying to curb
HSV-2's spread.

Researchers at the University of Pittsburgh and Magee-Womens Research
Institute studied 330 women with HSV-2 infection to determine what
factors heighten the risk of transmitting the virus to sexual
partners. They found that the use of oral or injectable hormonal
contraceptives is linked with genital tract shedding of HSV-2, which
had been suggested by one prior study. However, they also found that
two common types of bacterial infections, bacterial vaginosis (BV) and
vaginal Group B streptococcus (GBS), were related to an increased risk
of HSV-2 shedding, an association that had not previously been made.
Vaginal yeast infections were not associated with increased shedding
risk.

If confirmed in future studies, the findings would have significant
implications, according to Thomas Cherpes, MD, of the Magee-Womens
Research Institute and lead author of the study. "Because hormonal
contraceptives are used by millions of people throughout the world,
even a modest association with HSV-2 shedding would provide a
significant contribution to the burgeoning genital herpes epidemic,"
he said. Dr. Cherpes added that further research is also required to
determine if the type of contraceptive (such as oral birth control
pills versus injectable Depo-Provera) affects shedding frequency.

The novel finding that some vaginal bacterial infections are also
linked to a higher frequency of HSV-2 shedding could be important in
controlling the spread of HSV-2. "BV is an infection that is readily
treatable, and treatment for it is effective," Dr. Cherpes said. "I
believe that treatment of BV will be shown to be an effective therapy
to reduce the risk of HSV-2 shedding, but, again, further work is
required."

Vaginal GBS becomes problematic when bacterial colonization is heavy;
in pregnant women, GBS can result in infants with low birthweight or
even severe infections. "In light of that, it's not that much of a
leap to think that the alterations caused by the presence of GBS can
also … result in increased [HSV-2] shedding frequency," Dr. Cherpes
said. Penicillin and related drugs, though, are usually effective
treatments for GBS.

Since there is no true cure for genital herpes, controlling its
transmission is the only option. Women who have HSV-2 should consider
alternate forms of contraception, such as condoms. And because there
is no vaccine available for genital herpes, treating the bacterial
infections that could predispose women to higher HSV-2 shedding
frequency is probably one of the best ways to keep the virus in check,
according to Dr. Cherpes. "I think it's going to be an important
thing--it's not going to be a panacea, but it will help slow the
spread [of HSV-2], and right now we want to do anything to slow the
spread," he said.

Founded in 1979, Clinical Infectious Diseases publishes clinical
articles twice monthly in a variety of areas of infectious disease,
and is one of the most highly regarded journals in this specialty. It
is published under the auspices of the Infectious Diseases Society of
America (IDSA). Based in Alexandria, Virginia, IDSA is a professional
society representing about 8,000 physicians and scientists who
specialize in infectious diseases. For more information, visit
http://www.idsociety.org.

Contact: Steve Baragona
sbaragona@idsociety.org
703-299-0412
Infectious Diseases Society of America
http://www.idsociety.org
 
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