HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Tested Positive For Herpes Several Years Ago But I’ve Never

default
Posted on Mon, 20 May 2019
Question: Tested positive for herpes several years ago but I’ve never had an outbreak. However I now have slight pain inside my penis, swollen lymph node in my groin and it’s like my Lower back is aching. Is this an outbreak without physical signs or something else?
doctor
Answered by Dr. AJEET SINGH (2 hours later)
Brief Answer:
Hi XXXXXXX ..

Detailed Answer:
In most cases,the first herpes outbreak occurs within a few days to a couple of weeks after initial contact.However, in some cases, you can go several weeks between the initial infection and the first outbreak.At times,the first infection is asymptomatic or you may have mild flu like symptoms but viral test can detect it.Symptoms (if any)usually go away within 2 to 3 weeks and even faster if you are treated with medication.
Unfortunately,the virus stays in your system for the whole life, and can “flare up” again at a later time.There is no medication available till now to completely root out and wipe it out of the body.Repeat outbreaks of genital herpes are common especially during the first year after infection.Any recurring outbreaks are usually less severe and shorter.Some patients report minor pain in the genital area.
The number of outbreaks an individual tends to decrease over time and Infected persons experience a median of four recurrences per year after their first episode but rates vary greatly.
Genital herpes simplex virus type 2 recurs six times more frequently than type 1.
Genital herpes is different for each person.The signs and symptoms may recur, off and on, for years. Some people experience numerous episodes each year.For many people, however, the outbreaks are less frequent as time passes.
During a recurrence, shortly before sores appear,you may feel burning,tingling and itching where the infection first entered your body associated with Pain in your lower back, buttocks and legs and inguinal node lymphadenopathy.
The symptomatology you have described,looks like flaring of the dormant genital herpes.
Please see your doctor preferably a sexologist.He will go for some tests.Viral culture is preferred over polymerase chain reaction testing for diagnosis.Serological testing can also be useful.
He would prescribe some effective oral antiviral medications which are available for initial, episodic, and suppressive therapy but are not a cure.They can also help reduce the risk of transmission of the virus to a susceptible partner.These drugs can reduce the duration and frequency of herpes outbreaks in the coming years.The treatment plan will depend on your general health condition.If there is a risk of other health complications such as encephalitis to develop in your future life,the treatment plan will be tailored accordingly.
There is some evidence that alternative therapies such as L-lysine, zinc suppliments and some herbal preparations may offer some benefit.
Your counseling about the risk of transmission is also crucial and it will help to prevent the spread of disease and neonatal complications. There is one suggestion of mine.Abstain from sexual activity or limit sexual contact to only one person who is infection-free.Use a latex condom during every sexual contact.Most infections are transmitted via asymptomatic viral shedding.Avoid intercourse if either partner has an outbreak of herpes in the genital area or anywhere else.Genital herpes simplex virus infection is a recurrent, life long disease with no cure.The strongest predictor for infection is a person’s number of lifetime sex partners.So have a healthy sex life.
Hope I have answered your query.
Stay healthy.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. AJEET SINGH

General & Family Physician

Practicing since :1994

Answered : 2151 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Tested Positive For Herpes Several Years Ago But I’ve Never

Brief Answer: Hi XXXXXXX .. Detailed Answer: In most cases,the first herpes outbreak occurs within a few days to a couple of weeks after initial contact.However, in some cases, you can go several weeks between the initial infection and the first outbreak.At times,the first infection is asymptomatic or you may have mild flu like symptoms but viral test can detect it.Symptoms (if any)usually go away within 2 to 3 weeks and even faster if you are treated with medication. Unfortunately,the virus stays in your system for the whole life, and can “flare up” again at a later time.There is no medication available till now to completely root out and wipe it out of the body.Repeat outbreaks of genital herpes are common especially during the first year after infection.Any recurring outbreaks are usually less severe and shorter.Some patients report minor pain in the genital area. The number of outbreaks an individual tends to decrease over time and Infected persons experience a median of four recurrences per year after their first episode but rates vary greatly. Genital herpes simplex virus type 2 recurs six times more frequently than type 1. Genital herpes is different for each person.The signs and symptoms may recur, off and on, for years. Some people experience numerous episodes each year.For many people, however, the outbreaks are less frequent as time passes. During a recurrence, shortly before sores appear,you may feel burning,tingling and itching where the infection first entered your body associated with Pain in your lower back, buttocks and legs and inguinal node lymphadenopathy. The symptomatology you have described,looks like flaring of the dormant genital herpes. Please see your doctor preferably a sexologist.He will go for some tests.Viral culture is preferred over polymerase chain reaction testing for diagnosis.Serological testing can also be useful. He would prescribe some effective oral antiviral medications which are available for initial, episodic, and suppressive therapy but are not a cure.They can also help reduce the risk of transmission of the virus to a susceptible partner.These drugs can reduce the duration and frequency of herpes outbreaks in the coming years.The treatment plan will depend on your general health condition.If there is a risk of other health complications such as encephalitis to develop in your future life,the treatment plan will be tailored accordingly. There is some evidence that alternative therapies such as L-lysine, zinc suppliments and some herbal preparations may offer some benefit. Your counseling about the risk of transmission is also crucial and it will help to prevent the spread of disease and neonatal complications. There is one suggestion of mine.Abstain from sexual activity or limit sexual contact to only one person who is infection-free.Use a latex condom during every sexual contact.Most infections are transmitted via asymptomatic viral shedding.Avoid intercourse if either partner has an outbreak of herpes in the genital area or anywhere else.Genital herpes simplex virus infection is a recurrent, life long disease with no cure.The strongest predictor for infection is a person’s number of lifetime sex partners.So have a healthy sex life. Hope I have answered your query. Stay healthy. Regards.