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Suggest Remedy For Soreness And Burning Sensation Due To HSV-2
Hi, i am a 22 yr old female with HSV-2, and have t been able to have a normal sex life in months now, since and before i was diagnosed with it, is there a cure to my soreness n burning and pain or will i just have to live with it? My doctor wasn t able to help me.
posted on
Thu, 13 Mar 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 28 Oct 2014
Answered on
Tue, 28 Oct 2014
Last reviewed on
Hello. Thanks for writing to us at healthcaremagic
HSV-2 causes genital herpes. Episodes of genital herpes are characterized by recurrent episodes of blisters or erosions on the genital mucosa as well as nearby skin.
There may be associated pain and burning sensation/discomfort associated with the episodes, however, the symptoms are intermittent rather than continuous i.e usually limited to the episodes.
However, Pudendal neuralgia is a complication of genital herpes. Since your symptoms have been constant rather than episodic therefore I would keep a possibility of pudendal neuralgia.
Recently acquired infections may have higher frequency of recurrences as compared to older infections. This might be one reason for your almost continuous symptoms.
In these patients with very frequent recurrences (presenting with almost continuous symptoms) suppressive treatment can be considered with valacyclovir 500 mg once daily for an year.
In general any individual having >9 recurrences in calender year is a candidate for suppressive treatment
In addition, Vit B12 supplement in megadoses like 750 mcg to 1500 mcg once daily can also be started for neuralgic pain.
Gabapentin or pregabalin are other options for neuralgic pain.
I would suggest that you visit a dermatologist in your region. Your dermatologist would tell you more about suppressive therapy and whether you are a candidate for therapy for pudendal neuralgia.
Regards
HSV-2 causes genital herpes. Episodes of genital herpes are characterized by recurrent episodes of blisters or erosions on the genital mucosa as well as nearby skin.
There may be associated pain and burning sensation/discomfort associated with the episodes, however, the symptoms are intermittent rather than continuous i.e usually limited to the episodes.
However, Pudendal neuralgia is a complication of genital herpes. Since your symptoms have been constant rather than episodic therefore I would keep a possibility of pudendal neuralgia.
Recently acquired infections may have higher frequency of recurrences as compared to older infections. This might be one reason for your almost continuous symptoms.
In these patients with very frequent recurrences (presenting with almost continuous symptoms) suppressive treatment can be considered with valacyclovir 500 mg once daily for an year.
In general any individual having >9 recurrences in calender year is a candidate for suppressive treatment
In addition, Vit B12 supplement in megadoses like 750 mcg to 1500 mcg once daily can also be started for neuralgic pain.
Gabapentin or pregabalin are other options for neuralgic pain.
I would suggest that you visit a dermatologist in your region. Your dermatologist would tell you more about suppressive therapy and whether you are a candidate for therapy for pudendal neuralgia.
Regards
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