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Atypical genital herpes?

I have had HSV-1 since I was a child, and about 10 years ago developed herpetic whitlow on my hand. Then, about 3 years ago the genital sores started, around the vulvar area and at the top of my buttocks.

Now - 5 months ago (October) I had a sore on my vagina and did not look after it. I was stressed, I had suffered a badly fractured talus (ankle) with two corrective surgeries and was just starting to walk again - I was sad, confused about my life and anxious. One night when the sore was really irritating me I scratched it off - and it was the most stupid thing I have ever done. In the morning, one side of my vulva had swollen and I had a generalised itching sensation. It developed into full-blown, generalised erythema and intense tingling and itching across the entire vulval area... I could not put my feet together when standing, it was so swollen.

It lasted a horrific 1-2 weeks and then crusted over - in total it lasted about 4 weeks. Afterwards I felt fine and the vulval area felt normal again. Then, a few weeks later it began again (November) - generalised erythema, itching, tingling, swelling on the one side, then crusting over. It was less severe than the first, but lasted longer - about 6 weeks.

After this episode, my vulva has not felt the same since. There has been a constant crawling sensation underneath the skin which is very disturbing, and occasional tingles and itches in different places. Now (March) I'm suffering from my third big "outbreak" in 5 months, but it feels as if it's been on the verge of re-surfacing since December. I had a blood test and it came back positive for HSV-1 and HSV-2, but I'm concerned about my 'atypical' symptoms - there are no obvious sores, just intense itching and erythema, which is more pronounced in the region of the first sore back in October.

Is it likely that I made the whole thing a lot worse by scratching the sore in October, and that it's just turned into a massive herpes infection on the vulva? Or might it be a fungal infection, shingles, or even something other than this? I have no strange or funny-smelling discharge. I'm confused by the crawling sensation and the fact that the symptoms have lasted so long.

I'm very disturbed by the whole thing and in constant pain and distress - any help would be much appreciated.

Thank you!
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Avatar universal
I didn't have numbers - I'm in the UK, it just said 'detected' and apparently practically everyone would show up positive for HSV-2 from a blood test, so it doesn't mean anything.
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Avatar universal
I don't understand what you mean by that, sorry. The dental profession? I'm not talking about my whitlow, I'm talking about the genital herpes.

Are you saying that because I have HSV-1, my blood test for HSV-2 is likely to be a false positive?
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1 Comments
sorry i just noticed you said you were positive for  hsv2. Do you know the numbers that came up in the test? Also when i say the dental profession i mean those that mostly contract whitlow work in the dental profession,
3149845 tn?1506627771
It would appear you only have hsv1 oral from childhood but do have a blood test for hsv2 and i did not think you were tested for whitlow as its not common at all.  Those most at risk are in the dental profession with hsv1 not 2.
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Avatar universal
Really? Do you mean it's more likely HSV-2 then?

I wasn't officially diagnosed with whitlow (ie. via swab or blood test) but it's the most likely diagnosis considering the symptoms and many doctors I've seen agree. Why?
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3149845 tn?1506627771
Hi, having hsv1 oral from childhood would make you basicly immune to contracting the same type  anywhere else on your body. How were you diagnosed with Whitlow?
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