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Presumably a second OB- can sex trigger an OB?

Hi everyone,

It's been quite some time that I've been on here. It's been a very busy year for me, but I'd like to stop on by and say hi and hope everyone is doing well.

I've been on Valacyclovir since July of 2021. No OB's ever since- the first one was hellish to an extent. But, after a few encounters with my boyfriend recently, I think I'm having a small OB :(. We had sex multiple times, and I was quite sore as I usually am and figured the slight sting I felt was just from friction/dryness (We didn't use lube, big oops on that part). I took a gander down there last night since I noticed the uncomfortableness wasn't subsiding and saw 3, very tiny, red spots near the opening of my vagina. I have the occasional sting, burning, and itching, which leads me to believe this is an OB. I had a headache for a couple days in a row as well on Monday and Tuesday, but no other symptoms. We had sex Sunday night, a couple times Monday, a couple times Tuesday, and Wednesday morning. I tend to notice the soreness immediately since 1. I don't have a lot of sex (we're LDR for the time being)  2. TMI but I'm also kind of tight down there. This is why I didn't think anything of it until last night, since I'm still experiencing some discomfort.

My question is, can rough sex trigger an OB? If so, why? Is it from just pure friction which triggers an immune response? Or, is it possible that he was shedding (he's asymptomatic) and perhaps I had a small break in my skin and he passed it onto me?

I'm also wondering if getting him on some antivirals will help prevent this...along with more lube, lol Unfortunately, I'm the one suffering here, and he's 100% fine. Physically, not mentally. He feels utterly terrible for imparting this onto me. I reassure him that I'm not mad at him, but he really needs to take it easy and also bring lube when traveling to prevent this from occurring. See what happens when ya don't listen? lol

Anyway, any input is helpful. I'd like to pass along any advice to him as well, especially if him being on meds will help. Either that or buy a gallon size bucket of lube...

Thanks again everyone for hearing me out and providing feedback! I think I was speaking to auntiejessi for awhile. If you're still active on this thread, I hope you're doing ok! And as always, I appreciate the help and advice you gave me.
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207091 tn?1337709493
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Hey :)  good to see you!

So having been in an LDR once, I used to call the times you get together "love and sex fests" because you are trying to jam it all in at once, and your body definitely feels it, even without herpes.

His herpes isn't triggering yours, but the friction probably is. It might be the rough sex, or the amount of sex your having, or the amount of rough sex, but in any case, it's the sex. (That's irony none of us need, right?)

Lube is going to be your best best. You might up your meds to a treatment dose before your visits with him, too, and stop a day or so after you leave. If your prescription doesn't cover that, talk to your doctor, or get extra from an online site like Wisp, Nurx, GoodRx, Lemonaid, etc.

Make sure your lube is good for sensitive skin - paraben, glycerin and glycol free, and if you are sensitive to gluten, make sure to look for that, too. If you google "lube for sensitive skin", you'll find a LOT of them, in every price range.

Hope you are doing well otherwise. :)  

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Hi there! Nice to see you're still active on here! I'm in the process of moving and will be leaving by next week! We'll be cohabiting soon, so of course things will change a bit once I'm settled in.

I figured it was the sex in general that was causing it. Friction, no matter what, sounds plausible and the cause of it. He actually experienced his first OB a couple months ago which was triggered by a bunch of stress. He had no other symptoms minus the bumps. I know he wants to get on meds to further reduce the chances of shedding/OB, but I don't think it's going to solve the issue of me getting an OB...He feels ashamed and utterly crappy still for causing this drama. He knows I suffered way more than he did the first time around.

We do use lube, which does help quite a bit! I tell him to use as much as he can lol but sometimes, even that doesn't help. It makes me weary honestly because I don't want an OB EVERY time we have sex. It's kind of defeating. I'm currently experiencing watery/cloudy discharge as we speak and I see a small red spot in the SAME spot where I typically find this lesion. I just had my period last week, and we had sex on day 4, so pretty much when I was just spotting. I know hormone fluctuations can cause an OB, but is there really anything else I can do so I don't have this happen? It seems like this has happened at least twice, maybe three times this year. I know it's not a lot, but it is bothersome and worrisome for me.

I wonder if just doubling down on my dose would help and take 1000mg daily for prophylaxis, or if I'm just kinda stuck....I've been dealing with this small lesion for a few days now? Kinda odd that it would pop up days after we had sex.

Anyway, hope you're doing well and staying safe! :)



Hey :) Good to see you!

You're going to be able to figure things out more when you are living together, and things aren't so crammed into a weekend here and there. You can definitely go to 1000 mg a day, if needed.

If sex is going to be a daily/almost daily thing, then increase it to 1000mg, perhaps. If it's more like 2-3x a week, maybe you could take an extra dose after sex. You can play a bit to see what works for you as you settle into living with him.

I do wonder about the watery discharge, though. Maybe BV?

Are you excited about moving? That's great news. :)

Things are pretty good here. Got covid in Dec., and have long covid, and the fatigue is real. It's slowly getting better, but it's something else.

Good to hear from you, and hope things get better. :)
I’ll definitely play around with the dosage! I did hear L-Lysine could help a bit, so may try that out in combination with the meds. :)

For some reason, whenever I experience an OB, I get this type of discharge, almost as if I was near my ovulatory phase in my cycle. It doesn’t smell foul, it doesn’t itch, nothing. I’ve never had BV, but this is a key indicator for me when I know something is off, along with the one small lesion in the same spot. I have no other symptoms thankfully, but the excess discharge sucks. The NP I spoke to said it is normal to experience this, but of course everyone is different.

As for the moving, I’ve been busting my butt for over a month packing stuff on top of working. I should be excited, but at the same time it’s sad leaving my life behind and starting anew. I’ll have no friends or family. Thankfully I won’t live too far- about an hour plane ride away, but still, it’s hard. That and I’m hoping I can tolerate living with someone lol

Also got a new care team for my PCOS and I’m back on my original meds, so I’m glad I have that squared away for the most part. I bet my care team could prescribe me a higher dose of the Valacyclovir if I asked, even though that’s not something they mainly deal with, but I’ll look into it. I currently have a 90 day supply, so I’d have to ask them to switch it to 1000 at a 90 day supply and see what happens.

Funny enough, I got sick with Covid in December too. I was out for a couple weeks. Didn’t have long Covid thankfully. Did you receive any monoclonal antibodies back then? Or did you kind of just ride it out? I’m sorry you’re still dealing with this :( I hope they’ve offered something to alleviate some of the symptoms. Breathing was the hardest for me, so I used an inhaler and monitored my O2.
Some women do get the watery discharge with outbreaks. :(

If your care team won't increase your dose, you can try an online site, like Wisp or Nurx. My doc started getting really lazy with refilling scripts, and they never seemed to write them correctly, so I decided to just do it online. Since I get frequent outbreaks without Valtrex - more than 7 a year - they gave me 1000 mg on Wisp. I self-pay so they'll deliver it to me, but they can send it to your pharmacy, and you can get it done through your insurance.

I didn't get monoclonal antibodies - I didn't know it was covid until after I was better. Also, I got the vax at the start of it, and omg my body was a hot mess. I'd been feeling really tired and achy, but I had things to explain that, and just went ahead and got my covid booster and flu shot, and promptly got sick for 12 days. Since it was around Christmas, there were no tests to be found, even if I'd thought to test, but I just put it down to a vax reaction.

A few days after I got better, they released the updated symptom list for Omicron, and said it wasn't as much congestion as it was muscle aches, a sore throat, headaches, night sweats, fever, chills, etc. Those I had in spades.

It's been a lot. The fatigue, shortness of breath, racing heart, headaches - but it's getting better, slowly.

Moving is one of the most stressful things. And it is scary - such a big change - new city, new people, living with someone. Just really communicate, even if you think it's obvious lol. I hope it goes wonderfully. :)
Yeah I get the watery discharge along with the occasional sharp pain in my cervix. Not fun whatsoever, but I manage. Kinda late to really double my dose, right? I’m on day 4 of this. Ugh.

Actually had the same issue with the NP that did the swab a few months ago and tried to say I had HSV prior to meeting my partner which wasn’t true- the WB proved that. Anyway, I needed a refill, as I gave my partner a small batch of mine when he started seeing bumps while we were on vacation ( out of all times, of course it would happen then). Left me a week and a half short, so I waited till I could fill it because I knew it’d get denied, and she still DENIED my Rx. Then, it was passed on to another NP whom I’ve never met, and she filled it. Makes no sense. I’ll look into those other companies- ive used nurx but not wisp but if I can get it covered, wisp is the way to go! Nurx had issues with my insurance prior so I stopped using their services years ago.

Yeah, omicron was dominant at that time. I’m super self aware and know when something’s not right. I noticed I just felt slightly off and had a tickle in my throat. Tested myself at work and it was positive. Merry Christmas to me lol if you need any tests I can gladly send some your way- they pass them out to us like candy here lol as for the vax, that took me out more than Covid. When I got sick, I had the mild congestion and loss of appetite with the dry cough and SOB but that’s it. No body aches, no fever or chills, nothing. The vax gave me everything! I was worn out on top of working 12’s. I do hope you recover- I know it’s not fun dealing with long Covid and I know a few pts who still have it after a year. Combine that with the new variants plus monkeypox…girl, I’m living in a virus bubble and it’s getting worse. We’re the epicenter of it.

Im only moving 450 miles away but I warned my partner our new spot would be a hotspot for monkeypox - they just had a pride festival and people are of course still traveling. I can’t catch a break. It’s been exhausting at work.
Yeah, day 4, won't do much. :(

I love Wisp. I haven't tried Nurx - looked way too complicated and I have no patience for such things. When I want it, I want it, and don't need to spend 30 minutes trying to get something done that should take 10 minutes. (Inefficiency is such a pet peeve of mine.) I'm fortunate to be in a place where I can afford convenience over cost. I haven't always been - I know how hard it is.

Tests are now plentiful here, of course, but thank you for the offer. :) I've got the free ones from the gov't, and I can get them free from my insurance, too.

Yep, nothing like living in big cities that are hot spots for things, right? I'm with you - still in my virus bubble. My mom has cancer and is undergoing chemo, and I feel the threats everywhere.

It's just insanity.

I hope you get a break with the move and can take a bit of time off at some point to just relax. It's summer. I hope you can enjoy it somehow. :)



I’ll have to look into Wisp! I want my stuff ASAP, but we all know how things go with healthcare and prescriptions. I told my partner to look into it too- the VA is notorious for being quite slow and just terrible overall, so I’m trying to expand his options here. Thankfully he’s very supportive and if I needed help covering the costs of anything he’d help. Might need some help since I need to switch over insurance and everything, and that’ll take some time typically.

I wonder, do they make creams for lesions? Just so it heals faster. I guess it would be like the equivalent of Abreva? I swear I thought I read about it somewhere but I could be mistaken.

I really do hope y’all stay safe! I know it’s easier said than done, especially in hot spots. I’m over all of it. A lot of us HCW’s are burned out. I’m ready to go hide out for a bit in the new apartment.

There is an acyclovir cream, but it doesn't do much, really - the oral meds do the most.

Wisp makes this lidocaine/amitriptyline numbing gel that is amazing. It doesn't heal a thing, but it does really help numb it. :)

I'm so over it all, too. I could go on a big ugly rant about it all, but I'm sure you've heard it all, and it's not appropriate for this forum lol. It's definitely very far off topic lol.

Stay safe!!
Ugh so I guess I’m just stuck waiting lol It’s hard for me to catch it early too in order to double dose because I get no prodromal, I just happen to wipe and something stings. I catch it when it’s too late. :( thankfully I don’t need the lido. It’s literally the TINIEST red spot, and that’s it. It’s never progressed. Knock on wood. Haha

I’ve probably heard a good chunk about what you have to say, yes lol I mean I’ve even been called everything under the sun because I cannot provide individuals with a vax. Blame the government, not me!
"I just happen to wipe and something stings." - 99% of the time, this is how I know, too. If I get prodome, I've never figured it out.

I need the lido about 50% of the time, just depends on where it is. They recently migrated to near the clitoris, and it gets very irritated with movement. Life is grand.

Hope you had a good weekend. :)
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