
Suggest Treatment For Cyst On Thyroid Gland

Last year I came out positive on herpes hsv 1 and 2 blood test. I'm afraid that maybe I gave him the virus or agitated him by exposing him to the virus.
I went to several drs and the last one told me that those tests are not reliable and to not worry about it, but im worried that I am passing on the virus. We use protection during sex.
Can you help me? I want to make sure I am not compromising his immunity.
I've never had an outbreak that I know of from herpes, but I just want to make sure that the cyst that grew on his thyroid has nothing to do with being exposed to the herpes virus that may lay dormant in my body.
I do get cold sores in my mouth and have felt tingly and strange, which I thought was a symptom of herpes.
HSV is not related to thyroid cyst
Detailed Answer:
Hi XXXX,
Welcome to HCM. I have gone through your question and understand your concerns.
HSV 1 and 2 can be transmitted sexually and during kissing if you are having active infection. But the relation of this with the thyroid disease is not clear. The cause of thyroid cyst may be due to a thyroid nodule which has bled or cystic change. The link between thyroid autoimmune disease (Hashimoto's disease) - which is a cause of thyroid cyst - and HSV infection is also not clearly demonstrated. So no need to worry about this. Though HSV can be transmitted it is not responsible for thyroid disease in your boyfriend.
Thyroid cysts are usually benign and no treatment is needed in majority of case. Most are non cancerous and the only reason for their removal is large size.
The investigations commonly done are thyroid function tests, ultrasound neck and needle biopsy if needed.
Hope I have answered your question. If you have any further questions I will be happy to help you
Regards
Dr Ajish TP
Consultant Endocrinologist


One cause is auto immune disease ( Hashimoto's)
Detailed Answer:
Hi XXXX,
Welcome back.
The cause of cysts in thyroid is not known. It could be a cystic change in a nodule in thyroid.
The causes could be auto immune, genetic or environmental (radiation, chemicals etc).
One cause of it is auto immune disease ( Hashimoto's thyroid disease). But there is no link between HSV and Hashimoto's.
Hope I have answered your questions
Regards
Dr Ajish TP
Consultant Endocrinologist


Last question.
Could this have been detected by a GP and a normal panel of tests? Or does this kind of thing just pop up out of nowhere.
I wonder if its genetic. Probably unknown.
Thank you so much. I feel better already .
Most probably detected by GP
Detailed Answer:
Hi XXXX,
Welcome back.
As you have said, most of the small nodules are detected by doctors on palpating. These nodules are not with any symptoms unless they are big enough to press on your food pipe or airway.
As doctors we never look at what caused the thyroid nodule as it don't have any role in management of it. We are interested whether this nodule is benign, so that we can keep it, or it is cancerous, so that we can remove it. Cystic lesions are usually benign and nothing need to be done unless it is very large ( more than 4 cm )
Regards
Dr Ajish TP
Consultant Endocrinologist

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