Suggest Treatment For Genital Herpes In The Buttocks Area

Posted on Tue, 6 Dec 2016

Question: I was diagnosed with genital Herpes 6 months ago. Initial outbreak occurred in my buttocks after 4 to 8 weeks of feeling flu like symptoms. I went to a local dermatologist who told me it looked like genital herpes. He made some prelevment to put a name on his diagnosis and lab results were negative, twice.

After the initial outbreak he prescribed me 5 days of Valtrex(Valaciclovir) twice 500mg a day. It went away but 1 week after it came back again in my buttocks. Again he prescribed me 5 days of Valtrex twice 500mg a day, it went away but came back after 1 week. After the 3rd time of 5 days treatment it came back in my buttocks. So now im taking 500mg a day of Valaciclovir for 1 year. Im taking it since 4 months on a daily basis.

My concern is the following, I have a sexual partner and have always insisted on using condom with her. She's always insisting on having sex without condoms. One day we were in bed an we had an unprotected sex. It happened and i didn't told her that i have this virus. Since 1 month we have now unprotected sex. Im feeling guilty and bad now because i don't know how to approach the situation now. I also read on herpes website that there's small risk of spreading the virus if i'm taking valtrex and my outbreaks are located in my buttocks not near my genitals regions. What are the risks of spreading the virus if there is no outbreaks and that im taking valtrex, and that the outbreaks are in my buttocks ?

Now i don't know why i contracted Herpes in this area of my body ? I never received anal sex and never had any homosexual sex. My girlfriend cheated on me and left me in August . Is it possible that she had the virus and transmitted it to me ? But in that case the outbreaks should happen in my penis and genitals area ?

Approximately 4 to 6 weeks before this inital outbreak my ex-girlfriend waxed my buttock area with hot wax. I remember that it was hurting and that we applied some sun cream(only cream on our hand at that time) after the wax was finished. This sun cream contains alcool and it really burned my buttocks . Is it possible that i got infected because of this wax that was used on someone before me ? Or the inital outbreak occured in this region because of this waxing episode who hurted and weakened my body in buttock area instead of my penis ?

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Valciclovir reduces risk of transmission but not completely

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have gone through your complaints and can understand your concern.
Suppressive therapy with valciclovir definitely reduces the chances of viral transmission to a large extent but cannot nulify it completely.
A small risk always remains even if you have herpes of the buttocks instead of genitals as subclinical shedding of the virus can still occur.
You might have contracted the virus from your ex girlfriend.
It is not necessary to go for anal sex or have homosexual partner to have herpes of the buttocks.
It can occur even after normal intercourse as once the virus enters the body it can cause lesions in the entry site as well as neighbouring sites.
It is not possible to contract the infection by using wax and it is also not because of wax hurting and weakening your body.
I hope to have answered your queries and would be happy to clarify any further doubts.
Regards
Dr Asmeet

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Above answer was peer-reviewed by : Dr. Yogesh D