I am a doctor 33 years old, I first had an outbreak of hsv 2 in march 2012, I did the diagnosis at that time. In summet I have had another outbreak.
But since 2 months I feel pain in the external part of the right thigh, about 3/10 in intensity. It can be a very disturbing pain. sometime it moves to the right leg, tometimes it goes to the right leg.
Yes as you it is post herpetic neuralgia. When the neuralgia lasts a long time after the outbreak of hsv then it is post herpetic neuralgia. I did the diagnosis alone and I didn't talk about it to anyone except my girlfriend, and I asked her to test her, and she discovered that she was hsv 1 and 2 + but she has never had any outbreak, she is asymptomatic.
I have never experienced erectile problems.
I don't know how the pain will change with time (months, years).
What I can tell you is :
- the pain don't decrease with the valaciclovir or aciclovir (studies have shown it)
- but the outbreaks of hsv 2 decrease in number and intensity with valaciclovir or aciclovir, so, personally I have decided to take a daily medication of 1g valaciclovir per op, because after the outbreak the neuralgia is worse, and probably the outbreak hurts the nerves.
But an important information is : the quantity of valaciclovir per os that you take don't change the frequency or intensity of the outbreaks of hsv 2 SO 1 g daily is enough, don't loose all your money in valaciclovir, it will not add any beneficial effect (I have found an excellent recent study which showed it).
- Finally, I don't know peronally the evolution of the post herpetic neuralgia post hsv 2 because it is not well studied. The pain of neuralgia post hsv 2 is usually asymetric, and some people experience pain of one side of the body. I think this problem will be more and more studied because hsv 2 is more and more frequent in the population, also the research for a vaccine and for treatment is important and I am sure that soon new medication will appear.
I hope that these advises will help you.
I would be glad to know how you feel now and how is the pain, and which treatment you have done.