I'm not a doctor, but from what i've read
about hsv ii it does indeed sound like a
first-time breakout. Usually, reoccurring
symptoms are not as heavy as you've
described. Perhaps some itching and small
sores, but everyone is different. I
believe it has to do with the immune
system, but some people rarely breakout
with little problems, while others
breakout several times a year. Again
that'd be my guess, i'm not a doctor and
haven't read that, and would wonder if it
has to do with their immune system at the
time of acquiring the virus (giving them
good antibodies to fight it forever) or
their immune system at the time of
reoccurring breakouts (meaning sickness,
stress, etc. Could have an effect).
1. Could be.
2. I'd say no. Hsv ii just like any
other disease can be misdiagnosed. If it
can be misdiagnosed, that means there are
other diseases that similar signs and
symptoms. See a doctor, get a diagnosis,
and ask about possible misdiagnosis (what
else could it be?). Did the women you
spoke with have a name for the condition
where it appears after menstruation?
3.1. It is possible to have hsv ii
without any signs. Whether it can be
dormant and come about 9 years later, I do
not know. However, suppressed immune
systems can make symptoms worse. So I
suppose (but do not know, ask a doctor)
that a strong immune system could keep her
symptom free and then a weakened immune
system allow it to present signs.
However, as I understand it, diabetics
have weakened immune systems and i'm not
sure how much that rules out her ability
to suppress symptoms all these years.
3.2. As I understand it, hsv I and hsv ii
are different viruses. Both are possible
to have in the mouth area and both are
possible to have in the genital area.
Though ii is more common genitally, and I
is more common on the mouth. So i'd say
it's impossible for hsv ii to form from
hsv i, but I would not know if hsv I could
move to the genitals (and with the
severity described) from the reasons you
presented (itching, etc.).
3.3 everyone has hsv i, wouldn't know the
percentages, but practically everyone.
Though, it may be considered generally
from kissing, i'd think it could also be
given by touch. Such as someone with a
cold sore touching it, shaking your hand
and you touching your face. Don't know
though. It's likely that you got hsv I
from a kiss from your mother or family
member. Like I said, everyone has it.
I'd say go to a doctor and find out. Talk
about misdiagnosis, the menstruation thing
the women mentioned, possibilities of it
remaining dormant, etc. There are
underlying medical problems that could
causes herpes as well.