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vulvular pain and itching for continuous 6 months - herpes ?

How long do your outbreaks last while on medication?
1-3 days
5-7 days
8-15 days
16 - 30 days
30 - 45 days
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I have had recurrent pain, itching, tingling in the external vulvovaginal region for the past 6.5 months lasting for roughly 8 weeks at a time. The main irritation occurs in inner folds of the labia majora and the outer side of the labia minora with minimal itching at the vaginal opening. There is a slight redness of the area, but no lesions, bumps, rash, or swelling. The two times the symptoms cleared they remained cleared for about 3 weeks before recurrence and there was no apparent cause of that.

During this time I have been to the clinic, to see a GP, a dermatologist, and a gynecologist. I have been given diflucan, Clotrimazole , metronidazole, and nystatin triamcinolone. I have self treated for yeast with over the counter perscriptions. I also started taking a daily anti-histamine. All doctors reported the area looked normal if less or more inflamed. None of the medications have helped in the slightest. I have tested negative for bacterial vaginosis (in all of it's flavors), yeast infections, HIV, syphilis, HPV, and HSV-1.

Two and a half years ago I tested positive for HSV-2. I have been on 1g of valacyclovir per day since. Before August 2012 I would experience tingling and itching for 3-5 days every 1-4 months. The fact that the past several months have caused considerable amounts of pain and itching for such a long, continuous time (roughly 8 weeks)- while on medication is very odd. Again, I have not had a single lesion in that time.

The only anomaly is that my nipples, particularly one, recently (in the past two weeks) started feeling similar symptoms - itching and tingling. However, the skin looks completely fine. In the past week I have upped my dosage to 2g/day and seen no difference in either area. What are the chances all of this is not herpes related? if it is herpes related - why on earth are these lasting so long? Does valacyclovir stop working over time? Is there another medication I can take instead of or supplementary to the valacyclovir?

As for doctors, what are the benefits of an obgyn vs a dermatologist vs and infections disease specialist?
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replied March 9th, 2013
Extremely eHealthy
Hello,

I am not an expert but I believe herpes attacks tend not to be at regular intervals and also tends not to cause irritation unless an attack is imminent or under way.
An attack is most likely to occur when you are run down and body defences are low and often other symptoms also present themselves, such as a sore throat.

As your vulva has been examined and treated in a variety of ways for so long without any real change in the condition it is possible the trouble is not medical or was medical but now is not...

It is possible you have developed an allergy or an intolerance to something.
It is possible there is a psychosomatic influence.
It is possible it is the itch-scratch-itch syndrome at work.
Or perhaps any combination of the above.

The itch-scratch-itch syndrome is probably the easiest to treat. Unconscious scratching of the already irritated area at any time, especially while asleep can further damage sensitive areas and bring those areas into contact with hand cream and other residues. Making certain you cannot reach the area while sleeping will make it difficult for healing to take place as the vulva should be exposed to the free movement of air as much as possible.
Wearing gloves at night could be part of the answer but a preparation containing very soothing ingredients or even a local anaesthetic could remove the need for unconscious scratching and allow healing to take place.

As far as doctors are concerned I feel it is usually best to consult the family doctor or general practitioner in the first instance who should have the experience to refer you to the right specialist when his armoury of experience is exhausted.

With doctors as with many walks of life it is often necessary to first ask the right question in order to get the right answer.

I hope this helps a little.
Good luck!
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