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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to overcome the herpes outbreaks and the related problems with sex?

I am 52 years old and have alot of herpes outbreaks. I stop having a period at 44 years of age. My husband and I, married 9 years now are having some sexual difficulties. I have alot of discomfort during intercourse and the outbreaks are getting worse over time. I have also had 3 unhealthy papsmears, not in the last several years though. But when I do have intercourse, the walls feel very tender and I cramp for a few days afterwards. I am not on HRT anymore. I stop taking femhrt 8 months ago, after taking it for 6 years. I really believe there might be something serious wrong with me. The papsmear in July for fine. With all of this trouble, I wonder if I had a hysterectomy and took hormones, would I be physcially better. thank you, Angie
Fri, 31 Jul 2020
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OBGYN 's  Response
Hi,

Sometimes herpes do have recurrences as the virus remains dormant. You might need some local antiviral cream and anti-viral oral medications for longer duration to keep this infection suppressed. I would also suggest you to do a baseline ultrasound to look for ovaries and uterus. As you have mentioned the PAP is normal, I would prefer to see the PAP report myself. I can advise you further about going ahead with hysterectomy or starting HRT after getting more details about your symptoms as well.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Arif N. Khan, OBGYN
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How to overcome the herpes outbreaks and the related problems with sex?

Hi, Sometimes herpes do have recurrences as the virus remains dormant. You might need some local antiviral cream and anti-viral oral medications for longer duration to keep this infection suppressed. I would also suggest you to do a baseline ultrasound to look for ovaries and uterus. As you have mentioned the PAP is normal, I would prefer to see the PAP report myself. I can advise you further about going ahead with hysterectomy or starting HRT after getting more details about your symptoms as well. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Arif N. Khan, OBGYN