Many women have found that PHN intensifies prior to menstruation.
Some people have found a course of suppressive anti-viral medication to be helpful, particularly when accompanied by very frequent or severe outbreaks.
The pain can be intermittent, and in some people it can be chronic, lasting for weeks and months at a time.
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Asymptomatic shedding is something that people find difficult to understand – there is a lot more detail in the transmission leaflet you can choose when you join (you decide if you want it sent by post or by email). Be aware that when you stop a long course of tablets, there may be an outbreak 4 or 5 days afterwards.
Suppression therapy, when the tablets are taken daily to keep the virus dormant – perhaps for six months or longer. With regard to aciclovir, it is now considered to be so safe that and annual kidney function test is no longer required for long term use: If breakthrough recurrences occur on standard treatment, the daily dosage should be increased e.g. This is not a sign that future recurrences will be frequent – you will need to wait and see. Beware: Many websites advertise fake ‘treatments’ or even ‘cures’. You will see plenty of internet sites offering dubious ‘treatments’ that are unnecessary and probably have no effect.