Short Answer: Yes.
Let’s unpack it together.
Understanding Genital Herpes (HSV-2)
Genital herpes is primarily caused by the herpes simplex virus type 2 (HSV-2), though HSV-1 can sometimes be genital. Once infected, the virus remains in the body for life, residing in nerve cells where it can remain dormant. Periodically, HSV-2 can reactivate, leading to outbreaks of painful blisters or sores in the genital area.
How Is HSV-2 Transmitted?
HSV-2 is transmitted through direct skin-to-skin contact, typically during vaginal, anal, or oral sex with an infected person. Importantly, the virus can be spread even when no symptoms are visible due to asymptomatic viral shedding.
The Role of Amino Acids in Herpes Management
All proteins are made up of amino acids, and two play a key role in managing herpes:
- Lysine: This amino acid has been shown to suppress the replication of the herpes virus, potentially reducing the frequency and severity of outbreaks.
- Arginine: In contrast, arginine can exacerbate herpes symptoms by triggering viral replication.
It is important to be mindful of your diet:
- Foods High in Lysine: Opt for foods that have a higher lysine to arginine ratio. These foods help keep the virus in its dormant state.
- Foods High in Arginine: Foods with a higher arginine to lysine content, particularly many plant-based proteins (such as soy, seeds, nuts), shellfish, and others, should be limited to prevent triggering outbreaks.
Surgery, Stress, and Herpes Outbreaks
Gender-affirming SRS surgery is a major procedure that can cause significant shock and trauma to the body. This stress can potentially trigger a herpes outbreak. However, with proper management, the risk can be minimized.
Suppressive Therapy with Acyclovir
Acyclovir is an effective antiviral medication used to maintain the herpes virus in a dormant state during periods of stress, such as surgery and recovery. Here are some guidelines regarding its use:
- Dosage: A common suppressive regimen is 400 mg taken twice daily (morning and evening).
- Timing: It is recommended to start acyclovir 7 to 10 days before surgery. This period allows the medication to reach effective levels in your body, helping to ensure that the virus remains dormant throughout the surgical procedure and during recovery.
Key Takeaways
- Herpes management is essential for SRS surgery: Without proper precautions, herpes can complicate your surgery.
- Control through medication and lifestyle: Using antiviral medications like acyclovir, monitoring your dietary intake of lysine versus arginine, and managing overall stress can help maintain viral dormancy.
- Personal triggers vary: Each person’s triggers may be different. Understanding your own triggers and working with your healthcare provider can help you tailor a management plan that supports both your surgical outcomes and overall quality of life.
If you have further questions about managing herpes before, during, or after surgery, please feel free to reach out to one of our patient advocates. We’re here to help you navigate suppressive therapy and ensure you receive the safest and most supportive care possible.
Your health and well-being are our top priorities.
Procedures for SRS Surgeries