I have pcr confirmed G-HSV 1. I did not have any prodrome symptoms but have been checking myself everyday and noticed on 8/14 some very small white bumps in one area only. I've had no pain or felt anything unusual. When I think about it, I do feel some itching and a weird sensation but when I'm busy and not thinking about it I don't feel anything. Could this be an outbreak even though there isn't pain? Should I take Valtrex? It looks different than my first outbreak. I very much want to have sex again but I am very nervous about spreading this to my partner. If it is another outbreak then it's great that I don't really have symptoms, but it seems like I could miss a potential outbreak and therefore spread it to my partner. Any advice?
Some background. 7/14 was the last time I had sex (vaginal and oral) with my partner (he is the only one I've ever had sex with). 7/18 started having pain, urinary retention, itching, burning in my genital area but I was away on vacation and knew it wasn't a UTI because my urine was clear. I chalked it up to irritation from going to the bathroom frequently because I had stomach upset for a few days while away. 7/24 I check myself and noticed 4 individual sores in my genital area. 7/25 get a pcr test of the sores, Dr has me take 500 mg valtrex 2x/day for 7 days. 8/3-sores clear up, still have tingling and itching feeling occasionally. PCR test was positive for HSV-1. IgG and IgM were both negative making me believe this was a first time infection.
8/6-I get diagnosed with COVID and have a high fever. 8/7 I start feeling tingling, burning, itching in my genital region so I take 500 mg Valtrex 2x/day for 3 days. I have been checking myself everyday with a mirror and a light and I was unsure if I saw any bumps, but didn't see any sores. There was no more burning and only an occasional itch, but on 8/14 I saw a very small area of redness with some tiny white bumps. However, I have no other symptoms at the moment and this is not what my initial outbreak looked like, which was individual and unmistakable sores like a canker sore. Do you think this is a second outbreak? And am I going to have to check myself everyday for the rest of my life to make sure I don't have any sores so I don't accidentally transmit it to my partner? How do you distinguish what is and isn't an outbreak when it can appear in different areas? He must have given it to me but he's asymptomatic and I don't know if he recently acquired HSV-1 orally from sharing a drink or something or if he's had it for a while and thus has antibodies and would be more protected.
Lastly I asked about daily meds and my doctor told me that only if I have a lot of outbreaks, more than 8 or so in a year will they prescribe them because they start to lose effectiveness if you're on them all the time. I was prescribed doses for my outbreaks only. That's a scary thought but from what I've read I didn't see anything proving that they lose effectiveness. I've heard some people say to take it for the first year and other people who say it's better not to take it so your body builds up a defense. Thoughts? Thank you!