Dear emily,
Is this the first time you’ve experienced these spots? They certainly look like herpes, but not all cases of herpes need to be treated. It depends on the severity of the condition. So if what you’re showing us is something you’ve had before- i.e. a recurrence, then it may not be necessary. The usual treatment is aciclovir.
Adhari
Pls Adhari
What would u advise for someone with such a small and less severe outbreak but usually experience it 2-3 times within a month for the past 5months. Would u opt for suppressive therapy?
The rule of thumb for starting suppressive treatment with aciclovir is if you have around 6 outbreaks or more a year. So it sounds like you are in that ballpark…if this is herpes. Has this been confirmed? Most doctors would need to be sure they’re dealing with herpes before prescribing aciclovir, because you’d be on it for 6-12 months. It would be a waste of (your) money if the diagnosis is incorrect!
Rgds,
Adhari
It has been confirmed by blood test.
HSV 1/2 IgG: Positive 18.26 index
HSV 1/2 IgM: Negative
Hi mhc,
Blood tests for herpes are a very poor substitute compared to a genital swab for herpes.
The best test is to get the genital lesions swabbed for HSV DNA.
The blood test result you’ve shared tells us that you could have been infected with either HSV-1, HSV-2 or both! In other words it is non-specific.
Rgds,
Adhari
Huh? 
. Don’t shoot my hopes up plssss 
. I was exposed Aug 2019 and had what seems to be my first Outbreak on Feb 1st 2020 but before then I had witnessed what seemed like 3-4 tiny vesicles with clear fluid twice around Nov 2019 and my dermatologist said they were folliculitis. I got tested for all STDs when there weren’t any outbreaks on 27th March and only Hereps 1/2 IgG came back positive with a high index of 18.26 and IgM was negative probably because there weren’t any outbreaks atm. So how can I not rely on the results when I experience outbreaks.
These are the IgG and IgM results
???
still waiting for your reply