April 26, 2021 at 3:10 pm #73386brianw79aParticipant
I’m a 40yr old male. New partner 6 months ago, 30yr old female – previous I had no HSV 1 or 2 symptoms, oral or genital. She never mentioned HSV status to me. She is still my partner. We have had frequent unprotected intercourse and she has performed oral sex on me.
6 weeks into relationship she got a cold sore on her lip. While she had it, we kissed, she performed oral sex on me, and we had intercourse multiple times.
1 week later I experienced the following symptoms:
– Lips tingled, burned a little, felt dry
– Small pus blister (maybe 1/16th of an inch) on my middle lower lip for half a day. I drained it, the pus did not return, and it healed within a day
– Scrotum, anus, and genital area had a slight itch
– Slightly inflamed hemmorhoid
– On and off lower abdomen ache, hurt when bent over to tie my shoes
– Inflamed sensation urinating, but no discharge or bleeding
– “Different” sensation in throat, eyes, and skin.
– Slight muscle ache.
– That’s it, I never had a traditional herpes type blister on my lips nor on my penis or genital area
– Symptoms gone in 5-10 days
1 week after exposure to her cold sore and while I had these symptoms, I got a full STD check, including HSV 1 and 2 IGG. All tests were negative. A rapid syphilis test came back false positive, but later confirmed negative. IGG HSV1 negative < 0.01 and HSV2 negative at 0.17
Doctor said I should retest 12-16 weeks later.
I retested and results were HSV 1 negative at < 0.01 and HSV2 negative at 0.20
Since my initial symptoms, I have not had any symptoms at all. My partner hasn’t been HSV tested, so I don’t know her status still for sure, only that she gets cold sores on her lips.
Based on my repeated exposure, initial symptoms, initial test results, and follow up test results, do you think it is likely that I have HSV1 and/or HSV2?
May 7, 2021 at 2:31 pm #73449Terri WarrenKeymaster
Well, I think it may be neither. But the traditional IgG test for HSV 1 misses 30% of HSV 1 infections compared to the western blot, so I”m not sure. If you want a more accurate answer, you could get the western blot. The IgG for HSV 2 is better – misses only 8% of HSV 2 infections, compared to the blot
Her HSV 1 oral infection is not a risk for intercourse, but it is a risk for her giving you oral sex and kissing.
If she gets recurrent cold sores, she almost certainly has HSV 1 orally
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