Clarification needed.

[juststraightconfusion]

Hey Terri, please bare with me as I have quite a few questions. Please let me know if anything needs further explaining! I should also mention that I am negative for both types of HSV by Western Blot.

1. I get really confused when it comes to genital to genital transmission of HSV1. So if a person generally only sheds 4 days a year and they have a long term partner, it still seems at some point that partner would come in contact with virus? Is it because when the virus sheds it is not as infectious as HSV2 would be since it’s not in it’s “preferred” location? I would greatly appreciate if you could explain the reasoning behind this conclusion.

2. I had a bump on my outer labia that I could sort of feel under the skin and left it alone. The next day it hurt so bad and I had to squeeze it for relief. White pus mixed with blood came out, could this be herpes or a sebaceous cyst?

3. I know this isn’t your area of expertise, so if you don’t feel comfortable answering I fully understand: Are sebaceous cysts common on the vulva?

4. Regarding Herpetic Whitlow: I will sometimes get really itchy fingers and scratch them so much that blisters will appear, if i leave these blisters alone they kinda just “deflate” and eventually go away. Could this be Herpetic Whitlow?

[Terri Warren]

1. I get really confused when it comes to genital to genital transmission of HSV1. So if a person generally only sheds 4 days a year and they have a long term partner, it still seems at some point that partner would come in contact with virus? Is it because when the virus sheds it is not as infectious as HSV2 would be since it’s not in it’s “preferred” location? I would greatly appreciate if you could explain the reasoning behind this conclusion.

The reason that HSV one genital infection is not commonly transmitted through intercourse is because it is so rarely shed. If it is only shed on four days out of the year, a person would have to be having intercourse every single day of the year to have any likelihood of being infected. Is it possible that someone might have intercourse on a day that HSV-1 was being shed from the genital area? Sure it’s possible it’s just really unlikely.

2. I had a bump on my outer labia that I could sort of feel under the skin and left it alone. The next day it hurt so bad and I had to squeeze it for relief. White pus mixed with blood came out, could this be herpes or a sebaceous cyst?
That sounds more like a pimple or a cyst rather than herpes. Herpes does not have pus in the lesions it has clear fluid.

3. I know this isn’t your area of expertise, so if you don’t feel comfortable answering I fully understand: Are sebaceous cysts common on the vulva?
I wouldn’t say that they’re common but they do happe

4. Regarding Herpetic Whitlow: I will sometimes get really itchy fingers and scratch them so much that blisters will appear, if i leave these blisters alone they kinda just “deflate” and eventually go away. Could this be Herpetic Whitlow?

It’s hard to imagine what you’re talking about actually. I’ve never heard of someone scratching so hard that they get a blister but if the blister only comes from scratching that does not sound like herpes to me.

Terri

[juststraightconfusion]

Ok so now I have a bump on my anus. I was having a little bit of pain, nothing major but could definitely tell something was there. I got a mirror and looked and there is a dark purple almost black bump. Could this be herpes?

[juststraightconfusion]

Terri, I thought of another question after some research, so added this. Please disregard previous post.

Ok so now I have a bump on my anus. I was having a little bit of pain, nothing major but could definitely tell something was there. I got a mirror and looked and there is a dark purple almost black bump. Could this be herpes?

I read that Eczema Herpeticum could cause dark purple lesions. Could this be a disseminated herpes infection? Or does this sound like a possible case of hemorrhoids?

[Terri Warren]

Any bump should be swab tested to know if it is HSV or not. something purple at the anus could certainly be the more common hemorrhoid. I would bet a lot of money you don’t have disseminated HSV

Terri

[juststraightconfusion]

Terri, just to reiterate, I am negative for both HSV1 and 2 via WB.

If I were French kissing my husband and he had a cold sore or was shedding virus, then performed oral sex on him, and then proceeded to have unprotected sex with him, is that a risk of contracting genital HSV1? I’m concerned that I may have had virus on my mouth then transferred it down to his penis, even though I know he wouldn’t contract, but virus from my mouth acquired from his might have been on his penis and I proceeded to have unprotected sex with him? Is that a possible scenario of contracting genital HSV1? Or is this unlikely?

[Terri Warren]

The scenario you describe is incredibly unlikely to give you genital HSV 1 infection. Do we even know if he has HSV 1?

Terri

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