Genital HSV1 transmission

[LifeMovesForward]

Hello Ms. Warren

I have been trying to read up more about ghsv1 as I pottenitally may have it from recieving oral from my boyfriend of 1 year.

I have gone through the questions on this website and read many of your answers which seem
to change and it causes confusion. particulary when it comes to genital to genital transmission of hsv1.

There are many threads where you say you have seen very few rare cases of genital to genital hsv tranmission in 33 yeras of experience and even then its hard to say if it was really genital to genital because often when people have sex, oral is involved (https://www.westoverheights.com/forum/question/hsv1-genital/)

Then, in several other posts, you say that in 33 years you have NEVER seen genital to genital transmission of hsv1 but have only heard of rare cases ( https://www.westoverheights.com/forum/question/genital-hsv1-questions-2/)

There is already very little infromation about ghsv1 to begin with, so when the very little information that is available is confusing, it makes it very hard to understand.

1) in your 33 years of ghsv1 experience, have you, or have you not seen a genital to genital transmission?

2) Or did you mean that in 33 years of practice you have never personally seen genital to genital tranmission, but you have heard of rare cases?

I appreciate your help so much

[LifeMovesForward]

I completely underand that (though rare, even when your partner is HSV1-) transmission CAN occur
Im just trying to understand how many specialist have actually seen it. Most doctors who work 40+ years say theyve never actually seen a genital to genital hsv1 tranmission, though it is possible.

[Terri Warren]

I personally in 33 years have never seen a case of genital to genital HSV 1 transmission but it is described accurately in the scientific literature. In my practice, I never saw a person with genital HSV 1 who had not received oral sex just prior to coming down with new herpes. A particularly good paper, however, presents a case study of a person who transmitted to a partner through intercourse.
So this type of transmission HAS been documented but I’ve not seen it myself.

Is that clearer?

Terri

[LifeMovesForward]

Thank you so much for your response Ms. Warren.

One day after rough sex I experienced a tear on the inside of my vagina. It was
painful to sit or bend for a few days so I went to go get it checked out. They took
a swab of the tear and i had blood work done for HSV. the swab isolated hsv-1 and my
blood work was HSV-1 and HSV-2 IGG type specific. Negative for HSV-2 and positive for
HSV-1 with a value of 1.61 (>.90). If I am not mistaken, form what the doctors have told
me, IGG is indicative of an old infection, not really a recent one, so if I have ghsv1,
The last time I had sex (a week prior to testing) was not when I was infected? Is that
number (1.61) high? or low? Of course I know you cant tell me when exactly I was infected
but can that number at least tell you if it was somewhat recent (6 months or less) or really
old (1 year+) thanks for the help, I appreciate what you do.

[Terri Warren]

The IgG result of 1.61 along with a positive PCR could certainly be from new infection, occurring a week before you got the test done. That number is low and could go much higher if you have new infection. But it could also reflect old infection. The only way to know more clearly when you got infected is to have had a negative IgG for HSV 1, test positive by PCR, then have the index value become positive at some point in the near future. I am explaining that very well?

This is your final post on this subscription – if you have more questions, feel free to renew
Terri

[Author]

Posts