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I have had oral HSV-1 since childhood and outbreaks 2-3 times a year were common. I am now 39 years old & currently get a single cold sore on my lip about once per year. My last cold sore was October 2017.
I had unprotected sex with my boyfriend on February 9, 10, & 11, 2018. On February 11, I put his penis in my mouth for less than five seconds, without a condom. This was our first sexual encounter & we have not had sex since those three days. We spent a considerable amount of time kissing mouth to mouth (total of 10-15 minutes over the 3 days) but he did not develop any mouth cold sores.
On March 3, he developed 9 sores around his genital area. He went to a walk-in clinic the same day. They clinically diagnosed him with genital herpes by physical examination but they did not swab his lesions. They gave him a blood test. His results for HSV-1 and HSV-2 came back negative. He made an appointment with his urologist who said to wait 12-16 weeks to have a follow up test to confirm the negative test results. His urologist also said it looks like genital herpes but he has seen instances when similar lesions were something else.
I went to my gynecologist and was tested for HSV-1 and HSV-2 on March 9, 2018. My results:
Hsv-1 IgG: 41.00 (positive)
HSV 2 IgG: <.91 (negative)
I have never had any symptoms of genital HSV & my last sexual encounter was September 2017.#1: It seems so unlikely that I gave him GHSV-1. What are percentage chances that I gave him GHSV-1 given the fact I haven’t had a cold sore since 4 months prior & he was in my mouth for less than 5 seconds? Would this have been because of asympyomatic shedding? Why didn’t he get any on his mouth with the amount of time we spent kissing?
#2: Is there any chance I have HSV-2 but my test results came back negative? It was 23+ weeks since my last sexual encounter with a previous boyfriend & my negative HSV-2 test. (he did not have GHSV to either of our knowledge)
#3: Does anything look like GHSV but isn’t?
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#1: It seems so unlikely that I gave him GHSV-1. What are percentage chances that I gave him GHSV-1 given the fact I haven’t had a cold sore since 4 months prior & he was in my mouth for less than 5 seconds? Would this have been because of asympyomatic shedding? Why didn’t he get any on his mouth with the amount of time we spent kissing?
IF he acquired HSV 1 from you, it would have been from asymptomatic shedding, yes. It does seem likely to me that he would have acquired it orally as well if it was from you but it doesn’t always happen that way. The lesions definitely should have been swab tested.
#2: Is there any chance I have HSV-2 but my test results came back negative? It was 23+ weeks since my last sexual encounter with a previous boyfriend & my negative HSV-2 test. (he did not have GHSV to either of our knowledge)
The IGG test for HSV 1 only misses 8% of infections (and have you been having unprotected intercourse?) but 30% of HSV 1.
#3: Does anything look like GHSV but isn’t?
Some staph and strep can look like herpes, yes. But nine specific sores? That seems pretty much like herpes to me as well
Also, what is the length of time from contact with an oral HSV person to when their HSV free partner shows genital lesions? In this case it would have been 20 days. Is 20 days typical or what is average from exposure to lesions? Can you provide some information on when lesions form from contact and percentages?
20 days is too long. If someone is going to develop new herpes infection, lesions appear between 2-10 days after the encounter.
Terri
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Whoops, I meant to type that the IgG test misses 8% of HSV 2
And that is correct, 20 days to first symptoms from a new infection is not reasonable.Terri
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