Newly contracted?

[newpatient94]

I was recently diagnosed with genital HSV-1. I have only been with one partner this year (it’s 4-5 months since anyone else). I started to notice the symptoms about 5 or 6 days after we had sex last time, which is 2 weeks ago now. My swab/culture test came back positive for HSV-1, but the antibodies have still not been developed (i.e. blood test was negative). Is it likely that I contracted this from him? If so, «the talk» (if I can make myself do it) will be a lot easier..

[Terri Warren]

It’s a little bit complicated because the IgG test misses 30% of HSV 1 infections. The timing is certainly consistent with new infection. what was the outbreak like for you? Were you the receiver of oral sex from your partner? That is the most likely cause of HSV 1 genital infection. The way to know for certain would be to obtain a herpes western blot (the more sensitive test for HSV 1) immediately to look for the lack of antibody. This has to happen quickly or you will rapidly make antibody if you don’t have it already.

Terri

[newpatient94]

1) Yes, I did receive oral sex. But he had no signs of oral herpes at all. My ob was quite painful, with 5-6 red bumps/blisters. But now, after a week they are almost gone.

2) Western Blot, is that a blood test?

3) As it is likely that I got this from him and as the transmission rates are low, is it really necessary to tell him? Most people already have HSV 1 virus in their body. I am very worried about having that conversation.

[Terri Warren]

Most new transmission of herpes occur when the infecting person has no symptoms that are visible.
Western blot is the blood test, yes.
Why would you not want to discuss this with him? I mean, if you are certain you got it from him you don’t have to, he is unlikely to get this in a new location, though that is not 100% certain. It would probably be good for him to know that he is infectious to others, don’t you think?

Terri

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