October 28, 2022 at 2:23 pm #79231Mooreec2Participant
Hi Terri, so grateful to have found this page and your “ask the experts” page through ASHA. I really need advice and guidance surrounding this new diagnosis.
55 Days ago i was extremely drunk and performed unprotected oral sex on a male I met at a bar that night and a few days later developed horrible mouth ulcers all over my gums, i felt generally terrible, had swollen lymph nodes, and had a sore throat. I took a Z pack, and experienced no relief. I then thought this could be herpes so I got an online physician to order me Acyclovir 800 mgs. I took that and the symptoms resolved after about two weeks.
I met a really great guy, who I care deeply about, since then and have had unprotected sex but see this becoming a monogamous long term Relationship.
Almost two weeks ago, I started experiencing a sore throat, refrained from kissing the guy, and then a few days later developed a cold sore on my lip. I initially thought it was general skin irritation or from sun exposure because i live at the beach but it worsened, and then really didn’t improve quickly. I got valacyvlovir 500 mg ordered and started taking that. I have effectively managed to avoid the guy i like because he was traveling for a week and a half but he is now back in town and is so confused and concerned why i wont see him.
Two days ago I got a blood test done and i tested positive for HSV2 via IgG with a score of 13.6 and a <0.19 score for HSV1.
I have not had any symptoms genitally. And I did not have sexual intervouse with the first guy, I just gave him oral sex. My question is, have i experienced an oral HSV2 primary outbreak? The cold sore on my face has now pretty much healed so wouldn’t a swab be ineffective?
Or could I possibly have genital HSV2 AND oral HSV2?
And finally, what the heck do i do? How do i prevent transmission and harming someone. Infinitely grateful for your help during this very stressful time.
October 30, 2022 at 9:46 am #79256Terri WarrenKeymaster
Hmmmm. If only you had had a swab test done of the lesions in your mouth or the cold sore, we would know so much more. At this point, we just don’t know what is going on. You could have an older established infection with HSV 2 and have been largely asymptomatic or the lesions orally could be HSV 2, we simply cannot know. The only way to know would be in you had a negative IgG test for HSV 2 prior to giving oral sex to the man you describe.
The only way we are going to know is if you get another cold sore (have you ever had one before in your lifetime?) and have it swab tested or you get a genital sore and have it swab tested. If the sores in your mouth were HSV 2, then you may not have any other oral symptoms for a long time, is the problem.
I just don’t know what to tell you about the current person in your life except to tell him what you’ve told me – exactly what you’ve told me. You could go on suppressive therapy and have him use condoms with sex if you decide to do that. The issue with that is then you won’t have another outbreak to swab test right away but you would be protecting him.
What are YOUR thoughts about this?
October 30, 2022 at 11:15 am #79263Mooreec2Participant
Terri, thank you so much for your response. Because I had such an insane acute response after giving the first guy oral sex almost immediately following the encounter wouldn’t that be kind of characteristic of a primary infection / new exposure to the virus? Or am I wrong in assuming that? I was just soo sick. So many ulcers allll over my gums, worst sore throat i ever had and malaise.
I have never had a cold sore and don’t believe ive had a genital sore. I think I’ve just had occasional ingrown hairs from shaving / waxing and friction from sweating from workouts but I’ll pay more attention going forward. Is there a chance that if i have oral hsv2 that i could give it to myself genitally? And for him is the transmissibility risk extremely high for Oral hsv2 and genital hsv2? I understand asymptomatic shedding but I can’t find much reliable info about the percentages for hsv2.
I disclosed yesterday to him and said basically everything i told you and he said he cares about me and just wants to be with me, and doesn’t really care. Which I’m extremely relieved about. We are exclusively dating as of yesterday and i explained the risks involved in sex and kissing and skin to skin contact and he basically wasn’t really phased. Would it be helpful for him to take antivirals? I’m taking them because I would rather suppress the virus then swab a lesion. Let me know at your nearest convenience. Thank you again for all that you do and for being such an incredible resource.
November 6, 2022 at 7:24 am #79301Terri WarrenKeymaster
well, when you say that you got symptoms immediately,is that like the same day or a few days later? What does that mean?
We can assume, for the purposes of this discussion, that you have HSV 2 orally. I don’t know if that is true or not. but let’s assume it for purposes of discussion. HSV rarely sheds orally, but in the first year or so of having infection, it will shed more often while your immune system gets a handle on things. You can transmit by kissing or giving oral sex to your new partner, though the risk is not what I would describe as high.
It would not be helpful for him to take antivirals, to reduce the risk of transmission, no
But if he actually tests negative, you would benefit from taking them, regardless of the location of your infection.
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