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20yrs ago I was scarred for life.Had a very bad “outbreak(OB)”of something in my Genital area that wasn’t going away.I’ll try to recall the best I can, the trauma and fear make it hard to recall all exactly.Scared and embarrassed I tried to self remedy with Vaseline, cortizone10, lotion, ice, baths, anything I could think of and it just kept getting worse.finally went to the school health clinic 1-2 weeks later.The Dr diagnosed me visually w/ HSV I Made him swab.He did but said it wouldn’t matter since it was not immediately after the OB & they would call if it it showed +, Prescribed me some Herpes medicine.I never received a call and was too traumatized by the Dr to even follow up, so I just kept taking the medicine for what felt like forever.The OB continued for what seems like a month or 2 longer before finally getting better I don’t recall if it was 1 long OB or back to back.I have had OBs a couple times on my shoulder and 1 on inside of my elbow prior as an child/teenager that the Dr referred to as crud or possibly impetigo I get cold sores on my mouth prior and still do couple times a year.I never had OB in my genital area since.My GF at the time,Nor the 2 other long term relationships after that had OBs or systems even though we continued to have unprotected sex.I had multiple std tests since all clear but not Herpes testing.Trauma still sets in anytime the slightest mark show up down there.I went for a swab swab test a few of those times, all clear. I explained to my Dr 1 1/2 yrs ago my trauma and needing peace that I was “clean” I requested igg blood test. Came back + Hsv1(obviously) & – for HSV2.Based on my igg test it couldn’t have been hsv2. I’ve been told if you have hsv1 oral very unlikely you would get Hsv1 Genital(is that true?) I’ve been told that it was HSV1, passing Hsv1 genital to genital doesn’t happen (is that true?)paired with the fact none of the 3 long term unprotected sex partners I had with 0 symptoms or OB should be enough evidenc
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I believe I answered this elsewhere?
Terri
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The HSV 1 antibody is likely from your cold sore history. Herpes outbreaks do not last 2 months. I also doubt that what happened on your shoulder was herpes or inside your elbow, but if you get that ever again, you should have it evaluated and swab tested, if appropriate. It is extremely unlikely if you have HSV 1 orally that you would acquire it genitally, correct, and if for some wild reason you did, it certainly would be a very limited presentation.
terri
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We do not have data on HSV 1 genital to genital transmission.
Again, if a person has HSV 1 in one location, it would be extremely unusual to get it in a new location.Terri
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I have most definitely seen bacterial infections (staph and strep) last a long time in the genital area and look exactly like herpes. I had a patient referred to me by her ob/gyn because she had herpes (positive swab test for HSV 2 from a lesions years ago) but now had had an outbreak for almost a year and she was up to taking 2 grams of Valtrex every day with no resolution. Without even looking at her, I strongly suspected this was not herpes 1) because it lasted so long and 2) because Valtrex was making no difference. When I did her exam, I understood why the doctor had been confused – the blisters looked so much like herpes and they were profound. But when I went to swab one (wondering if she had resistant herpes virus), the surface of the blister came off in a way that herpes lesions do not and then I realized that this was likely bacterial. Sent off a bacterial culture, it grew out large quantities of staph, treated her for 2 weeks with an appropriate antibiotic, and it was totally gone.
Now just to clarify – your cold sores in on your lip – not in your mouth, right? They are not canker sores?
Terri
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I’m sorry, you are out of questions
Terri
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It is possible that you acquired HSV 1 orally and genitally at the same time if the timing fits for you, developing oral sores for the first time at the same time you developed genital lesions for the first time. But from your earlier post, it sounded like you had HSV 1 before this genital rash. In any case, if you have HSV 1 genitally, after 20 years, you are unlikely to be shedding much if any. After someone has had HSV 1 genitally for two years, they shed, on average, 4 days out of an entire year. You would be shedding orally far more often than that.
In regards to the western blot: it doesn’t miss 1% – it misses 0.1%.
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