June 19, 2021 at 2:09 pm #73952
Is it worth a pregnant woman who has never had HSV1 or HSV2 symptoms doing a western blot test?
OBGYN does IgG tests, both are negative. No symptoms ever. But I know that IgG has a 8% and 30% false negative rate. I guess if you do HSV testing then they know to do antivirals if there’s a possible of a vaginal outbreak.
So given the possibility of false negatives, is it worth a pregnant woman doing WB HSV1 and HSV2 tests?
Related question: conditional on never having had symptoms, and having negative IgG tests, and having had no new partners, what are the odds of someone actually not having HSV1 and HSV2?
June 20, 2021 at 6:36 pm #73954
Follow up question with a few hypotheticals:
Say a woman is pregnant and has no hsv1, and her male partner has hsv1 oral. What are the dangers to a pregnant woman and her unborn baby of the mother getting hsv1? Is there danger to the baby if the mother gets hsv1 orally, or is the risk only if the mother gets hsv1 genitally? How much does the male partner not giving oral sex to the woman reduce the risks to mother/baby?
Then same scenario as above but say the male has hsv1 genital. What are the risks to the woman/unborn baby? How much does the male wearing condoms during sex or while receiving oral reduce those risks?
Then the same scenario as above but the male has genital hsv2. What are the risks to the woman/unborn baby? How much does the male wearing condoms during sex or while receiving oral reduce those risks?
- This reply was modified 1 month, 1 week ago by 700800.
June 23, 2021 at 9:47 am #74002Terri WarrenKeymaster
I think the benefit of the western blot in your situation would be peace of mind and more knowledge about pregnancy management.
If your partner has HSV 1, and knows that it is oral, he should not give oral sex to an HSV 1 negative women during the last 4 months, or so, of the pregnancy. There is no danger to the baby if the mom gets HSV 1 orally. If the male doesn’t give oral sex to the mom during the pregnancy there is no risk to the mother or baby.
condoms reduce transmission of HSV 2 from a male to a female by 96%, very effective. and in the case of a discordant couple, dad has, mom doesn’t, antiviral medicine for the dad would be an added precaution.
July 6, 2021 at 8:45 pm #74116
Have a friend staying who has an active cold sore. What precautions should they take and what should my wife and I take?
No kissing on lips but cheek kisses are fine, no sharing lipstick or chapstick
Anything else? Is it fine for them to share food eg berries or snacks with their hands if they accidentally touch their active cold sore relatively often? And sharing drinks would be inadvisable but still likely fine? Sharing phones, towels, etc is fine?
I’d love to know what things are common and fine, and what precautions you recommend people take while they have a friend staying with them who has an active cold sore
July 9, 2021 at 4:26 am #74156Terri WarrenKeymaster
About half the people in the US are infected with HSV 1 so you are in touch with those folks every day, even though they may not have an active cold sore. for someone who has an active cold sore: There is no risk without contact – we do suggest not sharing towels as they can stay warm and moist for a while after use. Other than that, there is no concern about touching food or phones or drinks. I probably wouldn’t share a can of something with someone who had an active cold sore though as you say, it is likely fine.
You must register to ask your own question or be logged in to reply to this question.