February 2, 2019 at 8:04 am #30151
Wanting to clarify some things about a recent genital HSV1 diagnosis.
I have a new sex partner as of the last 8 months, monogamous relationship, he has a hx of cold sores. I’ve never had another partner with known HSV 1 oral or genital although I know it is common to be asymptomatic. Prior to this recent diagnosis a week ago I myself have never had any symptoms resembling oral or genital outbreaks.
In the 4 weeks leading up to my diagnosis I was having some pain with sex which I attributed to mild trauma. We have sex often and it’s more rough/lasts longer than what I’m used to and I remember an encounter in particular where I felt there may have been some tearing. The pain was only present during sex though, never persisted. My thought was that we never took enough “time off” for the area to fully heal.
And then suddenly about 1 week ago (3 weeks after the mild pain during sex started) the pain with sex was unbearable, and it continued the next day even post intercourse, hurt to walk/sit/pee. Took a look down there and saw some pretty large ulcerations and got in to see GYN asap. She said it didn’t look like herpes ulcers to her but more like a fissure/laceration from trauma, said the only reason she even did the PCR swab was because I reported a current partner with a hx of cold sores. Over the next 2 days pain intensified even more,aches, fatigue, swollen lymph nodes in my groin and underarms. I noticed what looked like 3 new tiny blisters pop up overnight although they looked different from the ulcerated areas. Results came back pos for HSV 1/neg for HSV 2. Started on Valtrex and felt almost normal within a week.
Does this sound like a primary infection? Could it have been an injury initially with an infection then recently superimposed? The timeline confuses me cause it was mild pain with sex only for 3 weeks and then overnight became a constant excruciating pain w/ all over body symptoms and pos PCR. Partner had cold sore 1 week before pain intensified.
February 2, 2019 at 8:36 am #30153
The only reason I’m trying to figure out if this sounds like a recently acquired infection is to figure out if I need to go back and tell my previous sexual partner. He and I were in a monogamous 4 year relationship and like I said neither of us had a known HSV history or anything resembling outbreaks. There was, however, a period of a few months as our relationship ended and my new relationship with current partner began where I was having pretty infrequent sex with both, had only received oral sex from current partner (with known HSV 1 history) once or twice during this time period.
I guess my fear is could I have acquired the genital HSV 1 from my current partner back then and only just now many months later be seeing this outbreak? From everything I’ve read it would seem that my symptoms were severe enough to be a primary infection. But my worry is if I could have gotten it from my new partner back then and been asymptomatic and unknowingly transmitted it to my previous sexual partner in that several month overlap period? Is that likely or does this sound recent to you?
February 6, 2019 at 2:09 pm #30317
This does indeed sound like traumatic sex combined with a primary infection with HSV one. I see no need to go back and tell previous partners that you have now acquired HSV one. It’s a pretty cut and dried experience I think. The only thing lacking is an antibody test was negative for type one with your first outbreak the subsequent positive one, indicating seroconversion around this episode. The fact that your partner had a cold sore a week before your symptoms locks it in for me.
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