February 3, 2015 at 2:27 pm #3430Curious234Participant
I have HSV1 oral and genital and before becoming sexually active together I had my new boyfriend test and he tested (IgG) positive for HSV1 and HSV2 which was news to him as he can not remember ever having a cold sore or break out.
Lets assume that there is no risk for me on HSV2 (for questions sake) If I have sensitivity on my lip (likely beginning of cold sore – not an open sore but what appears to be a really small blister that hasn’t progressed – seems to be going away after pills, topical treatment) what is the risk, for him, of kissing and oral sex being that he has already been diagnosed with both HSV1 and 2. If he has HSV1 genital and i kiss him is there a risk he could develop a cold sore, if he has HSV1 orally and i perform oral sex is there a chance i could give it to him genitally?
As for the HSV2 – what is my risk being that I already have HSV1 orally and genitally (i have had it for 14 years)? Does my risk of getting HSV2 orally with the outbreak on my lip increase if i were to perform oral sex? What if i didn’t have the outbreak?
I realize the best thing to do would be to refrain while my lip is sensitive, we just want to assess our risk so we can make decisions together.
February 3, 2015 at 2:36 pm #3431Terri WarrenKeymaster
First, let me ask a few questions about his diagnosis:
Can you obtain the numeric values of the test results for his herpes antibody tests? There is sometimes a chance of a false positive with certain test results I can help you sort out whether this is something that should be clarified.
If he has HSV 2, he will likely never acquire HSV 1. Or it is also possible that the screening test missed his HSV 1 infection. The frequently used screening test misses 1-2 out of 10 infections for HSV 1. But getting back to your question, for some reason HSV 2 infection protects against HSV 1 new infection but the reverse is not true. If he is really infected with HSV 2 genitally, then you are vulnerable to his infection.l If you give him oral sex, you could acquire his HSV 2 infection (though not common) and certainly if you have intercourse with him, you could acquire his HSV 2 infection genitally.
In order words, he is safe from your herpes but you are vulnerable to his. The best strategy would be for him to take daily antiviral therapy and use condoms when having sex with you and clarify that he does not need a confirmatory test for his HSV 2 antibody test results.
You have two more questions to ask me, feel free.
February 3, 2015 at 2:50 pm #3432Curious234Participant
I’m confused by your response. He tested positive for HSV 1 AND HSV 2 both greater than 5. Does that change your response? If I have an HSV1 outbreak would it trigger one for him?
February 3, 2015 at 3:05 pm #3433Terri WarrenKeymaster
If his HSV 2 test number is great than 5, then that is a firm diagnosis. He does not need further testing.
He is NOT vulnerable to your HSV 1 infection and any outbreaks that you have don’t matter to him. The chances of him acquiring HSV 1 from you are less than 1 in 55,000. However, if you are having sex with him twice per week with no antiviral therapy taken by him and no condom use, there is a 10% chance in a year that you will acquire his HSV 2 infection. If he takes daily antiviral therapy and uses condoms, you can get that number down to 2-3% chance in a year that you will acquire his HSV 2.
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