› Forums › Herpes Questions › First HSV1 OB, mild but for weeks – worries on resistance and self-innoculation › Reply To: First HSV1 OB, mild but for weeks – worries on resistance and self-innoculation
1) I’m just confused about why there’s varying info on if I can actively spread HSV on my face. Here and elsewhere I’ve heard that HSV can spread anywhere else the nerves goes – like you said, it can go to the eye by itself. But reputable sources like the UHS.wisc link above and the Scottish Health Service (https://www.nhsinform.scot/illnesses-and-conditions/mouth/cold-sore) say to be careful with shaving or contact lens usage as they can spread the sore – no mention even of risk during first OB only. My sense is that I can ‘encourage’ spread on my face if I accidentally shave over a sore or somehow touch my sore and put in contact lenses – or even touch my saliva during an OB. Is this wrong? Are the sites above and people reporting situations like this just misinformed or overcautious?
It is wrong. The virus is in the entire nerve ganglia and once the infection is well established, the virus can move on it’s own but you personally are not going to move it. I cannot account for the errors in advice on line.
1a) In terms of spreading to my genitals or fingers, are all those cases during first OB only? Would only HIV or immune system cancer put me back at risk?
Autoinoculation almost always with first infection. I suppose there is a possibility if you are majorly immunocompromised that this could happen at another time – not certain.
1b) Part of my anxiety is it’s my first OB -even if I have IGG. The lab that reported positive IGG gave me a negative in August 2018, so I caught this in the last 6 months. My IGG of 3.2 seems low compared to other 15+ IGG values. Does that mean my immune response is not ‘fully established’ yet?
No. You cannot compare your value to others as different brands of tests have different ranges for positive – some go up only to 16 while others go up to 80.
2) The other anxiety I have is about even kissing a new partner. In reality, I was lucky enough to have a single pimple-like OB, one with no noticeable pain or clear prodorme. But that leaves me wondering whether an itch near that OB spot or elsewhere is prodorme. What signs should I look for -will it always be near that first OB spot? What cautions should I take with kissing a new partner? I don’t want to avoid a first date makeout session, but I’d feel bad for that to spread it.
Prodrome consists of tingling and a feeling of crawling under the skin. Outbreaks may come in the same location or at a different location – hard to say.
3) Thoughts on taking VZV vaccine for HSV 1?
BTW, you cannot know for certain if the bump that you experienced was herpes or not as no actual testing was done. You know you are infected yes, but you can’t know if that bump was herpes.