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4. If that is possible, then how likely would it be that I had HSV1 genitally and orally all these years (since age of 14 ) and never had a genital occurrence until now 20 years later? To me, if I had genital HSV-1 for 20 years and never had an OB, why all of a sudden now? Especially since I’m taking Valtrex (never took suppression antivirals until this year due to the frequent intraoral sores). I am very confused.
5. What should I do next to figure this out? So far the 1 genital HSV swab was negative while on valcyclovir supression. My biggest question and concern is do I have HSV genitally and it is consuming my thoughts. I am afraid to have sex with my husband as I don’t know what’s truly going on and his risk for transmission.
6. My husband and I have been together for about 15 years, married for about 11. Like I said, he and I don’t kiss and I don’t give him oral, or share food/drinks/utensils. I have been very particular about doing what I can to not infect him or my kids with HSV. He tested neg for HSV-1 on igG test and I would be willing to do a western blot test for him if I have genital HSV just to get more clear idea of our circumstance and risk but i am primarily focused on what I need to do next. IF i have another genital sore, I will plan to go and get it swabbed again, maybe I should get it biopsied if I had a negative PCR? I thought for a second I might have bequette’s given my intraoral sores and genital sores but that is super rare and my oral sores do not look like aphthous ulcers.
7. It is very frustrating because I think I need to assume i have genital HSV until I rule it out by more negative testing or finding out the sores are something else. I realize there are very few things that can cause ulcers/sores on labia so that is why I have to assume it is HSV. What is your opinion on everything I have described about my lesions, symptoms, and history…what would you assume and recommend I do at this point? I value your input greatly. TY!