Huh. I didn’t realize the affinity for HSV1 to the mouth was nerve related vs. dryness. I’d heard that somewhere.
I believe it to be recent but i can’t know for sure. I do not know 100% that it is in my urethra but here’s what I do know.
On August 9th, I had unprotected sex with a woman who has had very few partners in her life (I’ve had many more than her). A few days later we were both experiencing painful urination. It felt like I was peeing razor blades. Urine was tested and it wasn’t gonorhea or chlamydia. No appreciable bacterial content or blood at all. I had no sores on my genitals. She did get sores on her genitals which were diagnosed as HSV1. A week later I began to get sores on my mouth. I felt utterly run down and could barely eat for a week. They swabbed a sore in my mouth and it came back as HSV1. So I know I have it in my mouth. The woman who likely got it from me – I never went down on her, though she did on me. She hasn’t reported any oral cold sores. So, it seems likely she got it from me genitally. A doctor I spoke with said the only reason cold sores would cause painful urination was if it was in the urethra itself. Also – once the burning peeing stopped, it felt incredibly itchy inside there. So all signs seem to point to it being there. I think I got it from my previous partner to her with whom I’d last slept with two nights before.
A friend of mine got HSV1 genitally and had one outbreak there and never again. It’s interesting to hear that it recurrs more orally and is more contagious orally. That’s good clarity to have.
A follow up question I have to this is: on p,33 of your amazing book The Good News About The Bad News (thank you for writing it) you state how “If both parties are already infected with the same type of genital herpes transmission is no longer of any concern. If the infection has been around for a few months, you needn’t be too concerned about passing the virus to a new part of the body (like the mouth) through sexual activities” – so I want to make sure I understand this…
Assuming I have HSV1 genitally and orally and I meet a woman whose had oral cold sores for years and we have unprotected sex while I’m shedding… are you saying it’s unlikely in the extreme that she would get herpes genitally from me? And that, if we made out, she would be unlikely to get ‘more cold sores’ in her mouth from me (e.g. my sores are on the tongue and maybe hers are on her lips).
Thank you again for being so available. What a gift.