[Question #1243] Follow up question to #1203 worried wife

47 months ago
Hello doctors i recently spoke with Terri reguarding my concerns about my oral hsv 1 and my husband, my husband has never had a cold sore or OB and any symptoms genitally either, i am prone to in grown hairs as i shave often, mt husband comes home in a few days after being gone for several months, we are eachothers first and only kissing and sexual partners and we have been faithfully to one another , i recent got 2 pimples next to my groin area they are maybe about 3 inches away and what looked like just the tiny pimples i get on my face, of course i thought they were in grown hairs but i could not find any, ots been about 4 days and im freaking out, they are flat and just red they are fading slightly and no scabbing, they do not hurt and ive had no symptoms, but im worried that since ibhave oral hsv 1 for about 8 years it could just be a mild infection, im even scared to have sex when my husband gets home, i know terri said its extremely unlikelyto get ghsv1 since i have it orally but should this be something i should be concerned about or just let it go? 
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago

Welcome to the Forum.  As you probably know Terri also answers questions on this Forum however, as you have already communicated with her about this, I will be answering on this site.  It should not surprise you that I agree with Terri's assessment.  The lesions you describe sound like folliculitis, your HSV -1 infection is oral and not genital, and you certainly do not need to see a hair in a lesion for it to be folliculitis.  Also, when a person has HSV-1 and one local, the lips for cold sore, they effectively never get HSV-1 lesions at another location like on the genitals.   I can really see no reason to be worried that this might be genital herpes and good reasons to think that they are folliculitis.  My advice is to not worry about herpes and certainly not to let concerns about these lesions interfere with your normal sexual activities with your husband. 

I hope these comments are helpful.  If I am unclear about anything here, please feel free to follow-up with a question so I can try to clarify things.  EWH

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47 months ago
Hello Dr Hook,
 Thank you so much for taking the time out of your day to answer me! Could it still be the follicles even if they came up before i shaved ?
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Yes, while folliculitis can follow shaving, it certainly can cause as well without shaving.  Folliculitis results from clogged pores.  Shaving just makes this a little bit more likely to occur.  EWH
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47 months ago
Thank you Dr Hook, that makes me feel a little bit better, however yesterday i developed what seems to be a tiny rash on both sides of the bottom of the outer vagina, i had a little bit of a burning sensation sunday night on the right side of the vagina but i just chalked up to my anxiety being so bad worrying about this , i want to go have my gyno look at it but i dont want to run to here every time i have a little bumb. I know genital hsv can show up as a rash but as you stated its not likely that i have that since i have it orally, would this be of concern to have looked at? 
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago

I suspect that you are correct and that what you are now noticing relates to your anxiety more than anything else. 

I think seeing your gynecologist is a fine idea if her/his reassurances will give you peace of mind but before you go, I have two

pieces of which are to commit to accepting their assessment and to give some thought to what has set off these concerns in the

first place.

As you know, we provide up to three responses to questions and this is my third response so I will not be responding further and

will close the thread shortly but I would welcome any answers you might have as to why this began.  EWH

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