Hello Terri, Pleased to e-meet you and having read all about you, thank you for your service.

Here's a brief sexual history if you will: 

40 yr Male, had 4 partners throughout my life including my wife.

Partner 1 - Kissing, received oral sex, dry humping with clothes on, no vaginal sex or any other forms of penetrative sex - multiple encounters

Partner 2- Kissing, received oral sex, dry humping with clothes on, no vaginal sex or any other forms of penetrative sex - multiple encounters

Partner 3 - Kissing, received oral sex, protected vaginal sex - multiple encounters

Partner 4 (wife) - Kissing, unprotected vaginal sex, no oral sex or any other forms of penetrative sex - multiple encounters.

I never felt the need to test for any STIs, mainly because all of these were monogamous at the time and I was the first partner to all of my partners (no one had any priors before me).

Coming to the risky behaviors - Over time, as I got older, started to receive happy ending massages (handjobs only, occasional rubbing of finger near my anus, sometime topless breast rubbing my chest and me kissing/sucking breasts) routinely. There were 2 instances where I kissed the masseuse and 1 where the masseuse put my penis in her mouth for 2-3 seconds (per my Q13002) thereafter I stopped it, this exposure was 7 weeks ago.

Never had any cold sores in my life, nor any genital sores, warts or symptoms.

What do you think my risk of acquiring HSV (1 or 2) with these exposures was. Should I get tested ?

Approximately half of the adults in the US have an HSV-1 infection, making it a very common condition.

I am not at all concerned about the masseuse's experiences.

If you do decide to test, do the western blot with me, not the IgG test to eliminate the false positive issue.  However, if you do do the IgG test, do it with LabCorp; they now have a much better test than some other labs.

Terri

Quick follow-up:

Was your oral sex HSV-1 risk determination from the 2-3 second oral I received from the masseuse or from my ex-partners ?

If it is based off of my ex-partners, does your assessment stay the same if my ex-partners never had any prior relationships or partners before me ? meaning I was their first boy friend ever even to kiss ? or are you taking into consideration that even though I was their first they could potentially have acquired HSV-1 during their childhood from an adult or something like that ?

Surprised you did not think kissing the masseuse would have posed any kind of HSV-1 risk.

Let me know your thoughts. Happy to do the Western blot with you if at all needed.

The oral sex risk is more from previous partners than a 2-3 second contact.  

Much HSV 1 is acquired in childhood from adults kissing children when they have cold sores.  However, that number is decreasing over time as more adults learn that cold sores are caused by the herpes virus.  

Kissing does pose a risk for acquisition of HSV 1, yes, but not as a sexually transmitted infection.  I separated that out and perhaps was not as clear as I should have been about making that distinction.

Terri