[Question #13367] HSV1 Negative IGG
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1 months ago
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I am negative for HSV1 and 2 per Western Blot prior to exposure.
My exposure was unprotected sex and possibly indirect exposure by saliva. Partner is HSV1 positive and has had cold sores, unsure if infected genitally as well. No oral sex. They were sucking on my nipples and then touched them, and I’m concerned that they could have been shedding virus and that got in their hands and transferred to my genitals when they manually stimulated me. Also, worried about sex being unprotected.
I received a negative result for HSV1 via Roche test with LabCorp. I have read that at 4 weeks 60% of people who are going to be positive will be positive, but that was for HSV2, is it reasonable to think that the same would apply for HSV1?
Is this a good sign that I have tested negative at 4 weeks? I plan to test again at 6, 8, and 12 weeks. Is there a good possibility that I will stay negative?
I haven’t noticed any symptoms genitally. But I do have some white streaks on my lower gums that appeared this past Monday morning. Does this sound herpetic?
Was my exposure low risk? I dismiss the person as well, but no cold sores at the time.
Thank you.
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1 months ago
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Sorry there was a typo in my last question. I meant to type I did miss this person.
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Terri Warren, RN, Nurse Practitioner
1 months ago
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If your partner has oral HSV 1, then unprotected intercourse is not a risk for HSV 1 acqusition
Sucking on intact nipples very very rarely transmits HSV 1 to nipples - I wouldn't give that one another thought. And if no oral sex, what was the saliva exposure? Are you kissing? If yes, then that's a risk. but since 50% of US adults have HSV 1, you could certainly have risk in the future if not with this person. A negative Roche at 4 weeks is good, not final. I would say 10 weeks is good, 8 probably cloes.
Terri
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1 months ago
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He has had cold sores, no genital sores. He had one partner before me that he both kissed and gave him unprotected oral sex, but he has had a family member state that he had cold sores as a child, I just get worried that maybe that family member was wrong and he got it both orally and genitally from his ex.
The saliva contact would also be where he sucked on my nipple and then touched them, he was rubbing them vigorously after sucking on them, and then he stimulated my clitoris afterwards.
I haven’t had any symptoms, other than some sores in my gums, which got swabbed and am awaiting the results.
Im just afraid if I do end up testing positive that I am going to freak out because I won’t know where my infection is.
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Terri Warren, RN, Nurse Practitioner
1 months ago
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I don't see any reason to test at this point unless you develop symptoms orally. The nipple contact would be the place you want to watch as well as your mouth, but I don't have concerns about your genital exposure in this situation
Terri
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1 months ago
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Thank you Terri.
If I were to decide to take another Western Blot, the closest I would be able to get to 12 weeks, would be 11 weeks and 4 or 5 days due to traveling and work. Do you think if I test negative, then that would be conclusive even though 2-3 days shy of 12 weeks?
I never had any symptoms orally until right after 4 weeks later with sores on my gums. I still have not gotten results back, but the provider at urgent care diagnosed as apthous ulcers, but pcr swabbed for my price of kind.
Given this information do you think I likely got infected orally?
Also since I’m truly negative for both types, do you think that I would make antibody pretty quickly?
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1 months ago
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Terri, I’m sorry in addition to the previous question, he also mentioned that he had cut his penis while trimming, he said he felt at the moment he did it and then did it again before he stopped. I didn’t see any cuts, nicks, scabs or anything on his penis. Does this change your opinion at all? I’m concerned maybe he was mistaking this and it was actual a genital outbreak of HSV1? I know cuts can appear for women, didn’t know if this could be the same for men?
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Terri Warren, RN, Nurse Practitioner
1 months ago
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You can test between 11-12 weeks, absolutely. I agree that the sores inside your mouth are more likely apthos ulcers (canker sores).
If he knew at the moment he did the cut that he had done it, it seems unlikely that this is due to HSV
Terri
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