[Question #13553] HSV 1 Concerns and Anxiety

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1 months ago

Didn’t think I’d be back. But my anxiety does tend to get the better of me in this area and I’m sure some here maybe able to relate. So it’s been over a mouth, but I went out with a woman and we kissed after a date. She neglected to tell me prior she has both HSV1 and HSV2 which needless to say was disheartening. She said she currently didn’t have an active infection (no lesions) and was on antivirals. I can’t say I noticed anything out of the ordinary at the time. A month rolls by and I both burn the roof of my mouth on potatoes and around the same day get my covid and vaccine and flu shot. (Not that, that has anything realistically to do with the shot, but hey immune responses can be strange). At this time I get a sore on the roof of my mouth that’s patch of red with some white. I’ve never had a cold sore in my life nor any visible HSV symptoms, but my first reaction is to of course get nervous I may have HSV. So I went in and a PCA says it doesn’t look like HSV. I decided that’s not good enough as I’ve admittedly lost sleep over this, I go to another doctor within the same week with the sore still present and looking the same. He also says it does not look like HSV but does a PCR test at my request which is negative. Given what I’ve described here, am I ok to take that at face value as I am indeed negative and rest easy? Or is there any other cause for concern? I’d imagine I’m overthinking this to say the least. But given my recent experience with other issues in the same realm it’s got me extremely anxious. I just want to make sure I’ve done the right thing here. 


Thanks again for all you help. 

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Terri Warren, RN, Nurse Practitioner
1 months ago
It sounds like you got worried, got evaluated properly and now, the next task, is to believe that the clinician evaluation was correct - this was not HSV.  
This one kiss would have nothing to do with HSV 2 and a very very slight chance of HSV 1.  
I assume you've been tested to know that you don't have HSV 1?  I ask because half the adults in the US have HSV 1
Terri
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1 months ago
Hi Terri, 
Thank you very much for your time and response that does indeed sound like what I should do. I have not taken HSV1 antibody test. Just the PCR on the area in question. Given the high number of cases in the adult population it was something that was not advised unless I did all of a sudden have an outbreak of some kind or continued to really worry. What is your take on the matter? If you have antibodies is that something you should disclose or is it based on whether or not you ever have an outbreak in the future? Do I have to at this point? I'd love any general insights you have I want to make sure I understand.

Thanks again for all your help.  
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Terri Warren, RN, Nurse Practitioner
1 months ago
I am not advising that you get tested for HSV 1, it just sounds like this is something that concerns you and I wondered if you had done that.  If you had and you tested positive, then this is something you would not need to worry about contracting, but you have not, and I'm not clear that testing would be good for you.  There is no clear answer about people disclosing a positive HSV 1 status or not.  Clinicians really vary in what they tell patients to do about that, and I don't have a perfect answer for you, I'm afraid.
Terri
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1 months ago
Hi Terri,
Thanks for all your help. I understand, there seems to be a lot of different thought processes out there and no definitive answers which is tough with anxiety but par for the course. For now I'm going to work on believing that the clinician evaluation was correct - this was not HSV.  And continue moving forward should anything change I will continue to get evaluated and tested. I wanna make sure I'm protecting everyone as best I can.

Thanks again for everything and taking the time. 

All the best
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Terri Warren, RN, Nurse Practitioner
1 months ago
You are most welcome!
Terri
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