[Question #1369] Oral hsv2 and kissing.
94 months ago
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I recently corresponded with Terri Warren and have a few further questions. I am married with a child but foolishly kissed another woman on the lips lightly several times but with mouths open a bit, her tongue I think lightly touching my lips. I also kissed her on the face, neck and shoulder. I understand oral hsv2 is quite rare and only sheds asymptomatically 1% of the year. Is it known to be spread through kissing? She had no visible cold sores, and says she never has. I believe largely due to my ocd and feelings of guilt, I am thinking of getting a herpes test. I know that I have hsv1 oral due to 2 or 3 very mild outbreaks a year. I understand having hsv1 can skew a herpes test, making the likelihood of a false positive for HSV 2 more likely. Am I way over-reacting here? If I get a test, is there a specific one I should ask for? Thanks for your help.
Terri Warren, RN, Nurse Practitioner
94 months ago
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Terri
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H. Hunter Handsfield, MD
94 months ago
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Terri Warren, RN, Nurse Practitioner
94 months ago
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Terri
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94 months ago
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Terri Warren, RN, Nurse Practitioner
94 months ago
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Terri
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94 months ago
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Thanks so much for your response. I understand why I should avoid getting tested, yet the double-edged sword that is the internet (which I need to stay off of), keeps my anxiety going. A few days ago I quite easily found (although I was hoping not to), a young man who appears to be giving a very compelling case for how he got oral hsv2 through French kissing alone. He stated that after ending a long-term relationship, he tested negative for hsv2 on an igg test before engaging in any further sexual contact. He then had a 2 month relationship with a woman who stated she had genital herpes, so they agreed to only (French) kiss. Contemplating going further, he did some research and learned about the uncommon instances of oral hsv2. He then went for an igg test that came back low positive at 1.7 for hsv2, then another that came back 1.3. He then had a confirmatory test done with a biokit and it also came back positive. (This was a year ago, visible to anyone, posted publicly on Honeycomb support network). However, reading your posts, I have learned that low values like that have about a 50% chance of being false positive, and that "only a Western blot should be used to confirm low positives". This fellow is quite distraught. Does it appear to you that with such low values and the biokit, he may well actually be negative all along? If so, I can contact him and refer him to ASHA's on-line services- he is convinced due to the testing he is positive for hsv2 through kissing alone.
Terri Warren, RN, Nurse Practitioner
94 months ago
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Yes, a western blot is recommended for him. If you do test, and get a low positive, confirmatory testing would also be recommended. We kept data for 8 years of HSV 2 testing, and we found that the data was very clear - 5.3 to 5.7% of people fell into the low positive range, which means that 95% of the time, people had a clear answer with their test. Have you ever had a herpes antibody testing in the past to know that you were not infected with HSV 2 prior to this?
You've used up all of your posts here - you can renew if you have more questions.
Terri
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