[Question #1867] Risk assessment

42 months ago
Hello,

I'd like to run a risk assessment by you.

I already have had hsv1  for several years and as of yesterday morning, was negative for hsv2 (no risk since last tested, before yesterday).

Yesterday I got my makeup done at NARS downtown manhattan. When it came to the lipstick, the esthetician applied a base layer with a (new) disposable testing applicator. When it came to the actual pencil-stick lipstick, they used the stored tester. I'm generally hyper-aware of cleanliness, but I forgot to ask if she had cleaned the lipstick before she began applying it to me. I stopped her after her initial contact with my lips and asked if she had cleaned it (I should've asked for her to do it again in front of me but I felt awkward), and she said yes she cleaned it and she's careful about that. I asked again when my makeup was done and she again said yes  they clean it after every application with an alcohol solution. That said, I didn't see her cleaning the lipstick after she used it on me...

Today I've been feeling really tired and have had a strong headache pretty much all day.

What is my oral hsv2 risk here? I already have oral hsv1, and yes I know oral hsv2 is less common, but I'm concerned nonetheless. 

Thank you so much for your time and help.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
Your risk of HSV 2 orally in this situation is as close to zero as one can get.  First, she said she cleaned the lipstick and if that is her routine, which I believe makes it very likely that she did that - her job depends upon this!  The second thing is that HSV 2 orally is a very unusual condition and when someone does get HSV 2 orally, it rarely recurs as an outbreak and very rarely sheds without symptoms.  And the chance that it would live on this particular lipstick in quantities sufficient to infect someone else and long enough to infect someone else is incredibly low!  If you were my daughter, for example, I would say don't give it another thought. 

Do you have worries about getting herpes in general or worry about contracting germs in general?

Terri
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41 months ago
Hi Terri,

Thank you for your response.
I read it and felt at ease and wanted to put the thought behind me.

Yesterday, just short of two weeks since wearing that lipstick, I started to feel a severe  localized burning on my lip.

Since I have hsv1 I know the feeling and also have valcyclovir and abreva on hand, so I started to treat the area with both after a few hours of the persistant burning.

I asked myself whether it could be an hsv1 recurrence, and honestly, if an hsv1 outbreak was coming in the past,
I have always felt the pain in the lower lip. This time, it's upper (point being, altogether new location).

So now I'm heading over to a local clinic For culture and PCR test. However, I feel both could be negated by having started treatment yesterday.  I didn't take the last 2 grams of valcyclovir, just the first 2, which I guess messes up the treatment, but this morning I decided I wanted to get tested without fully attacking the potential virus.  I know blood test needs 3 Months for accuracy.  I feel this is all I can do right now.

To answer your question: I  have a fear of hsv2 specifically, not all germs. I have heightened anxiety in general and I have worked on that my whole life. 

Thank you for providing insight. 


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
I'm glad you are getting a PCR test but I would bet a million dollars (not that I have a million to bet) that you will not test swab test positive for HSV 2 from sharing a lipstick.
Terri
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41 months ago
Thank you, that is encouraging.

Perhaps it's an hsv1 recurrence then. 

Other than this lipstick I would have no   Possible Exposures to hsv2, since last tested.

Take care. 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Yes, I think that is most likely, honestly. 

Terri
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