[Question #2443] Possibility of transmission of Hsv 1

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97 months ago
Dear doctors,
Have been with my girlfriend for 5 years never had any problems.  A few days ago we I received oral from her about 7 days or so . 
I have been tested routinely for stds including hsv 1 and hsv 2 in the past and have been cleared for all stds. 
My girlfriend never exhibited any signs  for cold sores etc. during my relationship with her.

I am a very hairy person a have bit of hair near my groin and have gotten  1 big pimple in the groin which have been diagnosed by my dermatologists in the past as infected hair follicles. I forgot what he called it but he said I can get it again since I'm hairy and sweat.
A day ago while showering I felt a pimple or lump on my groin. Thinking it might be the same thing I dismissed it. Just washed it etc. the next day I was curious and wanted to see and saw that the area seemed to have a small wound and had a scab. The funny thing is that I never had any discomfort pain etc. i went to my dermatologist and he thinks it might be just an irritation as I may have scratched it  a bite that got Infected et.  and has given me an antibiotic cream for use for 1 week which I just started "

My question is that 1) do I have to test again?
2) can this be hsv 1 transmitted on the groin? But nothing on the penis
3) small wound is so small and it feels like the small bite or lump I felt a day before which disappeared.never a discomfort no pain no itchiness.
4) likelyhood she  had an outbreak no visible outbreak ever I have been kissing her and had oral in the past had been tested I was fine.
5) what couLd this be.
6)oral hsv 1 on the groin.p even possible?  Not on my penis which came in contact with her mouth.
7) never had ant symptoms before or during questioned activity except for the. Bump I discovered to be the finally wound.
8) likelyhood this is hsv1 or  2
9) should I ha e all the symptoms ? Should it be painful etc as if it is this Gould be the first time I got it?
10) worry if decide 
Also I have always been a worry wart get scared of everything 
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Terri Warren, RN, Nurse Practitioner
97 months ago
1.  The IgG test misses about 30% of HSV 1 infections compared to the gold standard herpes western blot so it is possible that your testing missed it in the past.  It is also possible that you acquired this from your partner through oral sex even if she did not have a sore present
2.  Normally, with first infection, we see lesions at the site of the infection - i.e., the penis, not the groin
3.  Are you saying it disappeared in a single day?  That is unlikely to be herpes
4.  Hard to say - I've seen people who've had sex together for 20 years and then transmitted herpes - there is just no way to know for sure
5.  It could be folliculitis, a bacterial infection or herpes - irritation from other causes I suppose is also possible
6.  The infection would happen first on the penis and then move along a different nerve for a recurrence
7.  OK
8.  Without seeing this or swab testing it, I simply cannot say - you need an in-person evaluation
9.  A first infection is often painful, yes
10.  what?

Terri
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97 months ago
Thank you for your response,
Didn't have any lesions on the penis.

Yes it did it seem to be one solid lump then when I checked again the next day it already crusted . I have tested multiple times  in the past and always came out negative for both as you may I say I get a bit paranoid for everything.

Never had symptoms no pain. No itchiness no sensitivity nothing.
 How Long should symptoms last? 
Should I test test again. What do I do now we Want to have a baby what should I do?

What are the chance when there are  no symptoms she transmitted to me but never had any lesions or whats so ever  on the penis just on the groin and as I said no pain no symptoms.

Sorry I'm just worried and feel bad. We are very careful what should I do now take medicine

What is likelihood of re occurance of if we have sex she will have get infected somewhere else.
How long does this usually last?  It didn't disappear in 1 day it just crusted like a wound the limp disappeared in 1 day and crusted after I washed it with antibacterial soap at least when I discovered it.

Putting antibacterial cream now should I notice a difference if
 It's not hsv1?  I should be assured it's not hsv 2 right what do we do now?

Again I apologize and thank you I guess I want some peace of mind as I'm going crazy multiple websites say different things I get confused you can get it with out symptoms etc

Do you have to feel all symptoms? Or at least more than one for me it's only this wound and I am just connecting it to the recent activity is it just a coincidence?

Does it need to be painful ? Itchy? Etc  I have seen a friend who got herpes zoster in his back and saw the stages I never had this at all.  

I also read that hsv1 although can shread with out symptoms the chances are far less than hsv 2 and that without symptoms less. Likelyhood .

Nurse with out testing may I ask as I read with all I have said the likelyhood it is hsv high?

Only on the groin middle not pain I'm don't even feel it's there 

What food do I avoid I have been eating nuts , spicy food just to see if it reacts no reaction .

Thank you 














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Terri Warren, RN, Nurse Practitioner
97 months ago
Herpes symptoms last 3-14 days.  I don't know when you last tested but you can test again in about 12 weeks from the time you got the something that scabbed over.  If you start medicine, it ca really throw off the test so if you were my patient, I would say don't take medication. Once someone is infected in one place on their body, they are very unlikely to get it at a new location.  Has your partner been tested to know her result?  Herpes often is tender to the touch and often itches.  You don't need to avoid any foods - you have no idea if you even have herpes or not!

Terri


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97 months ago
Thank you Nurse,
I will follow your recommendations.

I guess while waiting I just want some sort of peace of mind that the likelyhood of it being hsv 1 is low and also not hsv 2?
Since we didn't have sex just oral.


Location is in the groin area
It's doesn't hurt  nor itch nor tender
I don't believe I ever felt any symptoms except for the lump 
Then I notice it to scab.
Nurse for now usually with out all the symptoms can I feel a bit less worried for now?

Thank you for your patience I just feel really bad don't know what to do.
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97 months ago
Hi Nurse,
I just tested a few months ago but had oral a few days back.

What are the classic symptoms of hsv on the genitals as I said never had any symptoms 
It doesn't even hurt nor is it tender.
Should it react to antibiotic cream.

Sorry 
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Terri Warren, RN, Nurse Practitioner
97 months ago
Herpes would not react to antibiotic cream, no.  Herpes is a virus and antibiotic creams are for bacteria, not viruses. 
And you are correct, HSV 2 is very unlikely, given that you only had oral sex.  The symptoms of herpes would likely be sores or lesions somewhere in the genital area, usually for men on the penis or very nearby.  Your description of the groin area is a bit vague.   Again, something that disappears in a day is very unlikely to be caused by herpes.  The only thing that concerns me at all about your description is the scabbing. Scabbing suggests that there was something open that could scab but it could be some other kind of irritation besides herpes. 
If you have ever in your life had a cold sore on your lip, then you getting HSV 1 genitally is extremely unlikely.  Perhaps that can help you relax a bit if you've had a cold sore in your lifetime.

Terri
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