[Question #2484] HSV 1 Oral Herpes/ Hemmoriod

46 months ago
I had a small couple of bumps near the top lip of my vagina, and was swabbed and diagnosed with HSV1. I have what I believe is a hemmoroid as well, however is it possible it is a HSV outbreak? It was burning to pee, and I got a full std check as well as I went to a medicentre and they put me on medication for a UTI. I am also on Valtrex now (short term). I am having pain in my lower vaginal area, I am not sure if it again a sign of outbreak, or stress from the hemmorid or the hemmorid cream.. am also hoping my period comes soon.  I feel like a mess and am very worried about transmission.  Is it important to obstain from oral and vaginal sex? Is it important to inform every partner even without outbreak? Should I be on daily medication?  Should I be worried about transmitting it orally- kissing people, or getting it on my face?  Is it always present in my saliva? There is a news story about a baby that died because someone with HSV1 kissed the baby and it became infected with HSV meningitis. should i stay away from babies?  I cannot get into my doctor until next month and the clinics are giving me mixed answers.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
It is possible that it was a second site of a herpes outbreak, but did the clinician see this and make a judgement about what they thought it might be?
Let me ask if you've been tested for other STI's that might be causing your lower vaginal area pain. 
Your HSV 1 infection does not come out of your mouth. If you only have this genitally, you are not at risk of kissing someone including babies.  If you have genital HSV 1 only, this virus is NOT in your saliva. 
You are at risk of infecting others genitally, but even that is rare - genital to genital transmission of HSV 1 doesn't happen often at all.  Also, if you are having sex with someone who is HSV 1 positive or someone who has a history of cold sores, it is extremely unlikely that they would then acquire HSV 1 from you through a sexual contact. 
It is certainly possible that you are having an actual UTI, but herpes lesions in the urethra or near the urethra can cause pain with urination for sure.  Urine is acidic and when it hits even a small sore, it can burn significantly.  Can you see any breaks in the skin near the urethra. 
Sometimes it is very helpful, in the first several months of infection,to be on daily medication to get the virus more under control and give you more of a feeling of control. 

Let me talk about the baby who got HSV 1.  There are actually two cases recently. In one, the baby was only 6 days old when it showed symptoms.  The news report said both parents tested negative for HSV 1, but from our most recent research, the IgG test misses 30% of infection so the parents may or may not be infected.  That is very close to the birth date and I have my doubts about this one.

In the other one,the baby was older and may well have contracted HSV 1 from a person who kissed the baby.

Terri
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46 months ago

Thank you very much for your response.  I did not have a clinician check it out, as first I went to an STI clinic for full testing.  From there, they told me that I did not have bacterial vaginosis or a yeast infection, so I went to a medicentre to see I had a UTI, as the clinic did not treat it there.  They said that they were unsure from my urine sample, however it looked like maybe the beginning of a UTI and gave me some medication.  I asked about the hemmorid there (before learning of the HSV1 diagnosis) and they did not look, just simply gave me medication.  From there I decided to go to the medicentre the next day because I wanted to get the Valtrex medication.  I was overwhelmed and forgot to ask about the hemmoroid.  The pharmacist told me there is better hemmoroid treatment, so I went to the medicentre again to get hemmoriod treatment, without mentioning the HSV as I did not realize they could be related until I read up on the site!  I have not noticed lesions in the vaginal area, but the skin feels a bit tender.   Is it possible I have lessions that I cannot see?I did get a full std test with no other result. hoping the pain is my period that should be coming, however I had to take the plan B pill, can this delay my period? Thank you for answering my questions about transmission.  Would the daily medication help with the 'asymtomic shedding' I have heard that is dangerous in transmission to partners, although from what you have already said I feel a bit more reassured.   If I was to receive oral sex- would my partner be at risk of oral herpes HSV1 on the mouth or catching it that way? or only genital contact?

The baby thing was really really bugging me, and I was unsure if I should visit my friend who had a baby. Thank you for reassuring me.  I am glad that it is not in my saliva or mouth.  Basically, this is something that would be a concern should I become pregnant myself?

Slightly unrelated- I have noticed that almost every pore of my face has white heads or strands of white fiber coming out when I apply any pressure.  I have done some research online, and I wonder could this be cause by being on so many medications right now? (for the UTI as well as Valtrex, normally Effexor for depression, Mavik, Hydrochlorithizide and ApoAmolodepine for High blood pressure) or because my immune system is down? I was worried perhaps some sort of facial outbreak (over worrying about everything at this point), however your comments have helped me to understand it should not be a HSV1 outbreak.  Please do not worry about answering this one if it is unrelated, I am not sure if it is or not.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
Daily medicine would decrease viral shedding, yes. 
If a person gave you oral sex, the risk of getting it orally would be very low because HSV 1 rarely sheds from the genital tract - perhaps on 5% of days measured which means that on 95% of days, you are not shedding. 
If you become pregnant, you should certainly make your provider aware of your genital HSV 1.
The things on your face  sound absolutely nothing like herpes, nope. 

Terri
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46 months ago
Great, thanks again for your help.  I will inquire about that medication.  I believe I found out what the pain in my lower vaginal area was.  In the area mostly on the inner thigh/buttock region there is a rather large bump that is hard and hurts to touch.  It almost feels like a blister or pimple.  When I had called my local health care line, they had asked if I had noticed any puss filled sacs or something like that, but I said no at the time, as I did not think I had one.  From a bit of searching on the site i found something called Lymphadenopathy swollen lymph nodes or something like that.  Is this something that people with the infection could get, does it sound like that to you? maybe it is just a pressure sore or something I am not sure.  But I have had things like this before, thinking they were ingrown hairs or something like that
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
Swollen lymph nodes can happen for many reasons, and I'm having a hard time imagining where your lump is and whether there are even lymph nodes there.  They are where the leg meets the body, in that crease.  I think you should most certainly go in and have this lump evaluated right away to see what the heck it is!

Terri
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