[Question #2726] HSV2 TRANSMISSION

41 months ago
I have HSV2 , I take daily suppression and received oral sex (no genital to genital contact) from a woman one month ago and she recently contacted me saying that I gave her HSV2. I looked on the CDC website and it says that HSV2 is generally only spread via genital to genital. What's the likelihood of her getting HSV2 from  me when I was not having an OB nor did our genitalia ever touch?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
If she is saying that she acquired HSV 2 GENITALLY then it didn't come from you.  If she has HSV 2 ORALLY then that is a possibility. Can you clarify for me the location of her infection?

Terri
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41 months ago
Hi Terri! Thank you for replying.  She is saying she has genital HSV2 now as a result.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Well, she may well have genital HSV 2, but not from the contact with you that you described. If the contact was only her mouth, your penis, if she acquired HSV 2, it would be oral.

Terri
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41 months ago
Is there something in writing you could direct me to stating this?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Hmmmm.  Not that I can think of really but let me look for something

Terri
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41 months ago
Ok. Thank you. I'm trying to protect myself from any legal recourse.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
I got it.  Do you know if she simply tests positive for HSV 2 antibody or has actual symptoms genitally?

Terri
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41 months ago
She hasn't been able to confirm that she's had an actual on. Here's the sequence of events. She performed oral sex on me only with no genital to genital contact (no ob present and im on acyclovir)and I disclosed 2 weeks later. 3 days after she contacts me saying she thinks she has an ob on her vagina. We go in for the first screening and she was positive for HSV2. She went for a 2nd opinion from her personal doctor and was told there was no way to know for sure that what she thought was an outbreak was in fact just that then she was given a test and it was confirmed HSV2. She mentioned her levels of antibodies elevated. I'm not sure what that means but I'm trying wrap my head around how I passed it to her.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
You didn't pass it to her and if her antibody test was positive 2 weeks later, she has it before she had the encounter with her. 

Terri

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41 months ago
It was almost 3 weeks after initial exposure. Would you mind if I screenshot your answers to possibly use as possible evidence of a defense should I need one?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
of course. 
If she is saying she is only antibody positive, after her contact with you, that is a very different thing than saying she has genital herpes.  Do you see the distinction?  It will be useful to know what her antibody level was 3 weeks out.  It is conceptually possible that she acquired HSV 2 orally and is antibody positive from the encounter, at 3 weeks out, depending upon her IgG index value.  Can you find that out? 

Terri
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41 months ago
She's being difficult with giving me any paperwork.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
If her first antibody test was done 3 weeks after contact with you and it's positive, she has no case.   I'm going to close this now. If you have more questions, please renew.
Terri
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