[Question #2857] COLD SORE!

42 months ago
Hi there, 
I ordered another round of questions to get more advice about my situation. 
I have not asked my partner if he's ever had a cold sore, but now I feel embarrassed to ask, in fear that I just passed my hsv 1 to his mouth. 

Questions:
1. How likely is it that I passed my cold sore to my partner's mouth/nose? The scab was the size of a freckle and fell off the next day after we kissed. We just kissed one time for about 3 seconds. The scab was dark brown.

2. Are they any statistics on the likelihood of passing a cold sore when it is scabbed over??

3. I know that you are contagious whether you have symptoms or not, due to shedding the virus; but how likely is it that I passed my cold sore to my partner's mouth after the scab fell off? Am I safe to resume kissing now that the scab has fallen off?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
1.  I think the likelihood is low.  generally, there is less virus in a scab than there is, for example, in a blister.  And the size of a freckle is so tiny!  That's also good
2.  There are no statistics on the likelihood of transmission while scabbed, but I think we can use how much virus there normally is in the scabbed phase as a reasonable surrogate for transmission likelihood, so see #1 for that response.
3.  You CAN be contagious with or without sores, correct.  So I think you are trying to nail down the likelihood of transmission with a tiny scab and we just don't have that, sorry.  When people ask "is it safe to resume kissing with no scab" my response is that you know that there is shedding with no sores, so you are s safe  as one can be knowing there is shedding happening with no outbreak. 

I know these aren't the answers that you are looking for but they are the correct and factual answers on this topic.

Terri
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42 months ago
Thank you for answering all of my questions thoroughly! 

As I stated previously, my new partner and I started having sex Monday (10/16). We ALWAYS use condoms for protection. However, we do cuddle naked. 
We had sex Wednesday morning and then went back to sleep- when I woke up a few hours later, I could feel stinging on the outside of my vagina, the area in which the prenium and vagina meet. I didn’t think anything at first, but as the day continued, I thought the stinging could be due to a yeast infection that leaked out onto the skin because I’ve had that before. I checked in the mirror, and it looked like I had a small tear and a small piece of skin missing. I went to the gyno and she said I had a yeast infection, but said that the area where I was feeling the stinging looked completely normal and was NOT an STD. I woke up this morning and the stinging was still there in that same area- it does not hurt or itch if I don’t touch it. If I touch it, there’s a small sting like when you fall down & scrape your knee. I went back to the gyno today and she said it may take a few days for the YI medication to kick in. I showed her the area that was bothering me and she said it’s what they call an “abrasion”. She told me to leave it alone and that it would heal on its own, and it was NOT an STD. She said this happens from rough sex or lack of lubrication.

Question: 
1. My partner has not had any symptoms of hsv1 yet & it’s been 5 days- is it likely for him to get hsv 1 symptoms in the next few days?

2. I trust your advice way more than any GYNO.. should I take the gyno’s advice and believe that it is just an abrasion?

3. Does this sound like an STD to you?

4. Is it likely to contract genital herpes from cuddling naked or naked frottage? His penis may have touched my vagina while cuddling.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
1.  I think you have a little time left to feel reassured - if he's not had symptoms within the next five days, I think you are going to be OK this time around - the condom likely protected him
2.  I'm hoping the physician would be very alert to a lesion that looked anything like herpes.  So you have oral herpes - it would be very unlikely for you to genital herpes of the same type.
3.  I'm so sorry, I can't tell for sure.
4.  NO!  that is a likely way to contract herpes at all. 

Terri
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42 months ago
I got seen by TWO gynos- one the day i had sex and noticed the stinging and the other 30 hours after intercourse. Both said it did NOT look like an STD and that they’ve seen plenty of herpes cases, and this was not it. The last doctor said it was an abrasion and that the top layer of the skin had been scraped off. She said this was likely due to friction or lack of lubrication/rough sex. 

Maybe I can explain it a little more so you can get a clearer picture. I know a physical exam is way more definitive than a describing it, but I really value your opinion. 
The “abrasion” is about the size or smaller than a dot or the end of a clicky pen. It’s on the left side of the outside of my vagina- where the perenium meets the vagina. It does not hurt or itch, unless I touch it- then it stings. There’s NOT multiple ‘scrapes’, just this tiny one. Other than that, I forget it’s even there- it doesn’t bother me. But it seems to be getting better already, it doesn’t sting as bad today. I noticed this “abrasion” 3 hours after we had protected sex, but didn’t think much of it at first. I did have a yeast infection when we did have sex this last time, but I didn’t know this until I went to the gyno because I had no symptoms- likely due to the fact that we were having a lot of protected sex and my vagina was always sore due to that. I know that when you have a YI, the skin on the outside of the vagina can be irritated and crack, or any type of friction can cause a tear/scrape. 

Questions:
1. I know it is unlikely for me to contract hsv1 genitally since I have it orally, but does this sound like hsv 2? 
2. Should I believe that BOTH gynos know what they’re talking about and be reassured that this is not herpes? 
3. Do you know how long diflucan takes to kick in & return your discharge back to normal? 
4. Could I contract chlamydia or gonorrhea from naked cuddling/naked frottage?  

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
1.  No, it does not - it came up too early after the contact to be new HSV 2
2.  Yes, I think you should be.  The other choice is to find out if he has be asking if he does and then asking him to be tested if you are satisfied with the answer.
3. I think with Diflucan you should see improvement in a day or two
4.  No, you need far more contact to acquire gonorrhea  or chlamyhdia.

Terri

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