[Question #2910] HSV 1 - Genital to Oral (via self)

42 months ago
On Aug 19, 2017 I contracted Genital HSV1 with partner 1  wherein he performed cunalingus on me. I did not kiss this individual. Symptoms/OB genitally showed up beginning Sept 28. A blood test Igg/Igm @1.47 confirmed this on Oct 19. I did not have any lesions / blisters and only heat/irritation/burning. On Oct 18 thinking I only had a yeast infection, unfortunately had oral sex wherein he performed oral on me then kissed me (long term well known partner 2).

I started taking 400 mg 3x of acylovir on 10/19  and will continue for next 10 days.

My Genital OB is over (thank god) and now my lips are tingling only after realizing this incredible misstep of kissing after. 

Yesterday  my lips and gums started tingling/this morning numb and I’ve increases to 4x 400 mg of Aclovir. 

Still I have no visual signs of outbreak. 

Did I give myself oral HSV1 or am I having phantom reaction? Was my immune system antibodies sufficient to prevent it going to my mouth? 

Thank you all for what you do!!!!!! 



42 months ago
I Should also add whenever I eat more, which has been difficult given anxiety, my tingling/numbness on my lips temporarily subsides. But I am feeling like hot/cold temp wise. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
So I'm having a lot of trouble with understanding your situation - you had no lesions but someone did an IgG and a IgM test and based on that, told you that you had genital herpes?  I am astounded that there isn't more to this story - I think I'm missing something - like there was a positive swab test?  First the IgM test is notorious for false positive results - the CDC says to never use them to try to diagnose herpes.  Second, if the IgG was positive, which I cannot sort out from your post, it is a low positive and could be a false positive and confirmation with another test is recommended.  Third,  a positive IgG test does not say where your infection is, only that you are infected - it could be oral or genital.  Having said all of that, you COULD have genital HSV 1 but nothing you've told me makes a diagnosis.  If you develop a lesion either orally or genitally, please have it swab tested right away.  Until then, you may wish to repeat the IgG in 3 months and see if it goes way up.  That may indicate you had new infection but it still won't say where on your body the infection is.  If I've missed something here, please correct me.

Terri
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42 months ago
Terri, my IGg was positive at 1.47. My doctor had no lesion to culture because it was mild, like a bad yeast infection / swollen labia and nothing to culture. (All prior hsv1 tests from 2004-July 2017- negative igg) I was treated for yeast, uti, and all test results came back negative except for this new HSV1, albeit low. Dr indicated in a few months, it may be higher when my body has enough time for the antibody to produce more. 

So let’s assume my Genital HSV1 diagnosis is correct, is it possible I gave myself oral?  


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
That would be extremely unlikely, no but you  said you did kiss the same person so that kind of transmission could have happened. 
It is not reasonable to assume without any lesions that you now have HSV 1 genital infection due to an IgG for HSV 1 at 1.47.  You could have been infected for years and your previous test missed it.  Your infection could be oral only.  It could be a false positive.  There are many options here.  I think some conclusions have been jumped to prematurely.

Terri
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41 months ago
Terri,
I previously received bloodwork twice yearly for 10 years, and up until now - never + for HSV1. 

I just had updated bloodwork as of 12/1, I'm now at Igg 1.51 for HSV1.
I have been on Valtrex since 10/23.

While I have had tingling lips on/off and some facial nerve pain, I still have not gotten any cold sores.

Do you think I will get cold sores?
Am I already technically seroconverted? 

Thanks
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Your value is in the low positive range (1.1 to 3.5) and it could be a false positive, though they are less common for HSV 1 than they are for HSV 2.  The IgG test for HSV 1 is not great and misses lots of infections (30%) so it could be that you have had it all along but the test missed it.  The best test to sort out infection or not infection is the herpes western blot from the University of Washington.  You should research this and work with your own provider to obtain it.  Or I can help you get it through my website, westoverheights.com.  We are currently doing a research study on the accuracy of the IgG test vs. western blot.  I will leave this open for one more follow up question, OK?

Terri
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