[Question #3218] Yes or No
91 months ago
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Terri Warren, RN, Nurse Practitioner
91 months ago
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it is absolutely true that is very unlikely that once you have HSV 1 in one location you would get it in a new location.
You say you've had oral herpes for a long time - is that on the inside or outside of the mouth? Some people confuse canker sores with cold sores.
But your symptoms do concern me a little. The thing to do here is to get that area swab tested for herpes, preferably with PCR, the next time it shows up. I'm not much of a believer in "friction burns" from masturbation.
And it is true that the IgG test misses 8% of HSV 2 infections compared to the gold standard western blot, yes.
It's probably not herpes but your description of the lesions concerns me a little. Let's try to get that sorted out.
Terri
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You say you've had oral herpes for a long time - is that on the inside or outside of the mouth? Some people confuse canker sores with cold sores.
But your symptoms do concern me a little. The thing to do here is to get that area swab tested for herpes, preferably with PCR, the next time it shows up. I'm not much of a believer in "friction burns" from masturbation.
And it is true that the IgG test misses 8% of HSV 2 infections compared to the gold standard western blot, yes.
It's probably not herpes but your description of the lesions concerns me a little. Let's try to get that sorted out.
Terri
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91 months ago
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Thank you Terri,
That's the problem that this was so very long ago and since never a problem. I never actually developed lesions just a sore that looked like a cut with bleeding.. It didn't resemble any sort of herpe to my knowledge. I read that the Frenulum on the underside of the penis is common to tear with rigorous sex or masturbation.. I remember finishing and finding blood on my hand on each occurrence.
I'm sure I have Herpes 1 and not canker sores in regard to my oral lesions. So that was the basis of my question. And the testing even confirmed HSV1. Will a genital herpe resemble a cold sore? Blister, crater appearance? I didn't have that. Does that make a difference in your opinion ? What's the likely good that a HSV 1 can be spread to the genitals if it's already surfaced orally? 1%, 5%, 10%?
How many outbreaks would be common in the genital areas annually for HSV 1 and 2?.
Would restesting for HSV2 confirm my results for HSV2? If it was to come back negative once again?
Thank you
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Terri Warren, RN, Nurse Practitioner
91 months ago
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OK, well, this description sounds different to me now. That sounds less like herpes. And yes, it would similar to an oral lesion. I would say the risk is around 1%. HSV 1 genitally recurs about once every other year on average.
In my experience, once the IgG misses an infection in a person, it's misses it more than once.
Terri
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In my experience, once the IgG misses an infection in a person, it's misses it more than once.
Terri
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91 months ago
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Terri,
Thank you for the stats. If the likely hood on contracting HSV1 on the genitals falls at or under 1% if already exposed that's pretty much a non-issue to me. And I see most published research health journals are in agreement with that stat.
How many of those scenarios have you seen or heard of?..
I honestly never saw anything that resembled a herpe on me down there. I'm sure if I had I would for sure have remember it and FREAKED OUT... But I do definitely let my OCD get the best of me most times...
Last question & then we can close the thread...
If the IGG misses 30% of HSV1 and 8% of HSV 2 is it safe to assume my results are accurate... If the miss rate is 30% again for HSV1 and it picked my HSV1 out as postive (WHICH I AM) ; I'm sure the odds are even better with the HSV2 being accurate if the miss rate is only 8%... (I tested Negative)... does accuracy increase regarding the fact that I tested nearly 7 months after my last sexual exposure.... That would more then enough time to generate enough antibodies for the test to pick up????....
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Terri Warren, RN, Nurse Practitioner
91 months ago
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I have only seen one person contract HSV 1 genitally after reporting a history of cold sores as a child. And I have heard about it happening one other time.
Plenty of time has passed for you to make antibody - no concern there. We just know that overall the test misses 8% of HSV 2 infections compared to western blot. We don't have detail beyond that, but there is 92% chance you don't have HSV 2 so that very good
Terri
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Plenty of time has passed for you to make antibody - no concern there. We just know that overall the test misses 8% of HSV 2 infections compared to western blot. We don't have detail beyond that, but there is 92% chance you don't have HSV 2 so that very good
Terri
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