[Question #3448] Herpes follow up question to #2253

37 months ago
Hello Terri, 

My last question was asked 6/4/17.
Quick recap- 
March 24, 2017 - unknowingly exposed 
April 3,2017 - Major bout with illness
April 12, 2017 - noticed what appeared to be genital lesion 
April 18,2017 - NP took a culture of  genital lesion and ordered IGG For HSV 1 &2
April 22, 2017 - Culture was positive for HSV.  IGG results: HSV 1 Positive and HSV 2 Negative
June 8, 2017 - second blood test results: HSV1 Positive and HSV 2 Negative

1. I haven't had another outbreak since my first outbreak ,Is it safe to assume that i have HSV1 and not HSV2? (I'm not sure why i am always so curious to know the exact type.) 
2. I have viewed the videos posted on the ASHA website about herpes, one of the videos mentions that those with Genital  HSV 1 have a very low chance of reoccurring outbreaks after their first outbreak, how accurate is that?
3.  Once I decide to become sexually involved again (i have not out of fear of rejection and i do not want to risk transmitting the virus) how common is it to transmit genital HSV1 while using a condom?  

Thanks!
 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
36 months ago
I think it is very likely that this is genital HSV 1, yes. Enough time has gone by that you 1) would have likely become positive for HSV 2 if infected with that or 2) had a recurrence as HSV 2 recurs more often than HSV 1.  It is essential to know the type so you can have sexual contact with people who have your same type without worry of transmission OR alerts potential partners of the risk of transmission. 
HSV 1 does have far fewer recurrences than HSV 2 genitally - that is true.  If you've not had a recurrence in the first year of having this genitally, there is an 85% chance you will not have another.
It is very uncommon to transmit HSV 1 through intercourse.  Far less with a condom and even less while taking antiviral therapy.  And hardly any risk of  sex partner already has HSV 1 (a history of cold sores)

Terri
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36 months ago
Also, i get some discomfort in the anal area from time to time, can it be related to GHSV1? Every time I have a little discomfort down there, I assume that its related to herpes but its nothing compared to my first outbreak. It feels almost as though i cleaned myself too thoroughly (not sure if that makes sense). there isn't any obvious lesions and the discomfort goes away after a day or so. 

thank you for always being straight forward and clear in your responses.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
36 months ago
While it is possible that any abnormal sensation in the genital area could be HSV 1, I think it helps to remember that HSV 1, is the vast majority of people, recurs quite infrequently.  If there is no obvious lesion causing the anal discomfort, then I think it is unlikely that this pain is herpetic.  Also, herpes outbreaks don't reolsve in a day or two so that also makes herpes the unlikely cause.

Terri
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36 months ago
Thank you, Terri
I appreciate your great work. If I have any questions in the future I will Return and purchase a question.  Thank you again . 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
36 months ago
You are most welcome, very happy to help

Terri
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