[Question #3571] Exposure question

34 months ago
I am so thankful for your expertise and service.  I recently had very bad strep throat (confirmed via test) with high fevers for a week. Needed a 2nd antibiotic to treat it. This was following very high stress due to my father being on life support and then passing. Following all of this, I broke out with a cold sore. The sore is just starting on the same place I've had one before.   I know I hsv1 on the lips since I was a kid with very rare outbreaks in a few places.  My concern however is 2 times this week I kissed and gave a handjob to someone with hsv2 genitally. He never had a sign of having it orally.  There was no oral or genital sex between us.  I did bring my hand near my mouth to to spit on it for lubirication.  I never rubbed it against my mouth. I don't know if any secretions may have slightly touched my lips without realizing it but I tried to be very careful. Do I need to be concerned that this outbreak could be a new hsv2 infection given my actions? I have no sores in my mouth.  Nothing on my hand either. I am concerned about autoinnoculation because I have touched myself and masturbated this week before the cold sore began. I tend to think in my gut this is the old hsv1.  With all the stress I have been under, I really dont want to go through more stress with unnecessary testing if you feel confident I have nothing to worry about. Do you feel there is cause for concern? I appreciate your help.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
34 months ago
Herpes is no where near as easily transmitted as you seem to think.  I do not think this is new HSV 2 as you did nothing to transmit his HSV 2 to you.  You do not need testing.  I do not feel you have cause for concern - at all.  Take this off your worry list!

Terri
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34 months ago
Thank you so very much. Just out of curiosity, does an initial outbreak orally usually show signs I would be recognizable. I just wonder where the future if he were to perform oral on me. Since there's no real way of knowing, can we be confident he probably would have had signs that were identifiable. He's never had any sores in his mouth ever. I appreciate your help so very much. The Peace of Mind Is Everything
34 months ago
Sorry for the poor typing. I was using talk to text and just realized how badly that came out. Thank you again
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
34 months ago
You're fine.  If he has HSV 1 orally as well, and he performs oral sex on you, there is a very very low risk of you acquiring HSV 1 genitally since you already have it orally.  Is that what you are asking?  He could certainly be infected with HSV 1 and not know it, 70% of people with HSV 1 antibody deny a history of cold sores or genital infection.

Terri
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