[Question #4085] HV-1

33 months ago

My daughter had a first outbreak and  was diagnosed with HV-1(genital) which she got from her boyfriend who also has HV1 (orally) but did not know he had it until her outbreak.  He had absolutely no symptoms at all but does remember having had cold sores some years back but did not think it was HV1 at the time.   My question is:

     1. Now that she has the same strand is there any potential that she can transmit to him genitally or him to her orally?

     2. Is it safe to say they each now have antibodies to it and they can no longer cause each other an outbreak (any subsequent outbreak would be from their own body  carrying the virus)

     3. If either of them get a reoccurrence will it return to the area where they had the initial outbreak (mouth for him genital for her) or could it return in a different area

Thanks for your help


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
33 months ago
It is extremely unlikely that he would ever get HSV 1 genitally after having it orally
Correct
Yes, and remember that genital entails the area from waist to knee and oral includes the whole face.

Please let me know if you have other questions I can answer for you


Terri
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33 months ago

Thank so much for the response Terri.  I have a couple of other questions

What is likelihood of another outbreak for her? I read genital HV-1 has a less likelihood of reoccurrence but I don't know how true that is.  

At this point is it safe to say that when they resume sexual activity it is not necessary for them to use condoms as each of them has the same virus and no other STD?

Thanks again.  We greatly appreciate your help.


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
33 months ago
On average, HSV 1 recurs about once every other year, after the first year of infection. 
Since they are the same antibody-wise, after a few months, there is no risk of transmission between the two of them.  I would allow two months.
They are going to be fine.  I know it is likely disconcerting but long term problems are unlikely

Terri
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33 months ago

Thank you so much again for the response.  I have a couple of other questions.

1. If my daughter were to enter into a new relationship what is the likelihood of her transmitting this to another person genitally or orally.  She knows she has a responsibility to share this with a new partner but she is even more concerned about her potentially infecting someone else.  She is being incredibly hard on herself right now and is really having a tough time dealing with this.

2. If her boyfriend were to enter into a new relationship what is the likelihood of him infecting someone else?  Can he transmit it to someone by kissing, sharing drinks utensils etc. or only by oral sex?


Thanks again for helping us through this process




Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
32 months ago
1.  That would depend upon if the new partner had HSV 1 or not.  If the new partner had HSV 1, the risk of transmission is very close to zero.  If the new partner is negative for HSV 1, the risk is still very low as genital HSV 1 is infrequently shed from the genital tract.  It is not zero, but I personally have not seen a case of someone giving someone else HSV 1 through intercourse, but it has been documented in the literature - it is very uncommon.
2.  The boyfriend could give this to someone else through kissing yes, but not sharing utensils and yes to transmission via oral sex, as you already know.

Terri
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