[Question #4360] Dr Handsfield/ Dr Hook

30 months ago

13 years ago I had sex with a boyfriend that did not tell me he was newly infected with hsv. (I later found out it was hsv1) We had sex at night and the next morning he started having symptoms/leisons and told me we could not have sex that day because of this. 

I was very upset bc at the time I had hpv and was open and honest with him about the warts I had treated. 

Of course after this I had testing done. At that time i had no idea hsv1 could cause genital herpes and was more focused on that. But I don’t know if I was tested for hsv1 or hsv2 through blood or if they automatically test for both.  

 

After this I would get a reoccurring vaginal cut where my warts were treated. Upon visual diagnoses I was always told it did not look like herpes. Until my gyno at that time finally gave up and said maybe it was bc nothing else was making sense. The tests she ran all came back negative. Im not sure is she tested me for just 2 or 1 as well. Or how swabs worked back then. 

I let it go for a while bc everything kept coming back negative and the cuts stopped. Nothing during pregnancy and my ex hubs Never complained of anything. 

Four years ago the cuts returned, so off I went again to be tested and was nearly laughed out of the office bc they said it did not resemble herpes. Now that I knew he had hsv1 I had the blood tests redone. Twice. Both times negative. My concern is that I get these cuts in three areas, not usually at the same time and they heal almost as fast as they show up. Ex. Feel it Sunday night by Tuesday morning gone. Even can repeat in same spot weekly at times. (I can’t recall how long the cut would last years ago.)

So my worry is , is it possible I am one of the many false negatives? Would the fact that he had lesions mere hours later make me a sure bet to have contracted it but have atypical symptoms? Thoughts?

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
30 months ago
I Believe that we are ready discuss this on the Westover Heights website. There are a few ways you can approach this– You can have these cuts swab tested when they appear or you can do the herpes Western blot witches about a third more sensitive then the IgG test for HSV one.  If the Western blot is positive for type I, you cannot know if your infection is oral or genital, only that you have it. The swab test would be the thing to clarify the location of your infection.  I believe the Dr. Hook and Dr. Hansfield would agree with this response.

Terri
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30 months ago
Yes we did. I already have them swabbed and negative. I haven’t had any since my usage of the steroid cream. I want to put this behind me once and for all. The other forums seem to have more discussion on how unlikely this transmission is. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
30 months ago
HSV 1 is unlikely to be transmitted via intercourse, yes, my only concern here is that you had sex just shortly before he noted an outbreak.   I personally have not seen transmission of HSV 1 via intercourse but it has been documented in the scientific literature.   Herpes lesions normally do not heal as quickly as what you describe but that's not impossible.  The face that you have had negative swabs is hopeful for sure - do you know if the swabs were culture or PCR?  PCR is far more sensitive. 
In my experience, once the test misses an HSV 1 infection, it continues to miss it. So I'm not clear that repeated IgG tests are offering you much clarity here.   I will repeat the the western blot is your best answer to whether or not you have HSV 1. 
I know that you are worried, given that you posted in two different locations, but there are not great,clear answers here except to obtain the blot.  The rest, I am afraid is "best guess"and my best guess is that herpes is quite unlikely here but completely ruled out by the testing that you had done

Terri
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30 months ago
Thank you so much for your opinion Terri. My only fear with the western blot is that it will tell me If j have the infection but not where. And then I will feel obligated to disclose to any future partners even if i don’t know the infection is genital. I suffer from severe anxiety as I’m sure you can tell bc this was an incident 13 years ago. I would assume they were cultured and not PCR. I guess the only way for me to let this go is with the western blot. 

Thank you. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
30 months ago
I do understand your predicament.  So you've never had a cold sore on your lip or inside your nose are on your chin?
I don't know how to advise you on this one. So on balance, it is not knowing if you are infected with HSV one and if you are where, versus knowing you are infected with HSV one but not knowing where. The main upside I see from doing the Western blot is if it came out negative for type I. Remember that about half the population is infected with type I so if you are infected, you are in good company. I'm wondering if you have a professional therapist that you speak with who might help you sort this out. Please let me know if I can help you obtain the blot-you know how to reach me

Terri
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