[Question #4406] Type 1 oral to genital

28 months ago
Assume I gave my girlfriend Type 1 genital by oral sex -- from my mouth to her genitals. (I tested positive for type 1 antibodies, negative for type 2. Swab of her genital lesions positive for T1.) Despite that I have the antibodies from Type 1 in my blood, can she still give me type 1 on my genitals? (I have never had a genital outbreak) Or do the antibodies protect my genitals from new case of Type 1? Follow up: how long should we wait after her outbreak is over before we have sex? She is on antiviral meds. Thanks
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
That would be extremely unusual to have it happen - I have this this PERHAPS in one case in 33 years and heard about another possible case on the internet.  The antibody that you have developed against this infection would almost certainly protect you from getting this in a new location. If I were in your situation, I would not worry about this, the chances are so remote. 

I would suggest that you wait until new skin has replaced the outbreak to have sex - mostly for comfort
Her diagnosis of HSV 1 genitally means that she is unlikely to  have many recurrences or shed virus often.

Terri
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