[Question #4450] Hsv1

29 months ago
Its important to note that I suffer from OCD and my obsessions tend to focus on disease, especially std’s. I am seeking therapy for this but have a question. 

I’m unsure if i have had a cold sore. I have had what seems like pimples around my mouth, but never on my lip and never blistering. A couple months back, i got tested for hsv1 and hsv2 and both came back negative. About a week ago, i remembered thinking “oh i haven’t had a pimple around my mouth in awhile” examined my mouth closely. And like my brain was trying to scare me, i saw a tiny (i mean tiny) white bump. It was painless and was not forming a blister. Almost looked like a tiny pimple, or clogged pore. I even started to feel random sensations around my whole mouth, (not just that one spot) but i also realize that could have been my brain playing tricks on me as it only occures when thinking about it.  howver i washed my face and exfoliated, and nothing happened. I never tried to outright pop it. It never burst or scabbed over, it just disappeared.  It should be noted that i take lysine daily for my skin and i read that it might also help hsv, althought not scientifically proven.

I probably kissed my boyfriend while it was there, and i know i definitely did after it dissapeared. At first, i didn’t think much of it, but the more my ocd festered, the more scared I become. Could this have been a hsv outbreak? Do cold sores resemble a tiny pimple or are painless? If i hadn’t been examining my face, i don’t think I would have even noticed it there.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
29 months ago
Nothing that you have described here sounds the least bit like herpes to me.  Cold sores do not resemble tiny pimple nor are they usually painless.
Are you concerned that your boyfriend infected you with HSV 1, the cold sore virus, or the reverse?
If you want to know for certain of you have HSV 1, you can obtain a confirmatory test called the herpes western blot.  It picks up about 30% more HSV 1 than the the IgG test.
Almost half the population between 14 and 49 have HSV 1 so it is certainly common and most of the time, a small annoyance.  But for you it does sound like you have focused on this a bit.  Might be good to pursue additional testing to reassure yourself that this is not a worry?

Terri
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29 months ago
I have recieved testing in the past,  the igg at about 16 weeks. I was >.9 (neg) for each type. Would those be considered accurate? 

I also don’t believe he has given it to me as the bump appeared months after I saw him and days before I saw him again. We are in a long distance relationship.

To clarify, a tiny painless whitehead, would not resemble a cold sore? Even a mild sore?  I read that as time goes on your outbreaks become less severe and i thought “what if i just never noticed before” and now its less severe to the extent of tiny white bump? I looked for blisters and did not see any but of course my anxiety took on a mind of its own.

 I also still feel weird sensations around my mouth when i think about it. Like a random itch or something.(in different spots not just the one). Its been days and never got worse so I’d assume those signs would have already progressed if it was a cold sore. Like i said, think its my mind playing tricks on me when I think about it, but those symptoms would not still be occuring correct?

I have thought of testing again, but part of my ocd training is learning to not ritualize with tests. I had been doing well until i examined myself closely but I want to nip it in the bud right away.  

Thank you for your understanding and for all the work you do. I can see how much it helps people, including myself.
29 months ago
I meant to add that I am scared I may have given it to him, if it was a cold sore.  

It had dissapeared throughout my visit and at the end I gave him very short oral sex. The spot was no longer there nor was there any scab, blister or liquid. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
29 months ago
Nope, nothing you have described sounds like a cold sore at all.  Even a mild recurrence. 
It is wise not to repeat the same testing, especially if you have OCD (and it sounds like you have a great therapist) but the western blot is a different test so if you really need to find out your HSV 1 status, I think it would be acceptable to do that test.  Just my thoughts - and I was a therapist in a previous life!

Terri
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29 months ago
With my ocd i know i must live with uncertainty. which is why my hesitation to test, even if different one.

If my hsv1 test was false, as it very well could be, how fast after exposure to it would it pop up? I mean, if what i had was a cold sore (which you have said does not sound the case?) was in fact one, how fast would symptoms show up on my boyfriend? If it has been a week or however long, could i assume everything is ok from that particular time.


Thank you again for your help. 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
29 months ago
If you infected your boyfriend AND he was going to have symptoms with new infection, they would show up within 2-10 days.

Terri
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