[Question #4710] HSV1 and Oral Sex
80 months ago
|
I received oral sex from a female over the weekend who I know and is confirmed positive HSV1 and HSV2. While I know there are no risks from HSV2 I'm concerned about whether she could have transmitted HSV1 to my genitals. She had no signs of a cold sore and hasn't gotten one in two years. When they do appear, per her, they show up in her nose. She gave me oral sex probably 3 or 4 times, less than a minute each time. It's been 4 days and I haven't seen any symptoms. Was I at high risk here? If I don't see anything for a week would you recommend further HSV1 testing via IGG or should I simply assume I didn't get it?
![]() |
Terri Warren, RN, Nurse Practitioner
80 months ago
|
You were not at high risk here, you were at minimal risk. Have you had a negative IgG test in the past to know that you are not infected already with HSV 1?
If you don't have symptoms in 10 days, I think it is extremely unlikely that you became infected from this encounter, correct.
Terri
---
80 months ago
|
Previously negative for HSV1 and HSV2. Any reason to test without symptoms at 10 days?
![]() |
Terri Warren, RN, Nurse Practitioner
80 months ago
|
I don't believe with the encounter that you describe that it is necessary to test for HSV 1 if you have no symptoms at 10 days out, no.
Terri
---
80 months ago
|
It’s been a week and no sores have appeared. I assume if they were to they would be pretty noticeable? At this point would you say I most likely didn’t get infected?
![]() |
Terri Warren, RN, Nurse Practitioner
80 months ago
|
I would say, yes, you most likely did NOT get infected.
Teri
---
80 months ago
|
One last follow up here. I had asked a question in regard to this relationship and brief protected intercourse/further testing. I had unprotected sex with this person back in August. I tested negative for everything a few weeks ago. This was 4.5 weeks after the brief protected intercourse. It was recommended by you to be on the safe side to test again at 8 weeks which I plan on doing. I’ll plan on an igg for HSV1 and 2. This would be 8 weeks past protected vaginal intercourse and 3 weeks past unprotected oral. If I’m negative for both can I safely say I don’t have either strain? I am at 12 days past the oral sex and have seen no sores. I’m ready to put all this behind me.
79 months ago
|
One additional item here. I know you advocate against the use of the IGM test. However I had one performed. My logic was that I pretty much know I don’t have HSV2 at this point and I was negative HSV1 last time I tested. That was right before this oral exposure. I assumed going into it that a positive result only meant cross reaction with another virus (I’ve had shingles before and chicken pox) or at worst maybe I contracted HSV1. The test did come back negative. I understand that there was a large risk for false positive but given that absolutely no antibodies were detected can I safely say I didn’t get HSV1 from the encounter? Again no sores have developed. I still plan on testing finally for HSV1 & 2 via IGG after next week. I’ve decided for myself that any type of contact with this person isn’t worth it and I’d like to move on. If it were someone I wanted to pursue a serious relationship with I wouldn’t let herpes stop me, but as far as casual flings it’s not worth the worry after for me.
![]() |
Terri Warren, RN, Nurse Practitioner
79 months ago
|
For the record, I didn't suggest that you test from this encounter. Maybe we discussed testing from another encounter, the earlier ones?
The thing is, the IgG test misses 30% of HSV 1 infections compared to the western blot. In my mind, a negative IgG test for HSV 1 is helpful but certainly not definitive.
And let me add that about 1/2 the population has HSV 1 so moving on from this person due solely to her HSV 1 doesn't make much sense. If you have difficulty with her HSV 2 that's a different thing. This is especially true since it does not appear that this is a long term serious relationship for you.
Terri
---
79 months ago
|
The HSV2 is the main concern. I understand the frequency of HSV1. However that was the only real risk from this encounter. If anything this whole experience has taught me I’m more comfortable with sex in a committed relationship.
![]() |
Terri Warren, RN, Nurse Practitioner
79 months ago
|
The test is pretty darn good for HSV 2 - not perfect but pretty darn good.
I am also in agreement that sex in a committed relationship is way less complicated and much more fun ;-)
Terri
---