[Question #4734] need to test?

28 months ago

I’m a healthy 35 y/o male. I had the following exposure to HSV 2 positive female: 

1) unprotected sex twice in one night each brief lasting about 2 mins each. She had no symptoms present. 

2) about a month later, I visited her again and three days into her taking valicyclivir 500 mg 2x a day, we had genital contact about 45 seconds maybe a minute, but no intercourse/penetration

3) after 6 days of her being on valicyclivir 500 mg 2x a day, we had one protected sex act and then two brief (about a minute each) unprotected a few hours later but within same night.

She has been positive about 15 years and with no meds taken has history of maybe 2 mild symptoms a year. She did not infect her husband of 13 yrs. She had no symptoms at all at each of these 3 occasions. It has been about 6 months since 1st contact and 4 months since last. I have noticed no symptoms at all and I was looking out. Given the exposure that I described and the lack of symptoms, is it necessary for me to test or can I rest at ease? (I’ve never had a cold sore and she was the 1st person I dated after my ten yr monogamous marriage an ex I rekindled with so I gave it a shot but it was long distance). From what I described, is it likely I got infected and just have zero symptoms or is it more likely I wasn’t infected?  Without symptoms, I’d rather not go through the stress, uncertainty and expense of testing if it’s not totally necessary or encouraged. Am I likely in the clear? 

Thank you. 

Thanks,

DJ

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
I do NOT think it is likely that you got infected, no.  It I think it is more likely that you did not get infected.  Your contacts were quite limited and your partner being on valacyclovir significantly reduces the risk of infection as well.  I am making the assumption that you have been tested in the past and were found to be negative?

Terri
---
28 months ago
Thank you Terri. Yes, my ex did fertility treatments and in all of my testing a full panel was done and I was negative. You mentioned the limited contact and the fact that she was on valicyclivir, but as I mentioned, for that one time (first exposure) she was not yet on meds and we drunkenly had brief unprotected sex (2x in one night about 2 mins ea- no symptoms present for her!) I just wanted to make sure you caught that. Does this change your thoughts? Also, what about the fact that I’m symptom free over 4 months later? Also a reassurance?  It sounds like I’m in the clear? 
28 months ago
ALSO just to cover all questions so I can put it behind me, in the small chance that I was actually infected by this person, what are the chances that I would develop my first symptoms out of the blue later on? I’ve been reading some posts where you said some people don’t develop any symptoms at all, but most of those people were probably already positive for HSV 1. Considering that I don’t have HSV 1, and I have not developed any symptoms, is this another indicator that I was just not infected? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
I did see that.  That why I stated unlikely, not impossible. 
So you know that you don't have HSV 1 based on an IgG antibody test?  That's good, but not perfect.  This IgG test misses 30% of HSV 1 infections.  It is far better for HSV 2, so that's good news for you.
While it is more likely that you would have symptoms if you do not have HSV 1, there are people who get HSV 2 who are negative for HSV 1 and don't have symptoms.  Now some of those people are missing subtle symptoms, have outbreaks perhaps around the anus and confuse them with something else or attribute genital symptoms that they do have to something else.  In your situation, you are very carefully observing for symptoms so I think for you, missing a new infection is less likely but not impossible.

Terri
---