Is it possible?  Yes, this kind of genital to genital transmission has been documented in the literature.  However, having said that, neither Dr. Hook, Dr. Handsfield nor I have seen this personally.  So let me further explain my position on this. I have not diagnosed new HSV 1 (no antibody) in someone who has not recently received oral sex.  Often they have also had intercourse so the history is not a perfect way to sort it out, but I think very useful.

Terri