[Question #4881] HSV 2 Contact

25 months ago
Hi, went on a couple dates with a guy who came back positive for HSV 2. I kissed him with no tongue twice and the third time he stuck his tongue into my mouth and I pulled away (not a big fan of tongue kissing) but upon pulling away his teeth brushed against mine and I began to bleed.On another occasion he was sweating (not sure is hsv 2 is transmitted through sweat) and then he wiped his sweat with a napkin (not sure if some sweat got on his hand or not) and then he handed me a dollar.  I touched the dollar but then went into my pants to remove a wedgie. immediately after I felt a slight tingle on my left butt cheek for a short period of time(no sores, just a small painless bump in the crack of my buttocks & two painless bumps on inner thigh near buttocks area that vaguely resemble skin tags).I sometimes I feel the tingle on my shoulders or knees on and off.  I also feel a stinging sensation on my vagina every so often and I've seen whitish discharge. He and I have never had anal, vaginal, or oral sex( no genital contact) and he claims he has never had an outbreak. Do you think he could have transmitted HSV 2 to me?
25 months ago
just to be clear, when I pulled away from him after he tried to tongue kiss me, his teeth brushed against my bottom lip, not my teeth...thanks
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
If he has HSV 2, that is almost certainly genital and is NOT transmitted via kissing.  HSV 2 would stay in the group of nerves that supply the area of the body between waist and mid-thigh.  It stays int that area and does not come up and out of the mouth.

Terri
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24 months ago
Thanks Terri.  Just as a follow up, when I went with him to his Doctor, his Doctor said that his positive level was very low (it was 1.25) and his HSV 2 is not transmittable at such a low level.  Is that true? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
The index value has absolutely nothing to do with infectivity.  That is one of the weirdest things I have heard a clinician say to a patient. 
In addition, his index value of 1.25 is consider a low positive result and very well may be a false positive.  The CDC says that anyone who has an index value of 1.1 to 3.5 needs a confirmatory test such as the western blot.  At an index value of 1.25, there is an 85% chance that this is a false positive result.  I am very disappointed that his doctor did not order a confirmatory test for him or refer him to someone else to get one.  I hope you will convey this information to this man.

Terri
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