[Question #4923] HSV-1 in a Long Term Monogamous Relationship

25 months ago
First off, thank you for everything that you guys do. The mental ramifications of Herpes far outweighs the physical impact in my opinion.

2 years ago, my wife and I tested positive for HSV-1. Her diagnosis came after a swab test performed by her Gyno, after she developed lesions in her "genital" area. A day later, I took a blood test that revealed I tested positive for HSV-1.

We have been in a monogamous relationship for 13-14 years..... and a very strong relationship at that. Sure, we have had sexual partners before our relationship, but we have been strong ever since we began our journey together.

Backstory on the infection:

I deploy quite often. 2 years ago, I came back from a very stressful deployment (yet devotedly faithful to her) to a very stressed out household. The wife had just finished her degree, attained a new job, all while caring for our newborn infant. 2 weeks after my return we decided to venture to an exotic getaway for the both of us to "reconnect." Since the birth of our child, we have been pretty careful about utilizing protection.... even during this time.

10 days later, after returning home, she developed lesions on her "genitals." Her Gyno performed a swap and declared HSV 1 as the culprit. I tested positive  a day later after a blood test. The wifes Gyno told her that there was only a "2%-5%" chance that this situation didn't happen due to infidelity.

Between the Gyno's comments, the lack of adequate information on the information..... it has caused turmoil in our house/ marriage.

Here are my questions:
1. Can HSV 1 lay "dormant" and not affect the other partner after 10-14 years?
2. I have never had an "outbreak" or a cold sore.... can I ever diagnose where this disease is on my body?
3. Is there anyway that this virus wasn't identified in her pre-pregnancy scan?
4. What are the rates/ percentages that HSV 1 was spread from male-female / orally / penetration?
5. Is there any evidence to back the claim from her Gyno that there is only a 2% - 5% chance th
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
25 months ago
Unfortunately, her gynecologist seems completely uninformed about HSV one. If you were the giver of oral sex to your wife, which it sounds like you might have done on an exotic getaway, that is the way most genital HSV one is transmitted - mouth to genitals. About 70% of those infected with HSV one I Do not recognize their infection. Interns of your question about pregnancy testing, I would guess that she was not tested for herpes. And even if she was, and it was negative, the IgG test misses 30% of HSV one infections. Unfortunately, her gynecologist has put major seeds of doubt into her mind and this is completely unwarranted. How terribly unfortunate. Also, she could have had HSV one genital infection four years, prior to your marriage even, and it has been undiagnosed and asymptomatic. The point here is, the most likely thing that happened his mouth to genital infection, even though you are asymptomatic. I don't know if your wife will believe a herpes expert over her own gynecologist but I hope so. Shame on the gynecologist for not understanding this better.

Terri
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Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
I would be very interested in an update here. Did this really happen 2 years ago? How has it been going since then?

Terri
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