[Question #495] HSV 1

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106 months ago
Hello. So my my question/ story is this: So in Sept/ Oct of 2014 I stepped out on my relationship with another woman. The "other woman" performed oral sex on me (no condom) & I inserted my fingers into her vagina. 2 months later she tells me that her gynecologist called her into her office to tell her that her swab read positive for HSV1. So then shortly after I got tested & that information for HSV (1 or 2 IDK what kind of test it was) & was told neg. About a year later I get tested again & my test says  >=6.00 HSV-1 IgG antibody detected & 
<0.90 HSV-2 IgG antibody not detected. Does this mean I have HSV-1 even though I've never had an outbreak/ symptoms? I ask because a year later after the whole "other woman" situation & my woman finding out what happened, my woman popped out with genital herpes (flu like symptoms & all) & said that her Dr told her that it was HSV-2. I think that my woman stepped out on our relationship as well, but doesn't want to admit it. Can someone please give me some answers???
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Terri Warren, RN, Nurse Practitioner
106 months ago
Your test that indicates an index value of >6 does mean you have HSV 1 infection, yes, even though you've not had a symptom.  I'm assuming you've never had a cold sore on your lip or in your nose?  You could not give your regular partner HSV 2 is you don't have it and it appears that you don't.  Either she has had HSV 2 for a very long time and didn't know it OR she has had another partner and acquired HSV 2 from that partner.  Do you know if your regular partner had an HSV 2 antibody test at the same time that she was diagnosed with HSV 2?  Did she actually have a test that indicated she had HSV 2 or did just look at her and tell her it was HSV 2 because it was genital?  That happens sometimes, but genital infection can also be HSV 1.  Let me know.

Terri
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106 months ago
Correct. Never any cold sores on my lip. But in my nose??? Next time I feel a zit/ pimple in my nose I'll have it checked. And I'll see if my regular partner can get all her blood & culture results from her Gyno. So can my regular partner carry HSV-2 for 18yrs (have 2 kids together) & never give it to me???  
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Terri Warren, RN, Nurse Practitioner
106 months ago
Yes, your partner could have HSV 2 for 18 years and have never given it to you, correct.  That's possible.  HSV 1 sometimes appears in the nose.

Terri
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106 months ago
Hello again Terri. So while I wait for my partner to retrieve her results from her Dr, I figured I'd pick your brain some more. If a person is infected with HSV-1 on their genitals, do they have the same symptoms as if they were infected with HSV-2 (flu like symptoms & a fever)? And also can the test results detect whether it's HSV-1 on the genitals or on the lips/ face?
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Terri Warren, RN, Nurse Practitioner
105 months ago
OMG, I'm so sorry I missed this follow up question, Supermek.  If someone is infected with HSV 1 genitally, then yes, they can have the same symptoms as someone who is HSV 2 positive.  The location of the infection (assuming someone is infected with HSV  via antibody test) can only be determined if there is an outbreak in either location - genitals or mouth.  A blood test can't determine the location of the infection, no. 

Terri
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