[Question #495] HSV 1

44 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???
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
44 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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44 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???  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
44 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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44 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?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
44 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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