[Question #5012] HSV1 genital infection transmission to partner with previous HSV1 oral infection

24 months ago
female,after initial outbreak, diag. w HSV1 genitally, most likely due to oral sex (no previous intercourse). negative for HSV2. No oral s/s altho mom has many outbreaks.no other outbreaks so far x 4years.  can male partner get HSV1 genitally if they have had previous HSV1 oral infections? I have heard the shedding is less with HS1 genital infection as opposed to HSV2, but wondering if they would also be protected from their own HSV1 antibodies even though their previous outbreaks were in the oral region. I have read many articles but can never seem to get this particular situation answered
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
The likelihood that someone would acquire HSV 1 in a new location after having a well established infection, for example, orally, is tiny tiny tiny. 
This question gets asked a lot now that we are seeing more and more genital HSV 1. 
I have only seen this once in 33 years of practice and read about it once while doing Q and A.  If this was me, I wouldn't give it another thought or worry.

Terri
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24 months ago
thank you. it makes me feel better. since i haven't had another outbreak for 4 years, how likely is  it that i will or is it possible that I may never have an outbreak again? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
If you have not had a recurrence within the first year of infection, there is an 85% chance you will not have another one.

Terri
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23 months ago
thank you. hopefully i won't. But going forward into possible child bearing times ahead-what should I be alert to/worried about/ or take precautions with during pregnacy & delivery? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
You should make your clinician aware of your diagnosis, consider daily antiviral medicine from about 36 weeks on, and observe carefully for any symptoms at the time of delivery.  I would suggest that you keep a copy of your diagnosis.  I am assuming that you were diagnosed with a swab test - guess I should have confirmed that first?

Terri
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