[Question #5259] HSv1
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76 months ago
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Within the last year I tested positive for HSV 1 through a blood test. The practitioner surmised based on the IgG level in my blood that I had had this for sometime although I have never had any symptoms or outbreaks of any type. Approx 15 yrs ago I was involved w/ a woman for years that had cold sores on her lip periodically which may have been the cause. Recently I became involved with a woman who has HSV1 genitally for approximately 20 years. What are my risks if I engage in unprotected sex orally and/or vaginally with this woman? Since I have never had symptoms I don’t know if my HsV1 originated orally or genitally. If I already have it orally can I get it genitally or if I have it genitally can I get it orally?
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Terri Warren, RN, Nurse Practitioner
76 months ago
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Once you have herpes in one location, it is extremely unlikely that you would then acquire this infection at a new location, with the same type.
And you are correct, without a lesion either orally (including in the nares) or genitally, you cannot know the location of your infection. If you get a symptom in either location, you should have it swab tested to clarify your situation. I wouldn't hesitate to have a sexual relationship with someone who also has HSV 1. Do you know what the index value was of your IgG test?
Terri
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75 months ago
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The index value was 11.5
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Terri Warren, RN, Nurse Practitioner
75 months ago
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You have a very solid index value of HSV 1 and I would agree that this was not a new infection when you had the test drawn. I wouldn't have any concerns about having sex with someone who has HSV 1 genitally. it is extremely unlikely that you would acquire this genitally, if you don't have it there already.
Terri
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