[Question #5259] HSv1

23 months ago
 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?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
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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23 months ago
The index value was 11.5
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
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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