[Question #5286] Genital HSV-1 with history of oral HSV-1?

23 months ago
Hi,
I am wondering if it is possible to aquire a genital HSV-1 infection if you have a history of oral HSV-1 (since childhood)?  
Planning for pregnancy and have ongoing fears of previous genital symptoms being an undiagnosed genital HSV-1 infection. Serology (IgG) has been negative for HSV-2. 
Could I have contracted genital HSV-1 with a history of oral HSV-1?  Or autoinnoculated? 
Thanks so much for your time and input. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
It is EXTREMELY unlikely that you would acquire a new HSV 1 genital infection if you have a well established HSV 1 oral infection, such as that which you describe since childhood.  This is true for an outside source (another person) or an inside source (autoinoculation)

Terri
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23 months ago
Thanks for the response. 
Can genital HSV-1 symptoms manifest atypically? Such as a prolonged outbreak lasting 4-8 weeks?

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
NO.  HSV 1 outbreaks in the genital area do not last 4-8 weeks.

Terri
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