[Question #5312] hsv1

23 months ago
40 yrs old male, straight. One year ago, received an oral sex for about 15 mins from a stranger in a party and felt stupid. Everything felt wrong and my genital felt very itch and numb after that night. I looked up and three days later did a complete std testing through stdcheck using lapcorp. The result came back and I did not get anything else but I was diagnosed with hsv-1 igg positive for 32.  I did some research on the internet and it seems everyone said the rate of 32 is pretty high and it should take weeks before it reach such level. But I did the complete test three days after. Also, I never had any unprotected sex and neither my partner I never had any outbreak or any symptom. My word went upside down and I did not talk to anyone or have sex with anyone since. I just did not know what to do. Fast forward to current time which is 14 months,  it has been a pretty stressful 14 months (mentally and physically due to work) but I never had any outbreak in my mouth or on genital. Is it possible I was infected that night?  On thing though, I had very bad allergy and prior to the event, I did a IGA testing and my IGA went over the roof. I was thinking maybe it was possible that my immune system (IGA, IGG antibody ) was already so hyper that as soon as I was infected,  my hsv-1 IGG antibody just came out on the top.  what is the chance I pass the hsv-1 virus to anyone through oral or genital if I have sex? thank you.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
Your HSV 1 index value of 32 indicates a very well established infection with HSV 1 - it is NOT at that level from an infection 3 days prior.  If you are simply positive for HSV 1 but do not get cold sores, it is not possible to know if your HSV 1 is oral or genital.  Has your partner ever had a cold sore?  If yes, then they are already infected and I would not be concerned about sexual contact or kissing with them.  i cannot give you percentages of transmission of HSV 1 to someone else 1) because we don't know if your infection is oral or genital and 2) we don't have statistics on transmission of HSV 1.  it might be a good idea for your regular partner to get an IgG test now to see if you are the same or different in terms of your HSV 1 status.

Please let me know what other questions you might have at this time.


Terri
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