[Question #5333] HSV1 genital infection transmission to partner with previous HSV1 oral infection

23 months ago
[Question #5012] In a continuation of this question: I was not diagnosed with a swab. Swab was negative. Diagnosis was not definitive, only based on genital symptoms and observations; positive blood test for HSV1. negative for HSV2. So going forward for possible pregnacy- I would have to tell my clinician and possibly start on antivirals at 36-37 weeks? Or since I have not had any further outbreaks, would I just have observations made at time of delivery for active lesions? I have heard that negative swab doesn't rule out a false negative?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
Given all of this, there is no way to know for sure if you have HSV 1 genital infection.  So someone just looked at symptoms and told you, based on that, the not only do you have herpes but that you have HSV 1 genital infection?  That's not possible to do.  Maybe you had a lesion and a positive blood antibody test for HSV 1 nd someone said that means you have HSV 1 genitally?  Even that is a leap.  I am assuming you have never in  your life had a cold sore on your lip?  If you are deciding that you do indeed have HSV 1 genitally, in pregnancy, you would make your OB aware of this and they would likely put on you suppression and observe for lesions at delivery, correct.

Terri
---