[Question #5994] HSV1 positive partners-1 never display symptoms & 1 had past genital outbreak

19 months ago
HSV1 positive female with past genital outbreaks, now long time  dormant (25+ years).  Partner is HSV1 positive male with no known outbreaks ever,  orally or genital.  Is it accurate to say the partner with no known outbreak will not be infected by receiving oral, giving oral, having unprotected sex and kissing the female with past genital outbreak?  What are implications if the HSV1 positive female engages in any of the above acts with HVS1 negative male?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
Now that you are both positive, I wouldn't give this another thought.  And if the male was negative (and remember that the Igg test misses 30% of HSV 1 infections), the chances are very close to zero of transmission.  People who have HSV 1 for 2 years or more shed virus, on average, 4 total days out of the year!

Terri
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19 months ago
One more clarification in the above scenario, if the male is HVS1 negative, and female has no current outbreak on the mouth (never had one) and performs oral sex on the male is there still a risk of transmission if it should happen to fall on one of the 4 days per year?   Also, I may have had a cold sore on the nostril area of my nose.  Should I refrain from kissing as though it were an outbreak on my mouth - or is it ok as long as the sore doesn’t come in contact with my partner? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
If your infection is only genital, giving oral sex presents zero risk.  But it also sounds like you have oral herpes (in your nose).  is it possible you acquired them at the same time? 
If the infection in your nose IS HSV 1, then yes, you should refrain from kissing when it's there.  If it is active nasally, then it is likely active orally at the same time.  Have you ever had the nose outbreak swab tested?  If not, I would suggest that you do

Terri
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