[Question #6012] Ghsv1 or Hsv1?

19 months ago
Good evening, about a year ago I had unprotected anal vaginal and oral sex with a woman for 3 weeks straight. On the third day of us having sex during that 3 week span, I woke up on the 4th day with 2 bumps on the shaft of my penis. It itched and burned when i peed, after 3 days the bumps went away. 2 days after the bumps and symptoms appeared, I went and got a blood and piss test, Everything came back negative including hsv2 except hsv1. The lgG index rate for the positive hsv1 test was <56. Now 6 months later while in New york  and it was snowing I woke up in the morning with a cold sore on the bottom right side of my lip. I have never had cold sores before to my knowledge at least as an adult, I am 23 years old, I am not sure about as a kid I may or may not have i can not recall. So what do you guys think i have? Ghsv1? or Hsv1 cold sores? or both? i know that it is almost impossible to catch both at the same time as I have read from Dr handsfield in previous posts. and If i have Ghsv1 wouldn't my blood test of been negative if it was my first time being exposed to HSv1? I do not get recurrences of either type GHSV1 or cold sores. I know if you guys think i have Ghsv1 I will never have to tell any partners I have since it does not transmit, but I have had a cold sore before that is why I am confused on whether or not where I have the virus, please give me your guys in depth opinion on my situation. Thanks
19 months ago
I have completely stopped dating and no gynecologist can diagnosis me nor know any facts about herpes, by having a correct diagnosis from an expert, you will be saving my life.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
I would disagree that you cannot catch genital and oral HSV 1 at the same time - you kiss someone and receive oral sex from someone who has HSV 1, I have often seen it show up both orally and genitally.  So that's a possibility for you.  It is also possible that your genital symptoms were NOT herpes.  And with an index value of 56 that suggests that you infection with HSV 1 was longer standing, not new.  So we know you have HSV 1 orally.  If you accurately diagnosed a cold sore, then that's for sure.  And that alone would account for your high HSV 1 index value.  If you have not ever had a recurrence of the bumps on your penis, we can't know for sure what was going on there BUT if you have had cold sores since childhood then it is extremely unlikely that you would then acquire this genitally.  Plus the bumps resolved more quickly than most genital HSV 1 outbreaks might. 

It is also not accurate that if you have this genitally you will never transmit.  It is really really unlikely that you would transmit, that is absolutely true.

I think if I were in your situation, I would make the assumption that you certainly have oral herpes and that it is quite unlikely that you also have genital infection.  You should know that you can transmit HSV 1 from your mouth to your sex partners by giving them oral sex, even if you have no symptoms at the time.  BUT since about half the population already has HSV 1, this is far less likely. 

What are you thoughts about this?
Terri
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18 months ago
I wanna hear dr handsfields opinion.
18 months ago
So many BUTS and MIGHTS  and POSSIBLE and ASSUMPTIONS I just wanna know if I have GHSV1 or HSVI 
18 months ago
I’ve only had 1 cold sore my whole life that I can remember. Am I supposed to tell a future partner that? Isn’t that a little outrageous? I’ve  made out with close to 200 girls and not 1 had ever said they had a cold sore, shouldn’t I just not kiss a future partner if I ever get a cold sore and I don’t eat out girls so wouldn’t that be the right way to move around this? And move on with my life? I’m living in hell. 
18 months ago
Also isn’t true after having GHSV1 that the transmission rate is 1.3 percent?
18 months ago
After 2 years ^^^^
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
18 months ago
If you have ever had a cold sore in your lifetime, then that's where the HSV 1 antibody is coming from, even if it was when you were a child.  And once you have this in one location, you are EXTREMELY unlikely to get it in a new location.  So I seriously doubt that you have HSV 1 and if I were you, I wouldn't even worry about that.  And your statistics on shedding (not transmission) of HSV 1 after having it for two years is correct - virus is shed on about 4 days a year (likely NOT resulting in transmission). 
You have gone past the number of posts that your subscription allowed.  You are asking for exact answers which I do not have and neither does Dr. Handsfield - we give you the best information that we have. And by the way, Dr. Handsfield did NOT say you could not get herpes in both locations at the same time. I know that he and I would also both agree that if you had a cold sore at some point in your past, genital infection is highly unlikely.  And putting your demands for black and white answers in caps is not going to make the facts any clearer. 

Terri Warren
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