[Question #6725] Genital herpes from oral sex and transmission

13 months ago
Hello, I am beyond scared. Please don’t judge me. 
On Sunday morning I engaged sex with a man who isn’t my partner. He performed oral sex on me and we had protected vaginal sex several times. 
However, I was very intoxicated with alcohol. I didn’t realize he had two red spots in both corners of his lips. 
I assumed it was herpes, I was devastated. But I kept researching and reading online, I read this could be something called angular cheilitis, since it was in both corners and nothing on the actual lip. 
I have to mention I had chicken pox when I was 12 years old, and I can remember very well having a massive cold sore on my lip. Never saw another cold sore on my lips again. However, my sister does experience recurrent HSV1 on her lips, and we lived many years together. Therefore, I think I may have Been in contact with the virus before, and this would make me immune to getting it in another part of my body??? 
Yes. I have been having sleepless nights that I spend researching more and more info. 
Also, I have been having genital symptoms I don’t know if they are actual symptoms or they are magnified by my anxiety, but it feels a bit itchy down there. And also some strange sensation like pressure and maybe a bit of pain? I don’t even know how to describe. But I have been checking myself constantly and I haven’t notice any sore or blisters so far... I know, it is early, it’s only been 3 days. 
Please, help me. I need a bit of peace of mind. 
13 months ago
Ok well, it’s been more than a day and I haven’t had any answer. I am wondering if someone is going to answer my question???
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
We have 48 hours to answer questions, so here I am.
We don't judge here - never. 
If you have had a cold sore ever on your lip, it is extremely unlikely that would acquire that same virus in a new location - genital, in your situation. 
Redness of the corners of both lips is far more likely to angular cheilitis than herpes, also.  Herpes on the lip is far more likely to be unilateral with recurrences than bilateral. 
So the two things combined - a history of cold sores in you (even once) and bilateral redness in the corners of this new partner's lips, presents little risk that you have a new HSV 1 genital infections.  And good job using condoms in this situation. 
Please let me know what other questions you may have.

Terri Warren


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13 months ago
Thanks for your answer Terri.
My other question is, how much longer should I abstain from sex with my partner? 
And also, I have been feeling very itchy down there. In fact, last night was pretty bad. Not sure how much longer I should keep checking and looking for any sore or lesions, please advise.
Thank you 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
I'm not suggesting that you abstain from sex with your partner.  You know that the condoms reduce transmission by 96% for HSV 2 and also that since you already have HSV 1, you are unlikely to get it in a new location.  Now it's up to you as to how comfortable you are having sex with your regular partner, with that information.  I think you can stop looking for lesions at about 2 weeks out.  And if you are itching, you might try some yeast medication, just to see if it makes things better.  You should also check for pubic lice, just to be sure.
I wish I had a magic and firm sort of answer for you, but generally, I try to give people information and statistics and my impressions and let them go from there.  I think herpes in this situation is very unlikely.

Terri

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