[Question #7087] Prevention Program

8 months ago
Greetings,

History: I had my first HSV-1 outbreak on my penis  on June 19th.  I was tested for all sexual transmitted diseases and HSV-1 came back positive. The Dr.  looking at my blood test results, stated that I was recently infected. I spoke with the last girl (and before her it's been over a year), who performed oral sex. She was tested two weeks before I was, and she stated that everything came back negative.  Either way, I have accepted my fate and I'm going to move forward as a infected HSV-1 person. I'm currently taking Acyclovir 400MG 3 times a day for 10 days.   I have never had any time of herpes outbreak until now. I do have canker sores since being a child but that's it.  I've only one outbreak and it was on top/middle of my penis skin.

My question:  I would like to begin a program that prevents me from infecting others and reduces/eliminates outbreaks. What can I take/do when I start dating. I'm not ready to share this information with anybody and especially in a small town. I would like to prevent infecting others if they drink out of my cup, or if a girl kisses me. I've come across youtube videos where she takes medicine everyday for HSV-1. I'm wondering if that's feasible/recommendable. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
8 months ago
Let me ask you for some clarification:  You said you had your first outbreak of HSV 1 on your penis in June.  Was the lesions swab tested and came back positive?  Is that what you are saying?  Or did you have a lesion that was not swabbed and you had an antibody test that was positive for HSV 1?  What was the number associated with your positive antibody test?  If your antibody test was positive at a higher level, this indicates that you had an infection prior to the first outbreak.  How long after the first outbreak did you get an antibody test?
You've never had a cold sore, correct, only canker sores? 
If your infection is truly genital, you don't need to worry about things like drinking cups or kissing.
It is possible to take 400 mg of acyclovir twice a day, every day, to reduce the risk of having recurrences and reduce the risk of shedding virus and infecting someone else. 

Terri
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8 months ago
Hi Terri,

The lesions were not swabbed. I had the  the antibody test and that was positive for HSV 1. The Anti body test results are the following:

Name                      Value                   Normal         Units            Flag  Status    Performed By
Equivocal                   INDEX            0.90-1.09
Positive                       INDEX            >=1.10

Interpretation                        HSV 1 IgG
Negative                INDEX    <=0.90
Equivocal               INDEX    0.91-1.09
Positive                   INDEX   >=1.10

I took my blood test approximately within 2/3 weeks from my first outbreak.
Correct, I had never had a cold sore. I have only had canker sore.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
8 months ago
so since there was no index value associated with your test result, we don't know if this value represents a new infection or one you've had for many years.We also don't know if this was a low positive value that needs confirmation.  And I actually don't even know if this is an IgM or IgG test.  Do you have that information?  And we don't know that the lesion on your penis was due to HSV 1 or if you could have this infection orally and are not symptomatic orally.  The only way to know what's going on here is to have a lesion either orally or genitally swab tested.  I wish this was a clearer situation for you.  Perhaps I can help you more with more information about the lab test itself.

Terri
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8 months ago
https://drive.google.com/file/d/17_MDi8ujalKQAPe1kojhZ3ehdzKjAVg4/view?usp=sharing

There's a photo of my exam so that you can see it.

I'm wondering if this answers your question: HERPES SIMPLEX 1 IgG  > 5.00

I put in my previous message 1gG so does that mean its  not a Igm? Does that answer your question.

SO I need a swab test to confirm if its herpes and to see how long I have had it????


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
8 months ago
Sorry, I missed that IgG notation in your previous post.  All we know is that you have a well established case of HSV 1 infection.  We do not know the location of the infection.
What you have attached is a photo of the lab result, not a picture of your examination, so we are still in the position of not knowing if this infection is oral or genital.  if the person who examined you felt strongly that these were herpes lesions, then perhaps they were.  But if you had the antibody test at the visit where you were examined for the lesions, and this is genital herpes, it is not a new infection and does not need confirmation.  What should have happened is that the lesions were swab tested to see if they actually represented a herpes outbreak.  So now, if you get a lesion again, you should have it swab tested right away.  I'm so sorry I can't help you more with your question, but with only an antibody test to go by, and no swab of a lesion, that is all I can tell you.

Terri
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