[Question #7199] HSV1

6 months ago
If you have oral herpes can you still get genital HSV1? Conversely, if you have genital HSV1 can you still get oral herpes?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
6 months ago
That is extremely unlikely.  I have only seen this happen once in my 35 years of practice, and in that one case, I'm not positive that the history of cold sores in a person with new HSV 1 was accurate.  This would not be at all a concern for me if I were in this situation.

Terri
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6 months ago
So (to clarify) that means you get the same overall immunity/antibodies to HSV1, whether you got it genitally or orally? Antibodies don't localize themselves around the genital area or oral area?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
6 months ago
When you become infected with one of the herpes simplex viruses, you get both systemic and local immune responses.  The systemic immune responses should keep you from getting the same type at a new location, correct.

Terri
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5 months ago
How does the length/shedding during the incubation period for genital HSV1 differ from that of genital HSV2? Also, have you ever heard of people having an incubation period for genital herpes last several weeks/months/years and then they finally have their initial outbreak, caused by new sexual contact? Is there even a relationship between the hormones stirred up by sexual contact and sparking an outbreak (whether initial or recurrent)?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
5 months ago
We don't have specific data about HSV 1 for the questions you ask but I would assume that the incubation period from infection to symptoms is around the same as HSV 2 - the average is 5.5 days.  Shedding is far less often.  I have certainly heard of being not recognizing their first infection and then only noticing recurrences years later, yes.  We know of no relationship between sexual arousal and outbreaks, but we do know that extended intercourse can be a trigger for some people for an outbreak.

Terri
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