[Question #7255] HSV 1 IGG - Positive! . Please help!

5 months ago
Hi Dr,

I previously had three instances of unprotected vaginal sex with CSW over the course of an year ( never screened for STDs). Had an unprotected oral with a csw 12 hrs before STD testing ( its been 4 days since I took STD test).  I did not have any symptoms till date. 

My blood results from HERPES SIMPLEX VIRUS 1 TgG, type specific antibody came out as HIGH with a value of 7.48. I haven't researched any thing online about it yet as it may give me anxiety. Please answer my following questions.

1) Is my test accurate or do I need another test to check for false positive

2) Is it curable or do I have to suffer from it all my life?

3) Can it be transmitted by touch. I have a immune compromised mother, if I hug her, would I transmit it to her?

4)  Does this mean I should never have a life partner ? Will I transfer it to her and the sibling too?

Please help!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
5 months ago
You do NOT need another test.  An index value of 7.48 suggests that you have a well established HSV 1 infection, well prior to your most recent encounter with the sex worker.  Have you ever in your life had a cold sore on your lip or in your nose?  About half the US population has this infection, very very common.  You do not need a confirmatory test, no.
This is a life long infection, correct.
You can certainly hug your mom!  Just don't kiss her on the mouth if you have a cold sore. 
It is also possible that you could have this genitally from receiving oral sex if you don't recall having a cold sore. 
Of course, you can have life partners!.  I'm not clear about the sibling question though?

Terri
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5 months ago
Hi Terri 

Thanks for the answer. Yes, I don't recollect having any cold sores on my lip or inside the nose. 

1)Am I at the risk of transmitting this only when I have symptoms like cold sore? 

2) If I kiss someone on the cheek, would I still pass it them ?

3) Are there any medications I can use to prevent it from infecting my life partner? Do I have to use them forever to make sure I'm not contagious. 

4) I read that if I perform oral sex on someone who doesn't have hsv, I can infect them genitaly instead of oral. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
5 months ago
well, first of all we don't know for sure that this infection is oral  but assuming for a moment that it is:

1.  The virus can be given off when you do and don't have symptoms, but the skin of the lip and cheek is thick enough that kissing someone on the cheek when you have no symptoms at all does not present a risk for transmission.
3.  Acyclovir Valacyclovir and Famvir are all medicines that can be taken daily to reduce the risk of transmission
4.  If your infection is oral, there is a chance that you could transmit the virus from your mouth to the genital of a sex partner by giving them oral sex, yes.  The risk I would say is not high but rather moderate.

Terri
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