[Question #7392] Hsv 1 question
3 months ago
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Edward W. Hook M.D.
3 months ago
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Welcome back to the Forum and thanks for your question. I'll do my best to help, first by agreeing entirely with Terri's comments. Once a person has genital HSV-1, they typically will not get it again and will not spread it to other parts of the body though normal actions such as scratching, rubbing, etc. You and your BF certainly not need to use condoms to protect you form each other's HSV-1, no matter what the variety of exposure. I do not mean to disparage or question your comment but if you have not done so, it may be helpful to conform that the "tiny dot outbreaks" that you describe are actually HSV and not some other dermatologic process. After all, recurrences of genital HSV-1 are relatively rare, particularly for longstanding infections. This would be best done with a PCR test performed ASAP after the lesions appear.
Your recurrences when your daughter has cold sore outbreaks in coincidence or perhaps a manifestation of any stress that you might have over her illness.
I hope these comments are helpful. EWH.
3 months ago
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Edward W. Hook M.D.
3 months ago
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Correct, Even with a sore, you are most unlikely to transmit your HSV to him. No need to constrain your sex life.
i also think that, given your concerns about possible HSV, a PCR of these lesions the next time they appear would be helpful and, I suspect, reassure you that this is not recurrent HSV. EWH
3 months ago
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Edward W. Hook M.D.
3 months ago
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Your asking good questions.
Cultures are never falsely positive for herpes unless someone else's specimen is mislabeled. You should believe your culture.
The reason I suggested the PCR is that it is more sensitive than a culture test (i.e. less chance of a false negative test) and my sense was that the somewhat atypical sounding lesions you described as "tiny dot outbreaks" may not be HSV. I sensed it would be a relief to you if that was not the case and they really do not sound typical for herpes.
PCR is more sensitive than culture. The test is widely available. I suggest you mention the "new test" for herpes that you have heard about which is more sensitive than culture for detection of herpes. At the very least that will get the conversation started.
Once again, with you having genital HSV-1 and him having oral HSV-1, you can be confident that you are not a risk to him and he is not a risk to you. Terri and I have both told you this.
Hope this information has been helpful. I'm afraid that it is about time for this thread to be closed without further responses. Our guidelines provide for three responses for each client's questions.
Take care. Please don't worry. EWH.
3 months ago
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Edward W. Hook M.D.
3 months ago
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