[Question #7408] New female partner/Oral HSV2
57 months ago
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Hey Terri-
I had a question concerning me and my new partner. We've been hanging out for around a month now. She has had cold sores in the past on her lips (assuming HSV1). No history of Genital Herpes. Around 9 days ago I gave oral sex to her. Around 1.5-2.5 days later i had some pain and a red bump/irritation on the side of my tongue. It turned into two thin small sores (more oval than circular) right next to each other that sort of connected eventually. Ive had inflamed bumps/sores in the same area on my tongue before, but this happening a few days after oral sex made me concerned. I went to the urgent care with in 48 hours of noticing because it was painful/I was feeling kinda achy and the Dr said it looked like a common cold sore on my tongue. She swabbed it (culture) and it came back negative for HSV. From start to finish it lasted like 7ish days, give or take. I know oral HSV2 is rare, but do you think this is something that I should wait 12 weeks and get a test for HSV2 for, even if the swab was negative? I feel like if we broke up I'd be hesitant to kiss someone else because of it. I've gotten sore throats and tongue irritation in the past from giving oral sex, could this just be my body reacting to bacteria? It's really been bothering me since the doctor said it looked cold sore related. I feel like she may have said that to get me to relax that it wasn't something else STI related. I didn't have any cold sore symptoms on my lips and I also read from past posts that most primary infections always occur on the lips. Should I just let this go?
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Terri Warren, RN, Nurse Practitioner
57 months ago
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I think if you have had this symptom previously, then it is highly unlikely that this is something you newly acquired from giving her oral sex. Also, if she has had cold sores, but not genital herpes in the past, I'm not at all clear about how you would have gotten this but giving her oral sex. However, if you kissed her it is possible that you could have acquired this from the kissing if this is indeed oral herpes. But I'm not at all clear that that is what is going on here. Especially if you've had this in the past. Have you ever been tested to know that you are negative for HSV 1 in the past?
Terri
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57 months ago
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I have tested indeterminate for HSV1 Western Blot, and negative for HSV2 on the blot once and on other tests as well as recent as this summer. I have had a few partners post my blot that have had histories of cold sores so it's possible at this point I may have been infected. I've honestly accepted the possibility of having HSV1 Orally. My partner has never tested for HSV2 nor has she had any symptoms of it but I realize people can have asymptomatic infections. I've had small sores/bumps on my tongue but I never considered it to be an alarm for herpes. I've just assumed i bit it sleeping/turned into a canker sore/bacteria. I guess my question is, does it make sense to test for HSV2 after a symptom like this. I have had similar bump/sores there happen in the past but i'm not entirely sure if it was the same exact symptom because the little sores sort of "linked" together after starting as tiny separate ones. Does my negative culture swab give me enough reason not to get test for HSV2? I'm a bit confused how to even explain to someone if i was positive for HSV2 if I didnt know it was orally or genitally.
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Terri Warren, RN, Nurse Practitioner
57 months ago
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If your blot was negative for HSV 2, then I would believe that you don't have HSV 2. It would also be unusual to have HSV 2, though not impossible. But the blot is the important indicator, more than something on your tongue.
If you tested positive on the blot for HSV 2, you could, with 95% certainty, believe that this was genital.
Since your HSV 1 was indeterminate, it isn't possible to know with certainty if you are infected with HSV 1 or not. If you retested in 12 weeks and were still indeterminate, you should, per UW recommendations, consider yourself negative for HSV 1.
As you probably know about 50% of the US population has HSV 1 so that would not be unusual.
Terri
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