[Question #7500] Getting genital herpes by oral sex

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56 months ago
 coming back after question 7416. This girl gave me oral sex and she had some redness on her lips. She said it is not herpes, she had it one month ago.  She also kissed me before.

Next day a cold sore appeared on my mouth. As I explained before, I already had cold sores in the past and I was tested positive for HSV1. Last time you said it is very unlikely I will get herpes on my genitals.

Is it the same situation now? I read some articles that says people can have cold sores on mouth and genitals in the same time caused by HSV1.  Other articles says it is not possible. I am confused now and afraid as well. Do you think I can have symptoms on my genitals? Is it possible that she has herpes twice with one month difference? Thank you.
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Terri Warren, RN, Nurse Practitioner
56 months ago
Yes, people can get oral and genital herpes at the same time - they kiss someone with cold sore virus (symptomatic or not) and then that person also gives them oral sex.  But to get HSV 1 in a new location after having a well established infection elsewhere would be extremely unusual.  My opinion stands, the same as before.

Terri
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56 months ago
Dear doctor,

Thank you for your answer. Indeed, the cold sore appeared on my mouth on the place where it usually appears. It is not too big and it is not really itching. 

Last time I had cold sores 2 years ago - does it affect the defense of my immune system, the power of the antibodies? I really hope and believe that I will be ok and there won't be symptoms at the genitals. Nevertheless, could you please tell me what is the incubation time, after what time can I be less stressed? Thank you. 
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Terri Warren, RN, Nurse Practitioner
55 months ago
Again, it would be highly unusual to get HSV 1 in a new location once you have it orally.  I'm not sure what you mean, the power of the antibodies?  It's completely normal not to have outbreaks very often in the form of cold sores.  In the very rare event that you were doing to get this genitally, it would likely be 2-10 days from a concerning contact.

Terri
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55 months ago
Thank you for your answers. So my last questions are: 

1. Is there any statistics what does the very rare mean? 1 out of 100, 1000? 

2. Are these very rare exceptions linked to any condition, like weak immune system for example?

3. The redness on the girl's lip was caused by her son, who hit her with his nails accidentally exactly on the place where she usually has herpes. Could this cause outbreak?

4. A cold sore appeared on my lip around 17 hours after I kissed her. Could this be because of her wound/cold sore (as you said incubation time starts at 2 days)?

Thank you for being patient with me and I wish you a Merry Christmas!
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Terri Warren, RN, Nurse Practitioner
55 months ago
1.There are not statistics on this but I can tell you after 35 years, I have seen this in person once, and read about it online once.  Other people THINK this is happening to them and it's certainly possible but often , people get canker sores and cold sores and angular chelitis all mixed up.

2. None

3.  I suppose that is possible but not likely

4.  You have a history of cold sores - I don't understand why you think this is related to her possibly having a cold sore.  I seriously doubt this and hope you can stop being concerned about this as soon as possible.

terri
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