[Question #7717] HSV1 Genital

28 days ago
Three years ago I contracted HSV1 through oral sex. I had my initial outbreak and haven’t had one since. I have seen 4 doctors. My question is, my outbreak was one sore on my vagina, is there a possibility I could have an oral outbreak? A doctor told me since it’s type 1, I can have an outbreak in either area. Second, with only having one outbreak in 3 years is there a possibility that I might never have another outbreak? I’ve done extensive research and it seems studies show that HSV is determined by its first year of outbreaks. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
26 days ago
Either virus can occur in either area but HSV 2 is rarely oral.
There is certainly a possibility that you will never have another HSV 1 genital outbreak again, correct.  And in addition, after two years of being infected with HSV 1 genitally, the viral shedding rate is only about 4 days out of the year. 
The statistic on recurrences is that if you don't have a recurrence of HSV 1 genitally within the first year, there is an 88% chance you never will again. 
If you've not had an oral outbreak yet, I think it is unlikely that you will in the future.  HSV 1 orally recurs far more often than HSV 1 genital infection

Terri
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25 days ago
So it’s still possible to have an oral outbreak although I’ve only experienced it on my genitalia because it’s hsv1? Or would I have had to contract it in both areas the same time? 
Thank you for the statistics. That’s really helpful. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 days ago
Is it possible?  Yes.  Is it likely?  No.  If you contracted it as a new infection in both locations, I would have expected outbreaks in both locations. 
However, its interesting, in my experience, when people get new HSV 1 in a situation where they were both kissing someone with HSV 1 and that same person gives them oral sex, most often I see it only as a new genital infection.  Perhaps the tissue of the genital area is much thinner and more vulnerable to infection than the mouth.  And again, we can't PROVE that you don't have it orally, but since oral infection with HSV 1 recurs so much more often than HSV 1 genital infection, I would expect to have seen oral outbreaks by now.

Terri
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21 days ago
Do you know the transmission rate for female to male or female to female genitally?
What is the recommended dosage of I wanted to take a suppressant daily?
Although it seems that my experience isn’t an aggressive one I’d still like to be educated especially when discussing with future partners. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 days ago
We don't have transmission rates for HSV 2 either female to male or female to female, but I can tell you that they are very low indeed.
The suppressive dose would be either Valacyclovir 500 mg once a day or acyclovir, 400 mg twice a day.

Terri
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