[Question #829] Follow up on question 827 dr terri

53 months ago
Doc... I read a lot about herpes since the day i got the report... And i have had the cold sores / fever blisters on my lips since almost for 15 years now.: they occur once or max twice in a year.. I go off with in 4 -5 days ... But i have never had any lessions anywhere in my body ever... And secondly... How do i prevent it from spereading and which medicine shouldni take if I can suggest which i can get in india... Now and how harmful is herpes for my kid and we are planning to have another baby... Wht should i do.. So that it does get transfered if it already hasnt... 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
53 months ago
So the cold sores account for the HSV 1 infection.  for this, I would advise that you don't kiss your children when you have a cold sore - other than that, I would not worry about this.  I am not able to answer the question about pregnancy as we don't know you wife's status, correct?  If she is uninfected the answer is very different than if she is already infected.  If she is uninfected, I would advise that you consider taking daily medication (like acyclovir) daily to reduce the risk of infecting her but that would require a test to know her status.  Again, I would be very very surprised if this is new infection from oral sex only.  That just doesn't make sense.  I think you should consider getting your wife tested to understand best what to do next.  I recognize that that might be awkward but if you are considering pregnancy, that would be the best thing to do.

Terri
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53 months ago
Mam there is one more i want to ask can hsv 1 virus convert to hsv 2 over the period of time... Or does it only transfer through sex... And if i had hsv 1 could i have transfered hsv1... To her ... Plus how risky is hsv 2 to my family... And wht if i start taking my med .to get the disease in control .. And will get my wife checked bec we are planning i can explain her that hsv bec she knows abt my lip thing ...  I will check my wife status and get back Bec we have to plan another kid ...actually for us to decide .., and can i start taking the med irrespective of her status so that there would be no re accourance 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
53 months ago
No, these are different viruses and they stay their same type always. 
Yes, it is possible that you could have transferred HSV 1 to her but at one encounter, that isn't likely, but possible.
HSV 2 is not risky to your family - it is risky to your sex partner (wife?) if she is not infected already.  The herpes medicines will reduce the risk of infecting her if she is currently uninfected.  You can start taking the medicine if that's what you are your clinician agree to do, yes.

Terri
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