[Question #870] Oral Herpe to Genital Transmission

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101 months ago
Hello,

I received unprotected oral sex from a girl I met and I was wondering what are my chances of catching HSV 1 genital if she had the virus. She did not have any cold sores present but I am aware she could've still shed the virus in her saliva. Also I don't believe she has ever had a cold sore but I am not entirely positive. At this point I am assuming I would have to wait to be tested. What is the risk she gave it to me and when should I be tested for a good confirmation I either have it or don't? Thanks
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Terri Warren, RN, Nurse Practitioner
101 months ago
We don't have any statistics on oral to genital transmission of HSV 1, Robert.  We only have data on HSV 2 transmission genital to genital.  However, A single encounter with a woman who didn't have a cold sore at the time of oral sex is certainly low risk.  Have you ever had a test for HSV 1?  If you are going to test later, which I don't really think is necessary, but if you do, and you test positive, you won't know when in your lifetime you acquired HSV 1 infection.  Have you ever in your lifetime had a cold sore on your lip?

Terri
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101 months ago
Hi Terri,

Honestly I can't remember if I have or have not. But I have tested for herpes 1 and 2 within the last year and have been negative. At this point, you recommend not testing at all? If I were to test when should I do it?
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Terri Warren, RN, Nurse Practitioner
101 months ago
If you were to test, I would test at 12 weeks post exposure. 
The IgG test for HSV 1 picks up 70% of infections - not terrific but if positive, reliable.

Terri


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101 months ago
Okay but you still would not recommend I test based on the situation? I asked the girl and she said she has never had a cold sore but I am going to see if she wants to get tested that way I don't have to wait 12 weeks. I'm semi worried because the tip and inside of my penis was a little irritated due to some slight masturbation before the encounter so I feel like bacteria or viruses had an easy way in if that makes sense. I know it's low risk and I've read that it's less then 1 in 10,000 according to Dr Hook but still. Thanks
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Terri Warren, RN, Nurse Practitioner
101 months ago
You may wish to test now and see if you already have HSV 1 and if you do, you don't need to wait 12 weeks.  Most adults do have this.  I am not concerned about the encounter.  without knowing your previous HSV 1 status, I can't say what kind of risk you have, if any, but it definitely is very low.  Having her tested would also be helpful if she will do it.

Terri
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