[Question #870] Oral Herpe to Genital Transmission
101 months ago
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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
Terri Warren, RN, Nurse Practitioner
101 months ago
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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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Terri
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101 months ago
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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?
Terri Warren, RN, Nurse Practitioner
101 months ago
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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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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
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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
Terri Warren, RN, Nurse Practitioner
101 months ago
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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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Terri
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