[Question #92] ATTN: Handsfield/Hook Herpes scare

38 months ago
In a nutshell, I am worried that I transferred oral herpes to my genitals because I intensively kissed a girl who then 
gave me oral sex.  I've read in some forums that is not possible for oral herpes to relocate but I've also gotten mixed 
advice.  To clarify this, I would greatly appreciate it if you guys read my time log of what occurred. (forgive my  horrible grammar)

up to 2013: I had a couple hsv blood tests from Kaiser that came back negative

6/11/15: Initial Symptoms of sore throat, fever/headache

6/12/15: Multiple painful severe cold sores on bottom lip

6/13/15: Went to Kaiser and they  swab tested my sores and back throat which confirmed "Strep Throat" and "Herpes".
HSV 1 was not confirmed because the swab tests from Kaiser cannot isolate which HSV it is but it was assumed it was HSV 1 
because of the location.  

6/15/15: Sore throat, fever/headache and cold stores still persisted

6/26/15: All symptoms were gone but cold sores were still slowly healing

7/3/15: Cold sores were almost visually gone

7/10/15: Cold sores are visually gone

And now I bring you back to why I am concerned.  On 7/10/15 I went to Vegas and intensively kissed a girl and then she 
gave me oral sex for about 20 minutes.  I did this with her again on 7/11/15.  I was worried that maybe the 
HSV was shedding from my lips and since I was kissing her it was on her lips. I might be overthinking it but I was 
heavily intoxicated that weekend with lack of sleep and food so I'm assuming my immune system was VERY weak and 
susceptible to viruses. (hence why I came back with a flu after that trip)

as of 8/13/15 (five weeks since that vegas trip) I had no symptoms of genital herpes but...

8/14/15: my lower lip started to tingle.  I didn't know that it was a symptom for another herpes re occurrence so I ignored it.

8/15/15: I met that same girl in Los Angeles and we did kiss and she gave me oral sex again.

8/16/15: I felt a minor lump where the tingling was occurring.

8/17/15: The cold sore appeared again on that same location where it was tingling.

Now I am being paranoid again because since my lip was tingling with a minor lump that night(8/15/15), I'm thinking that 
the HSV virus was shedding when we were kissing and when I was receiving oral sex.  My immune system was weak because I 
didn't have food all day because I took 30mg(instant release) of adderall and I did drink a lot of alcohol that night.     

I know this is a lot of information but I just want to know what my risks are for getting genital herpes from my oral herpes when the hsv was shedding and my immune system was weakened.  

Thank You

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
38 months ago
You had two months to make antibody to the original HSV 1 infection prior to receiving oral sex from this person in LA.  The person in Vegas is a little earlier, just about a month after the initial cold sore appeared.  But by three week from infection, 50% of people will have made antibody so at four weeks, more than half will have done so.  I would say that the chances of virus being transferred from your mouth to your genitals by her is quite low.  I can't say it is zero but if you have no genital lesions, I think that is reassuring.  There really isn't any way to know for certain the answer to the question that you ask.  If you develop any genital lesions I would recommend that you have the evaluated right away but again, I think this is very unlikely.

terri
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