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Atypical HSV-1 Genital infection
My wife had a 6 month affair with a high risk individual.
She had unprotected oral/vaginal sex in January. Sex was mostly protected otherwise during the 6 months.
July 26 she had a 2 minute vaginal exposure when condom fell off.
July 29 leg pain started, that felt like a pulled muscle.
July 30 she had vaginal discomfort, that felt like an abrasion, but no blisters.
August 1 there was a positive HSV-1 culture.
August 5 She began taking Valtrex at higher dose initially, then went to normal dose.
September 9: Valtrex increased from normal dose to triple dose.
The vaginal outbreak/lesion continued.
September 19 HSV-1 serum FOCUS test was 1.2, barely positive, HSV-2 negative.
September 22 she was switched to Acyclovir at high dose and then settled to 2/day @ 400 mg.
Buttock pain, lower back pain and pain down both legs continue.
October 8 vaginal lesion healed.
Buttock pain, lower back pain and pain down both legs continue to date.
Questions:
1) Is the vaginal sex in July the most likely cause of the HSV-1?
2) Can HSV-1 genital infections be caused by mouth to mouth kissing?
3) Should she continue with the anti-viral medicine and for how long?
4) Buttocks and leg pain does not seem to be a common Herpes symptom. Is something else going on?
5) What STD tests should I, the husband, have?
6) What future sexual precautions should I take with my HSV-1 positive wife?
7) Can I get HSV-1 oral or genital infection from kissing or having oral sex with my wife?
She had unprotected oral/vaginal sex in January. Sex was mostly protected otherwise during the 6 months.
July 26 she had a 2 minute vaginal exposure when condom fell off.
July 29 leg pain started, that felt like a pulled muscle.
July 30 she had vaginal discomfort, that felt like an abrasion, but no blisters.
August 1 there was a positive HSV-1 culture.
August 5 She began taking Valtrex at higher dose initially, then went to normal dose.
September 9: Valtrex increased from normal dose to triple dose.
The vaginal outbreak/lesion continued.
September 19 HSV-1 serum FOCUS test was 1.2, barely positive, HSV-2 negative.
September 22 she was switched to Acyclovir at high dose and then settled to 2/day @ 400 mg.
Buttock pain, lower back pain and pain down both legs continue.
October 8 vaginal lesion healed.
Buttock pain, lower back pain and pain down both legs continue to date.
Questions:
1) Is the vaginal sex in July the most likely cause of the HSV-1?
2) Can HSV-1 genital infections be caused by mouth to mouth kissing?
3) Should she continue with the anti-viral medicine and for how long?
4) Buttocks and leg pain does not seem to be a common Herpes symptom. Is something else going on?
5) What STD tests should I, the husband, have?
6) What future sexual precautions should I take with my HSV-1 positive wife?
7) Can I get HSV-1 oral or genital infection from kissing or having oral sex with my wife?
Your wife needs to go for further evaluation for all of this. It appears that yes she has hsv1 genitally but it also appears that she has something else going on since her symptoms persisted so long. I actually recommend at this time that she stop suppressive therapy with acyclovir and see if her pain continues. if it does, she'll need further evaluation by her doctor or a neurologist to see what all is going on and causing her continued pain.
You should also get a herpes blood test unless you can recall a history of cold sores.
grace
You should also get a herpes blood test unless you can recall a history of cold sores.
grace
She probably contracted it from Oral sex in the first place.
In answer to your questions
1) It is most likely from Oral sex
2) Not very likley
3) If she is having a lot outbreaks she should continue with Suppressive Therapy to lessen the outbraks and also to make things a little safer for you
4) Buttock and leg pain happens with some people
5) You should be tested for all possible STD's
6) You should abstain from sex and Oral sex during outbreaks
7)You can get oral HSV1 from Oral sex with your wife it's unlikely that you will get it from kissng her unless she has outbreaks on her mouth also.
I will add that if your wife had unprotected sex with a "high risk" partner then both of you should also have an HIV test
Daisy
In answer to your questions
1) It is most likely from Oral sex
2) Not very likley
3) If she is having a lot outbreaks she should continue with Suppressive Therapy to lessen the outbraks and also to make things a little safer for you
4) Buttock and leg pain happens with some people
5) You should be tested for all possible STD's
6) You should abstain from sex and Oral sex during outbreaks
7)You can get oral HSV1 from Oral sex with your wife it's unlikely that you will get it from kissng her unless she has outbreaks on her mouth also.
I will add that if your wife had unprotected sex with a "high risk" partner then both of you should also have an HIV test
Daisy
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You are reading content posted in the Herpes Community
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
