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HSV1 Oral vs genital and outbreaks

New information re received oral from a CSW on Nov 5, 2011. Post is for Herpes, but for background -  Negative for Clamidia, Gonneria, Syphills (all done based on Doctor recommended time period), HIV test at 13 weeks (93 days) after event negative. Just received my HSV test, waited 4 months and had blood tests - had immunoblot IgG type specific.  HSV1 - Positive and HSV2 - Negative.  I have had cold sores in past (but rarely) so expected postive HSV1 result as did doctor.   Now have questions based on positive result

Have continued symptoms in genital area and throughout body only subsiding a few days each month since the encounter. Get severe burning pain in both inner thigh, plenum, and moves side to side along with stinging in abdomen. Results in skin pain.

Questions
1.        If you already have HSV1 orally, can you also catch HSV1 genitally.
2.     Does HSV1 genitally cause severe symptoms like HSV2 or not and what should I expect.
3.     Was 4 months appropriate to wait for type specific blood tests to expect a confident test for the HSV2 being negative.
4.   Spouse has had cold sores sometimes in past. If she already has the HSV1 orally can I still pass it to her genitally and cause her pain. I regret my encounter with the CSW but cannot change the past.
5.   What can I expect for outbreaks for HSV1 if I have also now moved it down to my genitals.

The good news is at least I have the results related to various STDs now and can deal with those results.

Thank you for you assistance
8 Responses
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101028 tn?1419603004
don't forget that you already knew you had hsv1 orally yourself with your history of cold sores so absolutely no real reason to think you have it genitally!! don't let your guilt continue to make you think you had to have contracted something from the encounter you had!
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101028 tn?1419603004
hsv1 would not be causing these symptoms this frequently genitally. you would also have obvious lesions of which you've had none.

since your spouse has hsv1 already, it's a non-issue in this relationship.
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Avatar universal
missed one question above hoping you can also answer.  If you have genital herpes do you then have to use a condom all the time or only during outbreaks?
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Avatar universal
thanks grace,
I have continued to follow up with my provider and other specialists none of which can figure it out. I will continue as long as possible but I would still rather err on the side of caution until it can be figured out. I want to keep my spouse as safe as possible, she means everything to me even with the stupid mistake I made.

I have an active burning spot at the current time.  I actuallly almost feel like in outbreak sooner than every 4 weeks starts as burning spot in inner groin (about 2 inches to the right of the scrotum and grows outward down both inner thighs and to each side of the scrotum, sometime feel like its "leaky", never have any spots or issues on penis. I can never find any blisters but inner thigh burns and seems to go browner (I am fairly white) and then over the next week lightens back up sometime to go through the cycle again in less than a week again

That is why I asked the questions above, I can live without intercourse until I get it figured out, but still want to be sexual with my wife. Can you provide me advice on the questions above along with a couple of others based on your experience.  I would like to use a sex toy on my wife to give her the pleasure I am not willing to give at this time and also want to enjoy her body with my mouth and hands. I just do not know if any activity is safe if I am having a genital outbreak (and yes I mean IF until I figure it out

Also do I have to wear sleep pants and a Tshirt while pleasuring her or can I just be in my boxer shorts?
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101028 tn?1419603004
would not assume you have hsv1 genitally causing these symptoms at all. continue to follow up with your provider to try to figure out what is going on.
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Avatar universal
now trying to deal with sex with herpes. looking for advice as not very smart in this area.  Assuming I have genital herpes, (never had a positive culture but every 4 weeks or so have burning inner groin all the way down to my knees but no blisters, swabs have all come up negative but blood test came back positive for HSV1 (negative for 2).  But lets assume I have HSV1 genitally.

If I am in an outbreak period, is it ok for my wife to give me a handjob (no intercourse and no oral).
If in an outbreak can I use my hands to finger my wife, or suck on her breasts or does the virus pass on from anywhere in my body?
Basically after these two questions, what can I do and what can;t I do to keep my wife safe (she is negative for both)
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Avatar universal
thank you for your valued comments.
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101028 tn?1419603004
in our read before posting post, located under the important announcements tab on the forum, we ask that you just keep adding to your original post instead of making new posts each time. thank you for your future coooperation with this.

once you have hsv1 on one body part, you are not likely  to get it on other body parts. always err on the side of caution and should either you or your partner have an active cold sore, don't perform oral on your partner until the skin is completely healed.

grace
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