Herpes 2: Trasmission by hand or mouth

[pufi]

I have Herpes 1 and my friend has Herpes 2. I think he is taking Medicine but I can't confirm this information. So, let's not consider that he's taking any medicine. We were "playing" the other day but we got confused about the types so now I have a couple questions. He had no sores or any visible outbreak. He was masturbating himself so he put his hand in his penis, then he put it in my vagina and masturbated me. Can Herpes 2 travel in his hand from his genitals to mines? What are the odds? After, I gave him oral sex for a while. What are the chances for me to get Herpes 2 from this?  This happened a couple days ago and there are no symptoms but still, I'm afraid. Should I take some medicine for this now?  Finally, if you think that I should get tested. How long should I wait to do that and then how many weeks after should I get re-tested? There is a lot of information so I don't know what to believe in. Thank you!

[pufi]

Dear Terri,
Thanks a lot for your answer. I will wait and get tested.
One question: My friend with the HSV 2 has the floor of the mouth swollen and I want to know if this might be related to me. He doesn't have a sore or anything specific, it's just all a swollen area with no pain and no problems to breath. Do you think this is related to herpes? Or is this related to any other STD? Or this is just something completely different? Thanks again.

[Terri Warren, RN, Adult Nurse Practitioner]

That sounds more like a canker sore, which are not caused by herpes.  You say have HSV 1 orally?  And you know that because you had a sore swab tested positive for HSV 1?  An antibody test will not tell you where an infection is, only that you have it.  The same will be true for your HSV 2 test.  I would wait 4 months from possible infection for further testing, and if you continue to have sex, the wait time will simply move forward with each encounter.

Terri

[pufi]

Thanks. He's talking daily medicine and has no sores (I asked). I would love that risk to be less than 5%. Is there available information about Genital herpes transmission to the mouth?
I forgot to tell you something. The next day of this encounter I discovered a tiny sore inside my mouth (less than 24 hours apart). It's a tiny sore in the upper right side of the gum (not so close to the teeth). It's round, white, almost flat and it's not bothering me at all. I felt it after dinner the next day and it looked like any mouth sore (not herpes related). I read that the sores after the infection would take 2 - 12 days so I didn't pay attention to this. Do you think this might product of the HSV 2 infection? Or it might be just a mouth sore from the stress and food of these days?
You didn't answer to my first question about the testing. Should I get tested? How long should I wait to do so?
Thanks a lot for your help.

[Terri Warren, RN, Adult Nurse Practitioner]

I would not say the risk is 25%, no, no where near that high, though I cannot give you a number.  Taking daily medicine definitely reduces the risk of transmission, by about 50%

Terri

[pufi]

Dear Terri,
Yes. I have been tested and I was positive for HSV 1 at least orally. I'm not sure about it if I have HSV 1 in my genitals as I can't remember ever having an outbreak. So, the oral sex  to acquire HSV 2 orally is risky. Slightly, like 25% probabilities? If he is taking daily medicine, that helps? And now you have all the information.

[Terri Warren, RN, Adult Nurse Practitioner]

First of all, have you ever been tested for herpes?  Is that how you know you have HSV 1?  If you've not been tested, then I would recommend type specific IgG antibody testing for you.  Transmission through mutual masturbation is incredibly unlikely, certainly nothing I would lose sleep about.  You giving him oral sex present slightly more risk, but if you have HSV 1 orally (cold sores) and you acquired HSV 2 orally, it would look just like a cold sore, and in addition, having HSV 1 orally (if that's what you have) would also probably help you not get HSV 2 orally.  I wouldn't recommend taking medicine now, no.  If you were going to take medicine for a risky exposure, to do any good, it would have to be right away, if it indeed does do any good.  Your testing question I can't answer until you answer my question about testing above.

Terri