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Questions about contracting Genital HSV 1
Hi,
I have had HSV 1 since I was a child and barely get break outs any longer. I recently dated someone and may have given him HSV 1 genitally via oral sex. He had a break out but his doctor unfortunately only gave him antifungal meds and it eventually healed.I had no symptoms but was tested and tested negative. However, I didn't do enough research at the time, and only tested for HSV 2.  After the breakout was gone, we had unprotected sex again, and he soon broke out again.  This time I was itchy around the anal area, but nothing more. This time his doctor gave him meds for both chlamydia and herpes simultaneously. He didn't take a swab for testing. A month later he was tested for HSV 2 by a blood test and tested negative or inconclusive.  But of course, he couldn't have HSV 2 from me, although it could be in his system from another partner.   What I am worried about is whether I may have given it to him, and then he gave it to me in the genital region. Is there a chance of that?
How accurate are tests for genital HSV 1? Should I make him get a test for that?
This still won't solve my problem however because I still don't know whether I have been infected. And from my reading, I can't take a test to differentiate between HSV 1 oral and genital, correct? If I get tested, I'll probably just test positive for HSV-1 since it's been in my system for years.  
I am now starting to date someone new and don't know how or what to tell him.

Please advise.
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101028 tn?1419606604
he certainly should get tested for hsv1 to know his status. if he tests + for hsv1, no way to know if it's oral or genital though so he needs to make sure that if he gets a return of genital symptoms, he is seen within 48 hours of their appearance and insists on a lesion culture and typing.

as for your new partner, he'll need to seek out type specific herpes igg blood testing too to know his status.

grace
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Couples don't ping pong shared HSV-1 infections back and forth. So, if you did give HSV-1 to your former partner genitally through oral sex then he would not pass it back to you genitally since you have HSV-1 orally. However, it would be best in the future for you and your new partner to get tested for HSV-1 and HSV-2 as Grace pointed out.
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Thank you for your reply.  I thought I saw on this site and perhaps others, that even if you have HSV1 one orally, you were not 100% guaranteed or immune to getting HSV1 genitally.  It seems like the chances are small, but it could happen.  Is there somewhere that you read this data, or where I can find it myself? I would be so relieved to know for sure.
Thank you.
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101028 tn?1419606604
it's not 100% but it's pretty close.  

would I worry about contracting hsv1 genitally if I already had it orally? Not at all.  Usually just avoiding sex any time your partner has a recurrence genitally is all it takes.
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