herpes questions

[healingme]

Hello-  I have not been tested for Hsv1 but assume I have it as I have had cold sores off and on since childhood.  I'm 34 years old and have not had a cold sore in about 5 years until this week.

6 days ago I had unprotected oral and vaginal sex.  2 days after I got a cold sore just below my lower lip (previous sores had been on my upper lip).  I went to the doctor and was prescribed Triamcinolone cream.  

Yesterday, 5 days after the sexual contact, I started experience burning on my vagina near the opening.

Since I already have hsv1 is it likely, or possible, he could have given it to me again in my genitals, assuming he has it too, and could he have triggered the cold sore outbreak I got on my lips?  I didn't notice any sores on his mouth.  For whatever it was worth I asked him if he was "clean" and he said "yes".

If he has Hsv2, which I am just hypothetically questioning, is it possible he could have spread it to me orally and genitally?

I should mention I had BV and a yeast infection about 2 months ago that I treated with antibiotics.  This was my first time having BV and have read it can reoccur and is a pain to rid the body of-- Could my symptoms possibly be a re-occurrence of BV and I am just over thinking the possibility of herpes?

thanks in advance!

[Fleetwood20]

Well being male it is a little harder for me to say, but there is little doubt that conditions such as BV and funguses can cause burning as well as muscular tension in the region. It is usually not purely mental, just that stress that manifests it self mentally drives tensions within our body.

[healingme]

thank you so much for the quick response.  You have really put me at ease.  Do you think the burning sensation could be BV related? or mental? (honestly, it's okay if you say mental :) driving myself crazy over here.  

thanks again!

[Fleetwood20]

Burning on its own is almost certainly related to a condition other than herpes. Most herpes symptoms happen in conjunction with one another and particularly related to the sores themselves, the immune response and in rare cases the activity of the virus in the nerves.

With oral HSV1, then there is practically no chance of a genital HSV1 infection and practically no chance of an oral HSV2 infection (due to both the presence of HSV1 and it immune system as well as the non preferred oral location for HSV2).

The most common symptom of a HSV2 infection for a person with HSV1 already is actually not very much at all. Because there is already an immune response, most experience symptoms so mild they miss the infection altogether. However as you are aware it is more likely you may identify an emerging lesion if an infection occurred.

Hence if you have concerns then testing at 16 weeks will be conclusive. Having said that, given the very low transmission odds per episode when no symptoms are present plus non aligned symptoms, it is most unlikely you would be infected, even if this partner was a confirmed carrier of HSV2.