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HSV1=STD? but I'm married and monogamous, how did I get it?
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The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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HSV1=STD? but I'm married and monogamous, how did I get it?

I have just been diagnosed with HSV1 from a blood test.  I went to the doctors with canchor sores inside my mouth along my jaws, and a fever.  My wife and I are not doing well maritally anyway, and now this.  She recently admitted being alone with a man (supposed friend), but vehemently denies any intimate contact whatsoever.  I just found out that this man recently suffered from mouth pain so severe that it kept him from work.  

I have been totally monogamous and had not had sex for at least a year before my wife.  I have never had symptoms that even resemble what I presented to the doctor recently.  My wife has not symptoms that I can tell.  She was diagnosed with HPV when we were first married but nothing else.  Recently she was prescribed: Aldara 5% Cream, Metronidazole  .75% Gel 70G, and Cephalexin 500mg Capsules.  I met with her doctor (before my diagnosis), and her doctor assured me that my wife was being treated for something that I was not in danger of contracting.  

My wife and I  range in having sex from maybe 3 times a week, (typically on the same day), to 4 times a month.  We don't use condoms, we seldom if ever kiss  and we don't practice oral sex.  This last time we did kiss, a lot. Two days later I had the chancher sores and a day after that, a fever.

Does my new diagnosis of HSV1 provide further evidence of the possibility that she has had intimacies (i.e. kissing or oral sex or colitus) with someone else?
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Canker sores are not herpes and the two can be confused.  Canker sores occur on the inside of the mouth and oral herpes occurs on the lips.

If you had a blood test which was positive for HSV-1 at the time your canker sores appeared, this means that you had HSV-1 before the time that your canker sores appeared.  It take weeks to months for antibodies for herpes virus to appear.

As for HSV-1, having a positive blood test tells you nothing about how long you have had it it who gave it to you.  Here in the US about 60% of adults have HSV-1 and without a blood test about 80-90% of those infecteed peole do not know it.  Most people with HSV-1 acquire it in childhood.  Your diagnosis of HSV-1 is not evidence that your wife has been with someone else.  EWH.
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H. Hunter Handsfield, M.D.Blank
University of Washington
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