Many cases of genital herpes are caused by HSV-1. However, the diagnosis of herpes has improved in the past 17 years, so it is possible you have HSV-2. The blood test I suggested above will tell whether you have HSV-1 or 2 (or both).
i was diagnosed 17 years ago and not sure what test i took. I was told I had genital herpes and I stated hsv 1 but being genital herpes Im sure it was 2 not 1. . Which im sure changes alot of what you said.
Sorry for the confusion.
I'm not clear what you are confused about but I'll try to sort it out for you.
HSV-1 mostly causes oral infections, but can be transmitted to the genitals. Such persons have genital herpes due to HSV-1. You probably acquired your infection by receiving oral sex from a partner.
However, I am interested in knowing exactly how your HSV-1 infection was diagnosed. Did you have a positive culture or PCR test from one of your genital herpes outbreaks? Or only a positive blood test? I ask because your history of outbreaks is atypical for HSV-1; it sounds more like HSV-2.
If this makes you uncertain about your diagnosis, I suggest you have a blood test now for both HSV-1 and HSV-2. It would also be a good idea for your partner to also be tested. Your results, combined with hers, will tell whether she is susceptible to your infection or not, and what meaures will work best to prevent transmission to her.
I am confused ..are you saying most cases of genital herpes are from individuals who have genital herpes but in there mouth region and pass it on that way.
Again thank you for the help
I do have genital herpes and have had one outbreak in about 7 yrs. Prior to that is was once every year to two.
We have not had sex yet and are making sure we have a committed relationship that looks long term.
Thank you for your help
Welcome to the forum. I'll try to help.
However, I'm not clear about a central issue. Do you have oral or genital herpes? Or only a positive blood test for HSV-1, without clear evidence of the site of infection? If you have recurrent herpes outbreaks, whether oral or genital, how frequent are they?
I'll assume, since you came to the STD forum -- and based on your thread on the herpes community forum a few months ago -- that you have documented genital herpes due to HSV-1. If so, it is not at all surprising that your former long term partner never caught your infection. Recurrent genital outbreaks are rare with genital HSV-1, and asymptomatic shedding of the virus is also uncommon. Therefore, genital to genital transmission is uncommon. Over 3+ decades in the STD business, every case of genital HSV-1 I have seen was acquired by oral sex.
In other words, I agree with your confidence that your new partner is not at significant risk, especially if you are careful to avoid sex when having an outbreak (or kissing if your infection is oral and you have a cold sore). And obviously I disagree with her nurse, who apparently doesn't understand HSV-1 infections very well. I also agree with the implication of your opening comment, that your new partner should be tested. If she is already HSV-1 positive, then she is immune, or at least highly resistant, to a new infection, which would be reassuring.
If you want to fill in some of the missing details, I may have additional comments or advice. In the meantime, I hope this helps.
Regards-- HHH, MD