Dr.Handsfield,
As a young boy I had cold sores on my lip and some in my teen years; have not seen any in many years. Along time ago (I think 16 years ago - in my late twenties) my dermatologist cultured a rash the top of my knee, it was a small straight line, it did itch; but not hurt, the test showed positive for type 1 herpes. He said this was very rare; and gave me some cream, 3 years later it came back in exact same spot; it has never returned. I have read that herpes below the waist is genital herpes although aside from some jock itch, I have never had these types of “knee” or “lip” blisters in my genital region. Given all I read, that you may not know you have the virus, I thought I should take a blood test…..this was a few years later. The test indicated positive for type I and negative for type 2, this was a specific test called "herpesselect" immunoblot according to my doctor. He indicated this was normal. My concern is that if I do have oral or genital herpes or even both; could I spread this to my wife (she too had cold sores as a child) and because she is pregnant; we do not want to expose our child to Neo-Natal herpes, or even possibly in the future if we have more children. I have told my wife about my "knee" herpes and she think's I am a little overly concerned. Any advice is greatly appreciated. Thank you again doctor