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Concern of Delay hsv2 Antibodies

I received unprotected oral sex 13 weeks ago from a female of unknown status. Just a one time thing. Tested ten days after the exposure and tested postive for hsv1 with 3.53. 0.14 for hsv2. Then i tested again in ten weeks and my results were 4.03 hsv1 POSITIVE and 0.45 hsv2 NEGATIVE.

1. Does having hsv1 antibodies delay antibodies for hsv2 to be detected in a igg herpeselect test? If yes, how long should i wait for an accurate test result?
2. I made an appointment to get tested at four months. Well that be a conclusive result?
3. Who are the people that wont test positive on a herpes igg test but they do have herpes?
4.When i had my first herpes test with the 3.53 result for hsv1 does that mean this was a prior infection before this exposure? Or i could of gotten it from this exposure?
5.Im just scared cause my numberic value for hsv2 went up from 0.14 to 0.45.
6.Also if i dont have any cold sores on my lips, what are the chances of me transmitting it to someone? Until today i havent had a cold sore or blisters on my genital area. Just itchiness.
7.I dont want to give me Finace any stds. I tested negative for everything but worried about the increase of numberic value of my hsv2 and me giving hsv1 to her in oral sex. Though i never had a cold sore thank God.
8. Do herpes should up in the pubic hair region or only on the penis if you receive oral sex?
9. If you used someones pants can you get genital warts but you had on a underwear and shorts under the pants?
5 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Most cold sores are caused by HSV-1 and are not acquired sexually.  The infection is most commonly acquired in childhood with a kiss or other direct contact.  If you have cold sores you could transmit it to family members throgh direct contact, i.e. kissing.  HSV-1 is not spread by sharing cups or glasses or on other inanimate objects.  You could give your partner HSV-1, if she does not already have it (over 60% of Americans have HSV-1 and most of them do not know it) both by kissing or through oral sex.  

HSV-1 infections can occasionally be transmitted even if lesions are not present but it is uncommon and estimated to occur on about once inf every 1000 to 10,000 exposures.  

There is excellent, highly informative information available on herpes infections at the web site run by the American Social Health Association.  (Disclosure. Dr. Handsfield and I are both members of the American Social Health Association Board of Directors.)
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Avatar universal
If someone else has oral hsv1 could we give each other genital herpes from oral sex?
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Avatar universal
Thank you for your respond. Ever since i found out i have hsv1 cold sores i been down. Is cold sores an std? Also how often does it shed without symptoms cause i havent had a cold sore. Thanks God. Can i transmit it by kissing my family without having a cold sore, sharing a drink? Also giving oral sex to my fianc and kissing her with my tongue? Just want to know when can i transmit it to someone without symptoms.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum.  You are clearly concerned that you might have gotten HSV from the oral exposure you describe.  I think your fears are far out of proportion to your risk which is VERY low.  In the absence of culture or PCR data from a lesion test, the diagnosis of herpes in general is not made just on the basis of a test or the presence of symptoms but on an integrated assessment of the entire picture. In considering your concerns, I use the following details to come to my conclusion that you are unlikely to have gotten HSV-2 from receipt of oral sex from the exposure you mention:

1.  Oral HSV-2 is very, very rare. Thus it is unlikely your partner had the infection to transmit to you.
2.  Even if your partner had oral HSV-2, transmission is rare, particularly if she did not have a visible lesion on her mouth.
3.  You apparently did not develop lesions in the two weeks following your exposure.  If you had gotten herpes, you should have developed lesions.
4.  You have had HSV-1 in the past. this reduces your risk for getting HSV-2.
5. You have a negative antibody test for HSV-2 at 10 weeks when over 75% of person who had acquired HSV-2 would have positive antibodies.

Based on all of this, I find it very, very unlikely that you have acquired HSV-2 and would urge you not to worry.,

In answer to your questions:
1.  Yes, having HSV-1 antibodies can somewhat delay antibody development but nearly everyone would have antibodies by 6 months. (I do not think you need further testing, as mentioned above).
2.  See above.
3.  There are no studies describing who these people are. It is a rare event.  To know that they did not develop antibodies, one must first know that they have HSV, typically because they have lesions and a positive culture or PCR.
4.  Your test result means that you have had HSV-1 for a long time and did not get it from the exposure you describe.  How long you have had it cannot be said.
5.  This sort of fluctuation is normal and not something to be concerned about.
6.  Chance is less than 1 transmission in 1000 exposures.
7.  No question here.  Don't worry.
8.  Most HSV appears on the penis in men but a small proportion can have lesions in the public region or elsewhere.
9.  No you cannot get herpes this way

Hepatitis B and C are not transmitted by oral sex. There is no reason to worry about HPV either

Take care. EWH

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Avatar universal
Also could you get hpv, hep b or c from receiving oral sex?
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