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Medical Forum / Diseases and Disorders / Herpes / August 2004

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Quick first question - HSV1 orally

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J.P. - 20 Jul 2004 21:42 GMT
Hello everyone,

This will be my first post on here in a very long time but I'm sure
there's more to come...

I've just been diagnosed with HSV1 through the Western Blot test.
I've never had symptoms either orally or genitally.

In discussing this with my girlfriend, it was discovered that she has
had "cold sores" in the past so she will be going for the Western Blot
next.

The question....once you have HSV1 orally, can you get it or give it
genitally (if her and I have HSV1 orally, can we give it to each other
genitally)?

Thanks for the input.
M.L.S. - 20 Jul 2004 23:07 GMT
>Hello everyone,

Hi J.P.!

>This will be my first post on here in a very long time but I'm sure
>there's more to come...

>I've just been diagnosed with HSV1 through the Western Blot test.
>I've never had symptoms either orally or genitally.

>In discussing this with my girlfriend, it was discovered that she has
>had "cold sores" in the past so she will be going for the Western Blot
>next.

>The question....once you have HSV1 orally, can you get it or give it
>genitally (if her and I have HSV1 orally, can we give it to each other
>genitally)?

If you have HSV1 orally you can transfer it to someone else's oral
or genital region if you kiss those regions.  You cannot get it
genitally if your genital region doesn't come in contact with the
infected region of the other person.

Also, while it is *more likely* that you have HSV1 orally as opposed
to genitally, you can't really be sure, since you've never had an
outbreak.  The Western Blot doesn't tell you the location.  You
might already have it genitally.  Genital cases of HSV1 are
typically very mild.  However, again, it is more likely that you
have it orally.

>Thanks for the input.

Hope that helps and isn't too confusing.  Take care,

Mike
Pain Devine - 21 Jul 2004 02:32 GMT
> The question....once you have HSV1 orally, can you get it or give it
> genitally (if her and I have HSV1 orally, can we give it to each other
> genitally)?

Yes you can. In fact, it's becoming more and more common every day. It used
to be rare, but I think that was just because Oral sex used to be kind of
taboo. But porn, and movies have changed all that. Now people are going down
on each other all over the place and HSV1 seems to be moving on down to the
nether regions.
J.P. - 21 Jul 2004 16:47 GMT
> Yes you can. In fact, it's becoming more and more common every day. It used
> to be rare, but I think that was just because Oral sex used to be kind of
> taboo. But porn, and movies have changed all that. Now people are going down
> on each other all over the place and HSV1 seems to be moving on down to the
> nether regions.

Thanks for the information.  I was assuming that since the HSV1 virus
was already in your system (albeit only orally), this would protect
you from getting it genitally as well.

I'll be getting my test re-done and my partner will have her's done
for the first time.  After exploring all sorts of online info, we've
discovered its quite possible that she's the one who started with it
as she has had oral symptoms for years.

She has extreme eczema and when she went to a doctor many years ago
about a little cluster of blisters on her face, she was told that this
was just another type of eczema and not to worry about it!

The situation has brought up a lot of stress for the both of us and
I'm hoping we can ride through the storm and come out the other side
stronger for it.

Thankfully there support like this group.  Thanks again.
M.L.S. - 21 Jul 2004 17:55 GMT
>> Yes you can. In fact, it's becoming more and more common every day. It used
>> to be rare, but I think that was just because Oral sex used to be kind of
>> taboo. But porn, and movies have changed all that. Now people are going down
>> on each other all over the place and HSV1 seems to be moving on down to the
>> nether regions.

>Thanks for the information.  I was assuming that since the HSV1 virus
>was already in your system (albeit only orally), this would protect
>you from getting it genitally as well.

Any such protection should be considered marginal, at best.  It may
be that in some people the risk is lowered significantly, but I
don't know of any studies that have quantified it.  There are a lot
of people with infections in both places.

Take care,

Mike

>I'll be getting my test re-done and my partner will have her's done
>for the first time.  After exploring all sorts of online info, we've
>discovered its quite possible that she's the one who started with it
>as she has had oral symptoms for years.

>She has extreme eczema and when she went to a doctor many years ago
>about a little cluster of blisters on her face, she was told that this
>was just another type of eczema and not to worry about it!

>The situation has brought up a lot of stress for the both of us and
>I'm hoping we can ride through the storm and come out the other side
>stronger for it.

>Thankfully there support like this group.  Thanks again.
Gadge - 21 Jul 2004 21:28 GMT
> >> Yes you can. In fact, it's becoming more and more common every day. It used
> >> to be rare, but I think that was just because Oral sex used to be kind of
[quoted text clipped - 10 lines]
> don't know of any studies that have quantified it.  There are a lot
> of people with infections in both places.

Mike, just want to clarify something.  Are you saying that if you have oral
HSV1 you're only partially protected against getting genital HSV1, or, if
you have oral HSV1 you're only partially protected against genital HSV2?  I
thought it was more likely if you were infected in both places it would be
with a different type in each place.

Thanks
--
G.
M.L.S. - 21 Jul 2004 22:10 GMT
>> >> Yes you can. In fact, it's becoming more and more common every day. It
>used
[quoted text clipped - 5 lines]
>the
>> >> nether regions.

>> >Thanks for the information.  I was assuming that since the HSV1 virus
>> >was already in your system (albeit only orally), this would protect
>> >you from getting it genitally as well.

>> Any such protection should be considered marginal, at best.  It may
>> be that in some people the risk is lowered significantly, but I
>> don't know of any studies that have quantified it.  There are a lot
>> of people with infections in both places.

>Mike, just want to clarify something.  Are you saying that if you have oral
>HSV1 you're only partially protected against getting genital HSV1, or, if
>you have oral HSV1 you're only partially protected against genital HSV2?  I
>thought it was more likely if you were infected in both places it would be
>with a different type in each place.

>Thanks

I don't think an infection of any type totally eliminates an
infection of the same or different type anywhere else.  The
antibodies on standby from an oral HSV1 infection may very well give
more protection against further HSV1 infections than HSV2
infections, but I don't have any idea what the quantifiable
differences would be.  I don't think it is realistic to assume that
because a person has oral HSV1 that they can't get the same thing on
their genitals, later.

It may very well be that the risk is low, especially the longer it's
been since the host acquired the initial infection, but the risk is
never zero.

If I get some time later I'll look around for the incidence of one
type, two locations.  It does happen, I just don't happen to have a
representative trio sitting just off screen that I can introduce to
you this fine evening.  ;-)

Take care,

Mike
M.L.S. - 22 Jul 2004 00:42 GMT
>I don't think an infection of any type totally eliminates an

Should have been "totally eliminates the risk of acquiring an
infection [...]".

If my mind is a car race, it's a demolition derby, fo' sho'.

Mike

>infection of the same or different type anywhere else.  The
>antibodies on standby from an oral HSV1 infection may very well give
[quoted text clipped - 3 lines]
>because a person has oral HSV1 that they can't get the same thing on
>their genitals, later.

>It may very well be that the risk is low, especially the longer it's
>been since the host acquired the initial infection, but the risk is
>never zero.

>If I get some time later I'll look around for the incidence of one
>type, two locations.  It does happen, I just don't happen to have a
>representative trio sitting just off screen that I can introduce to
>you this fine evening.  ;-)

>Take care,

>Mike
Gadge - 22 Jul 2004 22:41 GMT
> >> >> Yes you can. In fact, it's becoming more and more common every day. It
> >used
[quoted text clipped - 40 lines]
> representative trio sitting just off screen that I can introduce to
> you this fine evening.  ;-)

Cheers Mike, I'd appreciate your  (or anyone elses) input on this matter.  I
was of the understanding that for a normal healthy person, having the
antibodies from previous infection would provide some protection against
getting HSV on another area of your body.  More so for the same type that
you had originally of course.  I'd appreciate clarification on this, or
better yet if anyone knows any good resources that I can read up on this
topic...

I know the risk is never going to be zero, nothing in this life is black and
white - but I'd like to be fully educated on the risks associated with this
'gift' that I have!

Thanks again.

--
G.
Gadge - 04 Aug 2004 23:52 GMT
> > >> >> Yes you can. In fact, it's becoming more and more common every day.
> It
[quoted text clipped - 61 lines]
>
> Thanks again.

Hmm.... have been away for a over a week, and yet no replies - I guess that
means I aren't going to get any (sob!)

--
G.
Pain Devine - 06 Aug 2004 03:21 GMT
But you're still sexy ;-)
Gadge - 07 Aug 2004 00:39 GMT
> But you're still sexy ;-)

<grin> thanks Pain!
M.L.S. - 06 Aug 2004 04:21 GMT
>> > I don't think an infection of any type totally eliminates an
>> > infection of the same or different type anywhere else.  The
[quoted text clipped - 4 lines]
>> > because a person has oral HSV1 that they can't get the same thing on
>> > their genitals, later.

>> > It may very well be that the risk is low, especially the longer it's
>> > been since the host acquired the initial infection, but the risk is
>> > never zero.

>> > If I get some time later I'll look around for the incidence of one
>> > type, two locations.  It does happen, I just don't happen to have a
>> > representative trio sitting just off screen that I can introduce to
>> > you this fine evening.  ;-)

>> Cheers Mike, I'd appreciate your  (or anyone elses) input on this matter.
>I
[quoted text clipped - 4 lines]
>> better yet if anyone knows any good resources that I can read up on this
>> topic...

>> I know the risk is never going to be zero, nothing in this life is black
>and
>> white - but I'd like to be fully educated on the risks associated with
>this
>> 'gift' that I have!

>> Thanks again.

>Hmm.... have been away for a over a week, and yet no replies - I guess that
>means I aren't going to get any (sob!)

Whoops.  I was gone for more than a week and forgot to get back to
it.  Cheer up.  I'm here now.  ;-)

Ummm, what was the question again?

Oh, yeah.  Yeah, you're right, having the antibodies to either type
of HSV provides *some* protection against both transferring the
disease from one part of the body to another and/or picking up the
other strain.  The unknown part of the equation is *how* *much*
protection you get, and there is probably a fairly wide spread on
the probabilities there, because it would depend on the relative
health of each individual's immune system.

I still haven't had time to peruse links and stuff, but here's a cut
'n paste from my HSV General Info Bookmarks:

http://www.healthcentral.com/Centers/OneCenter.cfm?Center=Herpes
http://www.herpes.com/
http://www.herpes.com/hsv1-2.html
http://www.cafeherpe.com/
http://www.racoon.com/herpes/
http://members.aol.com/herpesite/test.html
http://www.herpeszone.com/
http://www.westoverheights.com/freebook.html
http://www.herpesalliance.com/
http://www.hosppract.com/issues/1999/02/cesacks.htm
http://www.urologychannel.com/std/herpes.shtml
http://www.hc-sc.gc.ca/hpb/lcdc/publicat/cjhs/cjhs5.html
http://www.cdc.gov/nchstp/dstd/Fact_Sheets/facts_Genital_Herpes.htm
http://webmd.lycos.com/content/article/1680.51738
http://www.ihmf.com/guidelines/summary6.asp
http://www.nlm.nih.gov/medlineplus/herpessimplex.html
http://www.med.sc.edu:85/virol/herpes.htm

Some of those may even work.  ;-)

Take care,

Mike
Gadge - 07 Aug 2004 00:39 GMT
> >> > I don't think an infection of any type totally eliminates an
> >> > infection of the same or different type anywhere else.  The
[quoted text clipped - 73 lines]
>
> Mike

Cheers Mike - nice to know I'm on the right track, and those links will keep
me busy!  Were you on a break last week too?

--
G.
Elizabeth - 06 Aug 2004 07:38 GMT
According to the National Herpes Hotline, in rare occurrences the
herpes virus can be transferred from one area of the body to another
in the same person (such as from the mouth to the genitals and
vice-versa).  In order for autoinoculation (self-infection) to occur,
large amounts of the virus need to be present on the skin's surface,
and this mostly happens during a primary outbreak, after which
antibodies reduce the concentration of the virus in an infected
person.  Autoinoculation is theoretically possible whenever an
outbreak occurs, but is highly unlikely at any other stage of
infection.
Gadge - 07 Aug 2004 00:44 GMT
> According to the National Herpes Hotline, in rare occurrences the
> herpes virus can be transferred from one area of the body to another
[quoted text clipped - 6 lines]
> outbreak occurs, but is highly unlikely at any other stage of
> infection.

So it's kinda rare then...

I was also wondering about the following scenario:
Say I had type 1 genitally, and my (as yet hypothetical) boyfriend has type
1 orally.  What are the chances that I could give him type 1 genitally?  Any
ideas anyway?  My health advisor seemed to be suggesting that this was the
reason it doesn't matter which type you have.

--
G.
Elizabeth - 07 Aug 2004 08:10 GMT
> I was also wondering about the following scenario:
> Say I had type 1 genitally, and my (as yet hypothetical) boyfriend has type
> 1 orally.  What are the chances that I could give him type 1 genitally?  Any
> ideas anyway?  My health advisor seemed to be suggesting that this was the
> reason it doesn't matter which type you have.

I picked up Type 1 genitally from my girlfriend, who has an occasional
cold sore.  According to the National Herpes Hotline, and, my
infectious disease specialist, there is very little chance that an
individual will pass herpes on, as long as the other person already
has the antibodies for the specific type in his or her system.
However, as my infectious disease specialist mentioned, anything is
possible when there is highly concentrated virus involved (meaning the
fluid in a herpes sore), so, DO NOT HAVE SEXUAL INTERCOURSE DURING A
HERPES OUTBREAK.  There is the possibility of autoinoculation during
an actual outbreak.  If you and your imaginary boyfriend both have the
same type of herpes, no matter the location, then you will likely NOT
spread it to each other.  However, for this reason, it is very
important to know the actual type of herpes you each have.  Either
Type 1 or Type 2.

A rather good article regarding the different types of herpes is "Good
Virus, Bad Virus" located right here:
http://www.herpes.com/hsv1-2.html
Gadge - 08 Aug 2004 17:53 GMT
> > I was also wondering about the following scenario:
> > Say I had type 1 genitally, and my (as yet hypothetical) boyfriend has type
[quoted text clipped - 20 lines]
> Virus, Bad Virus" located right here:
> http://www.herpes.com/hsv1-2.html

"imaginary boyfriend" - sigh....

Thanks to both you and Mike for that link, it contains a lot of useful info
(a lot of which I'd picked up from various sources already, but it's great
be reminded) and it's good to have it all in one article.

--
G.
Pain Devine - 07 Aug 2004 16:48 GMT
I say we experiment! We just need to find you a penis to test on... hmmm...
oh look what I found!

> I was also wondering about the following scenario:
> Say I had type 1 genitally, and my (as yet hypothetical) boyfriend has type
[quoted text clipped - 4 lines]
> --
> G.
Gadge - 08 Aug 2004 17:54 GMT
I'm guessing that what ever you just found, it's in the wrong country to be
of any practical use to me!

> I say we experiment! We just need to find you a penis to test on... hmmm...
> oh look what I found!
[quoted text clipped - 9 lines]
> > --
> > G.
Pain Devine - 09 Aug 2004 04:20 GMT
You know, you'd be surprised how often girls say that to me...

> I'm guessing that what ever you just found, it's in the wrong country to be
> of any practical use to me!
Gadge - 13 Aug 2004 00:01 GMT
> You know, you'd be surprised how often girls say that to me...

lol!!
Pain Devine - 09 Aug 2004 23:56 GMT
> I'm guessing that what ever you just found, it's in the wrong country to be
> of any practical use to me!

It'll reach!

(I'm really sorry, but I just HAD to say it... it was too funny to pass up!)
Gadge - 13 Aug 2004 00:01 GMT
> > I'm guessing that what ever you just found, it's in the wrong country to
> be
[quoted text clipped - 3 lines]
>
> (I'm really sorry, but I just HAD to say it... it was too funny to pass up!)

nah, that's too bad for a "lol" - lol!
Pain Devine - 21 Jul 2004 20:17 GMT
It sounds like you 2 are discussing "Who gave it to whom" and that's a bad
idea. Trust me... there's no way of knowing. You could have had it all along
and it just finally showed up. The best way to go is to assume that you both
got the disease when you lost your virginity and you are now lucky enough to
be dating someone else that's infected as well, so they can't pass judgement
on you.
J.P. - 22 Jul 2004 16:40 GMT
> It sounds like you 2 are discussing "Who gave it to whom" and that's a bad
> idea. Trust me... there's no way of knowing. You could have had it all along
> and it just finally showed up. The best way to go is to assume that you both
> got the disease when you lost your virginity and you are now lucky enough to
> be dating someone else that's infected as well, so they can't pass judgement
> on you.

We're not really doing the "who had it first" at this point.  Just
waiting for the test results to find out who has it at all.  If I'm
the only who has it, it causes the chance of a fairly serious risk in
our relationship - eczema herpeticum.  I'll post a question about that
in a seperate string.
 
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