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CR25

Genital HSV-1? In pain, waiting for test results..please help

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CR25

:confused:Hey. Just joined today after obsessing about this for the past week. About 10 days ago, a guy performed oral sex on me. I shouldn't have let him...esp. since I don't even like oral sex that much. I just have trouble saying no sometimes.

6 days later I woke up in a lot of pain down there and am still very uncomfortable after 6 days.

The thing is...I already had both genital HSV-2 and oral HSV-1. Genital HSV-2 was barely anything...just a couple of small bumps on my butt once in a while that go away without any pain or discomfort.

Oral HSV-1 was never much of anything either, for 5years just a small sore on the side of my nose every couple of years. That was until a couple of months ago when I got what appeared to be a HSV-1 OB on my lips, ear, and neck for the 1st time. At this point I started taking lysine 4x a day and famvir 2 X a day.

I was on this rigorous med/supplement schedule when what appears to be this genital HSV-1 OB started. So now Im really confused. The OBgyn said she saw small bumps but didn't think it looked like H - she said she didn't know what it was and took a culture. but I don't think it could be anything else. Does anyone else find that Dr.'s are not very knowledgeable when it comes to H? Most of my dr.'s don't think you can get genital HSV-1 if you already have oral HSV-1. They also think spreading it on oneself is rare.

Does anyone have any experience with giving themselves genital HSV-1 after already having HSV-1?

could the virus have become active when I was making out with the guy, which in turn in spread to my vagina through the oral sex he performed?

Now I have to wait an entire week until the culture comes back...and Im in a lot of pain. Should I order dynamiclear to be ready in case it is? The dr. didn't offer much advice to relieve the pain.

Thank you! Im only 25 and still single, so this is hard for me. Esp. since no guy has wanted to be with me since my HSV-2 diagnosis, even though I am attractive and work out. And I don't want to marry and have kids, so what else do I have if guys don't wanna come near me?

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talesofagirl

It would be highly unusual (nearly impossible) for you to get genital hsv-1 when you already have oral hsv-1. But it's really not possible when you already have genital hsv-2.

I don't understand. If you think this is herpes, it's likely your hsv-2. Why would it have to be something else?

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foxyloxy25

Spreading hsv-1 to yourself - auto-inoculation - IS rare once you have had the virus in one location for a while as you have. You might be interested to know that having outbreaks on your mouth, chin, neck etc as well as the usual site on your nose does NOT mean you have spread it - herpes can appear down the chin and neck, mouth and nose without being spread because all are served by the same nerve ganglia.

http://en.wikipedia.org/wiki/File:Gray778.png

People often assume ocular herpes has been spread from mouth to eye by manual contact, but in fact it is normally a spontaneous movement of the virus down the nerve path.

http://www.uic.edu/com/eye/LearningAboutVision/EyeFacts/OcularHerpesSimplex.shtml

It is true that in a lot of people herpes recurs in one place or similar places. However:

"The factor that determines eye involvement and only skin or lip involvement is unknown. Probably the strain or subtype of the virus as well as the patient’s immune system play a role in whether the disease recurs."

Genital herpes can appear anywhere covered by a pair of boxer shorts - my outbreaks are in a different place every time, from right at the front to right round the back.

If you already have oral hsv-1, it is not impossible to contract genital hsv-1, but it IS very rare. That is the probable reason why genital hsv-1 cases are only now starting to increase exponentially, since numbers of people infected with oral hsv-1 in childhood have dropped hugely. Having oral hsv-1 protected people from acquiring genital hsv-1 later in life. It CAN happen, and has been documented - but is unusual once the person has had their first infection for more than a few months. Specialists have noted that it does just seem to happen to a minority of people with oral hsv-1. Different ideas have been put forward - it may be due to personal immune response, having an immune system that struggles to handle the herpes viruses for example.

However, none of that is actually relevant to you because you already have genital hsv-2, and the above is true only of people who DO NOT have a prior hsv-2 genital infection.

There has never been a documented case of catching hsv-1 genitally after catching hsv-2 genitally (although it can, rarely, happen the other way round if you started of with genital hsv-1). Lab studies proved it to be very difficult to infect the same nerve ganglia with a second herpes virus.

Like talesofagirl, I don't understand why you would assume that you had caught ghsv-1, rather than this being a reactivation of your genital hsv-1.

The fact that you are experiencing problems with your oral herpes tells me that your body is struggling to suppress the herpes virus at the moment.

Since hsv-1 and 2 interact with your immune system in the same way, it is likely that your current outbreak of genital herpes is the equivalent of the much-increased outbreaks of oral herpes you have been experiencing - just down below. So it is not a separate infection, but simply that your immune system is struggling to cope with hsv-2 just as much as it is struggling with your hsv-1.

If you have suddenly started having difficulty with increasing and much more severe outbreaks of hsv-1 and hsv-2, I would be looking for underlying health problems or life situations.

Immune response is complicated and can depend on a lot of things. Has anything else in your life changed in the last few months, prior to your oral herpes problems, or anything about your physical health? Stress, depression etc can also lower your body's ability to deal with things.

I think problems with herpes can sometimes be self-perpetuating, in that fighting herpes itself taxes your immune system and can cause further outbreaks. My boyfriend has oral hsv-1, and also a rare form of arthritis (an immune disorder). He went through a horrific phase about four years ago when he got cold sores all the time - up to 9, he could barely open his mouth. He was never without an outbreak for about 6 months. The herpes affected his immune system which triggered his arthritis, and the stress of the arthritis on his immune system caused more oral herpes flare ups and so on, round and round in circles. The only thing that brought it under control in the end was huge doses of medication. His immune system needed time to recover.

Hope this helps.

There are plenty of men who will accept you as you are with herpes. I caught herpes at 25 and have never been rejected for it - most people are very understanding. I think it depends on age and maturity as well - which should mean that as your partners get older they will be more accepting.

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CR25

genital hsv-1 with oral hsv-1 and hsv-2?

Thanks so much for your replies. I really appreciate your insight.

The reason I didn't think this was a manifestation of my genital hsv-2 is because I have already had hsv-2 for over a year and it always has appeared on the butt in the form of a few harmless pimples. The first OB itched and tingled but nothing like the EXTREME PAIN I have been in now for an entire week.

The other reason I thought genital HSV-1 was cuz this OB appeared on mu vuvla 6 days after receiving oral sex. Its the exact area that the boy was in.

My dr. says herpes recurs in the same spot.

Im just upset that Im in so much pain and that it's a week counting now, and if this becomes a regular thing, I don't know what I'll do with myself.

In terms of stress, there's nothing that I can pinpoint right now. If anything, I would think this awful OB would have appeared 6 months ago when I was depressed and having problems with IBS.

Also, the oral HSV-1 I got always had come on the side of the nose...for 5 years. It just seems weird that it was so bad suddenly.

Foxy-loxy - that episode your bf went through sounds so horrible, Im sorry to hear that. H is such a bitch...coming at the most inopportune times.

Im glad to hear that you have found men to be more accepting...i should have more hope.

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talesofagirl

It may be that it hurts more now, because of where it is. (i.e., you were able to avoid contact/friction with the other area...?) Or it could be something else. Did your doctor have any other ideas?

I also should add, regarding foxy's post, I don't think it's that rare for someone to catch ghsv-2 on top of ghsv-1. They estimate that ghsv-1 protects you 30%, at best. But the other way around is considered nearly impossible.

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foxyloxy25
It may be that it hurts more now, because of where it is. (i.e., you were able to avoid contact/friction with the other area...?) Or it could be something else. Did your doctor have any other ideas?

I also should add, regarding foxy's post, I don't think it's that rare for someone to catch ghsv-2 on top of ghsv-1. They estimate that ghsv-1 protects you 30%, at best. But the other way around is considered nearly impossible.

Hi Talesofagirl,

I agree it is not rare to catch ghv-2 when you have oral hsv-1 - oral hsv-1 is believed to offer around the same protection against catching genital hsv-2 as condoms, and it is pretty common to catch ghsv-2 when you have oral hsv-1. Her problem is the other way round though.

What IS unusual is to catch genital hsv-1 when you already have an established oral hsv-1 infection, and this is the point I made.

Having genital hsv-1 is also believed to offer more protection against catching genital hsv-2 than having oral hsv-1 does, however cases have been documented.

What has never been documented is a case of catching genital hsv-1 (which causes a less dominant genital infection) when you already have a prior infection with genital hsv-2. As you said, this is considered nearly impossible.

The OP already has genital hsv-2 and oral hsv-1, and was wondering about getting hsv-1 down on top of her hsv-2 and with her prior oral hsv-1, so that is what I addressed.

OP, regardless of what your doctor says, you can get outbreaks in different places as long as it is in the same area - on the genitals if it is genital herpes and on the mouth/nose/chin for oral herpes. My outbreaks have always moved around. I swear they like to surprise me, like playing hunt the outbreak :-)

Sorry to hear you have IBS, my Mum has it and it can be a nightmare for her. She only has to get upset or worried and she is crippled with stomach pain and never off the loo for days. Some doctors believe that IBS may also be related to the immune system and immune response - it is often triggered by stress, and that, the immune system and central nervous system are all connected. I suffer from attacks of depression every couple of years, lasting many months, and when I am depressed I notice I get many more outbreaks.

How long until you get your results? Let us know!

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CR25

What does OP mean? I get my test results hopefully on Tues. It's been 7 days of pretty bad symtoms now. The doc said this test, which is from taking a sample for the outbreak, is extremely accurate and will reveal if it is HSV-1 or 2. Guess we may have a new record for herpes. I can be like some spokesperson for H...maybe I should try to get oral HSV-2 and then I could brag about having every possible combination lol.

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talesofagirl

There has never been a documented case of catching hsv-1 genitally after catching hsv-2 genitally (although it can, rarely, happen the other way round if you started of with genital hsv-1). Lab studies proved it to be very difficult to infect the same nerve ganglia with a second herpes virus.

quote]

Foxyloxy, this is what I was referencing. And I don't believe it happens only "rarely." They've done studies, and most experts say that having a genital hsv-1 infection offers only very modest protection against genital hsv-2.

What they say is that if you already have genital hsv-1, your initial outbreak from hsv-2 will be much more minor. But you've still caught a new disease and you can now give hsv-2 to someone else, which does impact your life.

This isn't relevant to what the poster could catch, but would be relevant to someone the original poster might date. I wouldn't want them telling someone with ghsv-1 that they couldn't catch their hsv-2.

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CR25

Tales of a girl

Im not sure if you're clear but I have already had genital HSV-2 for 14 months and am now suddenly in a lot of pain following an oral sex experience.

Im thinking that I caught genital HSV-1 (already having HSV-2).

I'll find out this week if this is what happened...although Im pretty sure. As far as dating, I highly doubt there is going to be any taking place.

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foxyloxy25

Talesofagirl, you didn't read my answer, again!

What I said was the following:

"I agree it is not rare to catch ghv-2 when you have oral hsv-1 - oral hsv-1 is believed to offer around the same protection against catching genital hsv-2 as condoms, and it is pretty common to catch ghsv-2 when you have oral hsv-1."

See? I certainly wasn't saying it was rare!! I said it was pretty common!

With regard to someone with genital hsv-1 catching genital hsv2, I said the following:

"Having genital hsv-1 is also believed to offer more protection against catching genital hsv-2 than having oral hsv-1 does, however cases (of catching ghsv-2 when you already have ghsv-1) have been documented."

As you will see I said it definitely CAN happen. As far as I am aware it is not particularly common to catch genital hsv-2 on top of genital hsv-1 - but I definitely did not say it could not happen!

So I am absolutely clueless where you got the idea that I was telling the OP that either of those things was couldn't happen! That isn't what it says on my answer, so I have no idea where you got it from.

Here is some information from an article about hsv-1 and hsv-2 which I believe is also available on this site:

"...studies show that genital HSV-1 infections almost always occur in people who have no prior infection with HSV of either type (Corey, Annals of Internal Medicine, 1983)."

"Finally, the question of immunity and HSV types is complicated by an additional issue. Some studies suggest that the ganglia themselves may acquire some immunity to HSV after they are exposed to one viral type."

"In the laboratory, infection of ganglia with more than one virus is difficult, suggesting that it may be more difficult to acquire a second HSV type in a location where you already have HSV. A prior genital infection with HSV-1, for example, may give more protection against genital HSV-2 than a prior oral infection with HSV-1."

"Say you have genital HSV-1 and your partner has genital HSV-2. If you have unprotected sex, there is a small but real risk that you will get HSV-2. "We have documented cases where a person acquires HSV-2 after a prior genital HSV- 1 infection," says Wald. "I don't think it happens often, but it does happen."

"On the other hand, it's very unlikely that your partner will get genital HSV- 1 from you. "I've never seen a case of a person acquiring HSV-1 on top of HSV-2," says Wald."

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