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Can you get a cold sore if you already have type 1 but haven't had cold sore?


dolp12

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I had been told by my doctor that I have type 1 herpes even though I have only ever had outbreaks in the genital region which obviously would seem more like type 2. I re-tested with an IgG test and the result came back negative for both types which I have since assumed was probably wrong.

I'm concerned because I kissed someone this weekend who looked like they had a pimple/cut something under their lower lip. Now I am wondering if it was a cold sore can I get one assuming I have type 1 but have never had an issue in or around my mouth?

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From what I've read in my research, HSV1 locates itself more in the upper spine, thus it's more likely that the virus will manifest itself on the lips and in the mouth, but of course that doesn't necessarily mean that will always be the case. Sounds like the test you used was definitely wrong though if you're getting genital outbreaks. As for cold sores I've only ever heard that they can be highly contagious, but if it was only a pimple or cut on the person you kissed I wouldn't worry too much. Hope that helps some, and good luck :)

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From what I have read it is possible, but rare. I too have genital HSV-1 and I got it from someone with oral HSV-1. He gave it to me through oral sex, but I must have kissed him at least twenty times for every one time he went down on me and I don't have cold sores. Just be sure to mind the signs of an outbreak...better safe than sorry!

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From what I've read in my research, HSV1 locates itself more in the upper spine, thus it's more likely that the virus will manifest itself on the lips and in the mouth, but of course that doesn't necessarily mean that will always be the case. Sounds like the test you used was definitely wrong though if you're getting genital outbreaks. As for cold sores I've only ever heard that they can be highly contagious, but if it was only a pimple or cut on the person you kissed I wouldn't worry too much. Hope that helps some, and good luck :)

The thing that determines where an infection establishes latency, the sacral ganglia in the lower back or the trigeminal ganglia near the ear, depends on where a person got infected.

So if a person gets an HSV infection in their genital area, the viral particles will retreat to the sacral ganglia.

If a person acquires an HSV infection in the face/oral region, then it will establish latency in the trigeminal ganglia.

It matters not whether it is caused by HSV1 or HSV2, the infection will go to the ganglia associated with the area of the body at which it was acquired.

Make sense?

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I had been told by my doctor that I have type 1 herpes even though I have only ever had outbreaks in the genital region which obviously would seem more like type 2. I re-tested with an IgG test and the result came back negative for both types which I have since assumed was probably wrong.

Have you ever had a swab/culture done of the sores in your genitals? That's the only way you can know what is happening there with a bit more certainty than blood tests, which cannot identify the location of an infection.

If you get this done, be sure to ask the doctor to have the culture "typed." That must be specified or the lab may not do it.

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I had been told by my doctor that I have type 1 herpes even though I have only ever had outbreaks in the genital region which obviously would seem more like type 2. I re-tested with an IgG test and the result came back negative for both types which I have since assumed was probably wrong.

When did you have your first genital outbreak, and how long after that were your tests?

What type of test did your doctor base the first diagnosis upon, and how much later was the negative IgG blood test done?

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      Hey @WilsoInAus ok thank you, I will do my best to move on and stop trawling forums haha. 
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      Hey @sgt98 but there is no feasible infection or outbreak to suppress and antivirals do not suppress an initial outbreak in any event 
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      Thanks @WilsoInAus I understand apologies for this but the only other thing I am worried about is that I did take a course of Famvir on day 1 as I felt like I was having an outbreak of cold sores and am worried that has suppressed the initial outbreak genitally 
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      Hi @sgt98 it is not feasible to obtain a HSV-2 infection from receiving oral sex - only HSV-1 is feasible but you've already got that and immunity from any further infection with HSV-1. You do not need any further tests for HSV. You're feeling regret, try to forgive yourself and calm down, let the rational take over. You know the answer here and it won't be long until you believe it too.
    • WilsoInAus
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Without lesions, it is highly questionable that the ailment is related to herpes, yet testing is useful if you have concerns as you have done so.] About a month after that [herpes causes issues within days, if the first 'symptoms' are a month later - its extremely unlikely they are related to herpes], significant discomfort downstairs, however every test I have ever taken for HSV 1 and 2 has been negative. Here are the details: Face: Previously, some significant tingling and itching on the right side of my mouth, lips and chin (still there, but milder) [herpes does not cause general tingling and itching, it can cause a reasonably concentrated feeling of itch/throb from which a herpes lesion appears within hours]. Occasional hot flashes near my right eye, cheek and ear [herpes does not do this, it may be a immune response to something, or stress]. Sometimes it will feel like the skin is crawling on the right side of my face [herpes does not cause a general crawling sensation]. Never seen anything that looked like a traditional cold sore [that's extremely telling, even people with associated atypical symptoms will have experienced herpes lesions]. Occasionally, the left side of my face will have a momentary feeling of skin crawling, but it's so mild that I am not really worried about it. Downstairs: Thankfully, most of these are now milder than they were before. Occasional momentary pinch of pain at the base of my genitals. [herpes does not cause a general pinch feeling.] Aching pain in my boxer area (groin, leg folds) [nor this] Occasional feeling of cold in my boxer area, butt, or lower back. ( also in my shins and occasionally even my arms) [nor this] On 4/30/2022, I had been in discomfort for almost two months. I scratched an itch, noticed it hurt, and then checked - I did have an open ulcer down there. Took myself to the ER to get swabbed, came back negative. 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There are hundreds if not more than a thousand experiences on this website alone that are similar to yours that are truly negative for herpes I'm one of them!]  
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