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Chances of getting infected?


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Hi everyone, first of all, I would like to thank you all for your time to read this, I hope someone can assess my exposure and all of your opinions are most welcomed.

I had an exposure about 21 weeks ago from today, I had an intercourse with a SW, we both kissed and I was given a brief (less than 1 minute) oral sex, I only managed to make 1 unprotected vaginal penetration and penis went limp, I was unable to get fully erected due to tiredness, since I could not go on we stopped right after that. Apparently I was already having a fever and it kicked in that night, I then recovered from the fever few days later.

I did a few HIV tests and results were all negative.

7 weeks - Rapid Test (hand prick), negative

11 weeks - ELISA HIV 1 and 2 (generation not given), negative

13 weeks - Same ELISA test as above, negative

I had posted my story, tests and results and was told that result from my last test were conclusive in another forum. It was a relief for me for awhile not until few days ago (21 weeks past exposure), I realized that I should have not only tested for HIV but other STD's as well, so I went to a testing lab and requested for STD screening, the nurse (I think?) that attended to me told me their standard STD screening package only includes 2 tests, the HIV 1 and 2 and the VDRL test. When asked about HSV 1 and 2 tests, she explained to me that they would normally only do the test if a person is first tested positive HIV or VDRL. In the end, I took 3 tests, HIV 1 and 2, VDRL and HSV 1 and 2. Blood was drawn and was told my results will be out in 3 working days.

After going through herpes forums I realized that there are possibilities of false-positive in HSV 1 and 2 blood tests, I started to feel worried. For your information, I have not encountered a single symptom from the day of exposure until now.

What are the chances of me getting HSV 1 or 2?

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Maybe you had HSV1 or HSV2 even before all of this, so get your test results back and see. You don't have any symptoms from this encounter, so the chances that you got HSV1 or HSV2 from this particular encounter are low..

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Thank you for replying, VVK, which is a relief for my as I have been worried about my upcoming test results. For the record, I have never notice any signs or symptoms even before this. I do not change partners too many times, this encounter with a SW is my first time, due to my carelessness, this had ended up being a painful experience and lesson for me.

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    • WilsoInAus
      I really suggest that the best thing is for both you and your boyfriend to obtain the Westernblot HSV test. He has a 50%+ chance of being positive and you have a 50%+ chance of being negative. Only the Westernblot can sort this out for you.
    • WilsoInAus
      Hi @kpn the first thing to note is that it is all OK to have HSV-1 or indeed any HSV type. It is not negligence, it is just being human. Oral HSV-1 is not an STD in the sense that the primary transmission is non sexual and the majority of it occurs between parents to children. If any of your children contracted HSV, you would know it. It wouldn't be a silent infection for children. HSV-2 tends not to shed from the oral region for people who have it there in any event. At age 73, about 80% of the population has HSV-1. There is no reason to believe that your mother isn't one of those people. About half of all carriers of oral HSV-1 do not realise they have it and have no living memory of cold sores as they were infected when very young. The most logical explanation is that your mother has oral HSV-1 from her childhood and that your daughter doesn't have oral HSV. Not that it is relevant to anyone but yourself, but your wife might find she actually has genital HSV-1 having had an untyped swab when she was diagnosed.
    • WilsoInAus
      Hi @Dylan86 and welcome to the website. First note that you cannot pragmatically become infected with HSV-1 from sharing a drink. If you carry HSV-1, it did not come from that episode. As such it is extremely unlikely HSV-1 is the primary cause of your issues. Can the WB miss a HSV-1 infection? Rarely but its feasible in less than 1% of carriers who test with WB. Note that the WB does not have values, it has positive or negative as you say. It is way more accurate than IgG as it looks for all 30+ antibodies that are in your blood for HSV. Could you have HSV-1? Yes it is feasible, but it would be a very old childhood infection. Could HSV-1 be causing your oral issues? No herpes will not cause the burning mouth syndrome you describe. Could some of the lesions be herpes related? It is feasible if you are a carrier. But it is unlikely to be the primary cause of the issues, but its an opportunistic virus that can cause issues when something else is taxing your immune system. The best thing you can do is the PCR test on a oral lesion and that will be pretty definitive. Either way, in summary. I'd suggest there is <1% chance you are part of about 70% of the population that has HSV-1. Further there is less than a 1% chance that herpes is the primary cause of your issues.   
    • kpn
      My wife has had hsv 2 for around 8 years. We have two young children 3 years old and 18 months old. My wife only had one outbreak when she was first infected so we didn't worry too much about passing it on to our children. I understand the risk to be pretty low under those circumstances. I don't believe my wife took antivirals during either pregnancy. My younger child has diaper rashes pretty often and has had what I thought was hand foot and mouth disease. That was going around the daycare a while back. I haven't really given it much concern though.  About a week ago, my mother kissed my youngest on the lips. My kid was congested at the time but they pretty much always are. About 3 days later, my mother developed a cold sore on her mouth. She has never had cold sores in her life and she is 73 and happily married so she is not going around messing with anyone. She pointed to the fact she had kissed my youngest and presumed that is where she was infected. At first I said that's not possible since my child has never had any cold sores but since then I have really started to consider that maybe it is possible she contracted it from my daughter. This has me worried that my daughter does indeed have hsv2 and was shedding in her mouth. Does anyone have any experience with this? I am really losing sleep about this. Two people I care so much about got hsv from my negligence. I am fine if I were to contract it, I am not worried about what others think at this point in my life. I just don't want anyone else to have it. 
    • CHT
      Hello DavidGua.... based on the two pictures, I'm not seeing anything that resembles a typical herpes outbreak.  I am not sure what those spots are on your penis.  Please have a doctor take a look and I'm sure you'll get a proper diagnosis.  Have you ever received an HSV antibody test (IgG)?  Again, I doubt your symptoms are herpes-related but, if you'd like some peace of mind, you could request the IgG antibody test for HSV2.   Best of luck.... let us know if you have any other questions/concerns.
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