I haven’t test but doctor was sure its hsv

[Forever1]

Hello, 

I am newly diagnosed with hsv I had cold sore or blisters on my lip with itching and fever ect.. all symptoms. Doctor said no need to test you are positive he  prescribe me with 800 mg Acyclovir half pill a day for 5 days and topical cream. 

However, he told me this shouldn’t be your first outbreak because the blisters don’t look like primary.

should I test ? Can you look at my picture below and give me feedback plz. 

https://ibb.co/5LyBNgC

Thank all. 

[WilsoInAus]

Hey @Forever1 and welcome to the website.

Visual diagnoses are not perfectly accurate, up to about 90% for oral lesions.

Having said that, I don’t think you could have posted a more typical looking herpes lesion if you tried.

I feel your doctor overall is correct. That single lesion is indeed an indicator that you were not recently infected. You have probably had HSV-1 since you were very young and it simply doesn’t cause outbreaks of any great frequency for you.

Up to you as to whether you test, if you do, make it a swab. I’d feel it’s beyond reasonable doubt that you have an oral HSV-1 infection and are experiencing a herpes lesion.

[Forever1]

 

@WilsoInAus It’s not single its like 10 next to each other small ?. 

I would say it’s hsv but I don’t think I had it before I never experienced it . If I do swap i should do it while its still visual ? Because this is 4 months post and I don't want to wait to be sure.  Or should I do IGg ? 

 

Thank you so much for your support I am greatfull that this forum have you cuz I saw you helping a lot of people. 

Edited September 3, 2019 by Forever1

[WilsoInAus]

@Forever1 that is exactly what a herpes lesion is all about. It is a rough patch spanning the nerve ending region off which the virus spills, making its way to the surface and captured in multiple viral sacs or just weeps.

If the lesion is there then swab, but if I understand you, there is no lesion now? In which case the IgG blood test should tell you what you need to know. I am only slightly hesitant as you can test negative if you've had the virus a long time, which is probable here.

[DrumLoop8]

Hey @WilsoInAus so if someone has oral hsv1 since they were a child, they might test negative on a IGG test?

I always thought otherwise. I've had hsv1 orally since I was a child and I remember my IGG test showing very high positives for it. Doctor told me it's cuz I had it for a long time.

Now I'm confused with your claim...

[WilsoInAus]

59 minutes ago, DrumLoop8 said:

Hey @WilsoInAus so if someone has oral hsv1 since they were a child, they might test negative on a IGG test?

I always thought otherwise. I've had hsv1 orally since I was a child and I remember my IGG test showing very high positives for it. Doctor told me it's cuz I had it for a long time.

Now I'm confused with your claim...

Some people who have had the virus 'serorevert' meaning they no longer test positive after 20 plus years. Somewhere between 70-90% of people are like you and will test positive their whole lives, the others drop off along the way. 

[Forever1]

@WilsoInAus Thank u for response. 

May I ask you how to prevent it from spreading it to others. Should I quit kissing at all ? 

What are the chances? Of spreading it without OB ? 

Should I take suppressive  therapy  antiviral even though I have less outbreaks ? 

[WilsoInAus]

Hey @Forever1 there is no need to change anything about your life. There is only one golden rule to observe and that is do not bring an outbreak into contact with anyone. 

There is nothing more you can be reasonably expected to do.

[RNY18]

https://www.plannedparenthood.org/learn/stds-hiv-safer-sex/herpes/how-is-herpes-prevented

"..Herpes can live on areas of your body that aren’t protected by condoms (like the scrotum, butt cheeks, upper thighs, and labia), so condoms won’t always protect you from herpes. But they do lower your chances of getting herpes.

"...Don’t have sex with anyone during a herpes outbreak, because that’s when it spreads most easily. But herpes is usually passed when there are no sores or symptoms, so it’s important to use condoms and dental dams, even if everything looks and feels A-OK..."

Do you disagree ?

Edited September 4, 2019 by RNY18