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8)    Interactive Medical Media LLC, Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology, Dr. Because both cold sores and genital herpes are caused by herpes simplex viruses, and because oral herpes is so common, many people are concerned that they might be more vulnerable to acquiring a genital herpes infection than they previously thought.
Because HSV-1, the virus responsible for most oral herpes infections, can also cause genital herpes, many people wonder if someone with cold sores can transmit the virus to someone else by performing oral sex, resulting in a genital herpes infection.
While HSV-1 only accounts for around 30 percent of genital herpes infections overall, many research teams are finding that HSV-1 is the predominant cause of genital herpes in some countries (such as Sweden) and in some U.S.
This might sound like terrible news, since most of us are infected with HSV-1 and we might enjoy oral sex. Can I be infected with HSV-2 in my facial area if I perform oral sex on someone with an HSV-2 infection in their genitals? Just as HSV-1 can pass from the mouth to the genitals to cause a genital herpes infection, so too can HSV-2 pass from the genitals to the mouth to cause an oral herpes infection. Unfortunately, just because someone lacks a telltale cold sore doesn’t mean they’re not infectious. Shedding patterns can be further influenced by what triggered the virus to reactivate — for example, higher-than-average amounts of virus are found in saliva samples from patients with oro-facial fractures.
If I’ve already been exposed to HSV-1 in my facial region, am I immune to reinfection in my genitals?
Some people think that already being orally infected with the cold sore virus makes them immune to HSV-1 infections in their genitals. If you want to find out if you’ve been infected with HSV-1 or HSV-2, you can get a blood test at a Planned Parenthood health center. This entry was posted in Sexual Health and tagged anilingus, asymptomatic, cold sore, cold sores, condom, condoms, crying, cunnilingus, dehydration, dental dam, fellatio, fever blister, fever blisters, genital herpes, herpes, herpes febrilis, herpes labialis, herpes simplex virus, Herpesviridae, HSV, HSV-1, HSV-2, human herpesvirus, human herpesvirus 1, human herpesvirus 2, immunity, oral herpes, oral sex, orolabial HSV infection, outbreak, polymerase chain reaction, reactivation, recrudescent herpes labialis, rimming, safe sex, safer sex, saliva, sexually transmitted disease, sexually transmitted infection, spit, STD, STI, symptoms, tear, tonsillectomy, trigeminal nerve ganglia, viral shedding, virus by Anna C..
If you have tested positive for genital HSV-1, can you transmit that through saliva, kissing, tears, ect.? If you only have HSV-1 in your genitals, you will not pass the virus through your mouth, through saliva or kissing.
Enter your email address to subscribe to this blog and receive notifications of new posts by email. It is intended for general informational purposes only and does not address individual circumstances. A cold sore, also known as a fever blister, is a cluster of blisters that can pop up around the lips or even in the mouth. They might have a lot of questions, and if they’ve sought answers to those questions, they might have heard a lot of conflicting answers.
Other people wonder if HSV-1 can be transmitted via oral contact with the anus, resulting in a herpes infection in the rectal area. It is quite possible for the virus to reactivate, not cause symptoms, but still “shed” from a carrier, at which point it can be transmitted to someone else — via skin-to-skin contact, saliva, or even tears. Unfortunately, a preexisting HSV-1 infection doesn’t protect us from acquiring an HSV-2 infection later in life, though it’s possible that it will help mitigate symptoms of a first HSV-2 outbreak. Because genital HSV-1 infections have fewer recurrences and are associated with less asymptomatic shedding, the genital-to-genital spread of HSV-1 is not as common.
This test will only tell you if you’ve been infected with either of these viruses, but in the absence of symptoms it won’t tell you where in your body the infections are located.
Since then, she has received her bachelor’s degree from the University of California and is now back in school studying science.
However, most people are orally infected with HSV-1, even though most people do not have symptoms.
Some types cause warts and are usually harmless, but others may lead to cervical or anal cancer.


It is not a substitute for professional veterinary advice, diagnosis or treatment and should not be relied on to make decisions about your pet’s health. Sometimes, cold sores are so painful that eating or drinking is difficult, and in extreme cases sufferers must be treated for dehydration. For example, among students at a large Midwestern public university, researchers found that HSV-1 caused 31 percent of genital herpes cases in 1993 and grew to 78 percent in 2001. Although there are some documented cases of oral HSV-2 infections, they aren’t very widespread. One large study, using a sensitive DNA amplifying technique called PCR, detected the asymptomatic shedding of HSV-1 on 33.3 percent of days. More study is needed to answer this question more fully, but the short answer is that yes, reinfection in the genitals is possible. Those who already have an HSV-1 infection are much less likely to experience symptoms upon an initial HSV-2 infection.
We can also answer any questions you have about herpes and discuss antiviral medications with you. As an ode to her fascination with microbes, she writes the monthly STD Awareness series, as well as other pieces focusing on health and medicine.
If symptoms are present, the sores can be sampled and analyzed in a lab to confirm if they are caused by HSV-1. Never ignore professional veterinary advice in seeking treatment because of something you have read on the WebMD Site. HSV-2 is associated more with genital herpes, which can cause blisters and other lesions in the genital area. An especially severe infection could also cause high fever or swollen lymph nodes, and in young adults a first oral HSV-1 infection might be misdiagnosed as tonsillitis, possibly leading to unnecessary tonsillectomies.
Because HSV-1 feels more at home in the trigeminal ganglion, an infection in that location is more likely to reactivate and cause cold sores periodically throughout a person’s life.
Furthermore, just as a genital HSV-1 infection is milder and less prone to recurrences than an HSV-2 infection in that area, so too is an oral HSV-2 infection milder and less prone to future outbreaks. Another study of 50 people found that 90 percent of them had HSV-1 in their saliva at least once during a 30-day period. Likewise, a previous HSV-2 infection does not protect someone from acquiring an HSV-1 infection. Most symptomatic first-time cold-sore outbreaks occur during childhood, and take about two or three weeks to clear up.
This trend, in which HSV-1 infections in the genitals predominate over HSV-2, seems to be most common among younger people, women, and men who have sex with men.
When HSV-1 finds itself living in the sacral ganglion in the genital area, it doesn’t reactivate very often. If HSV-1 enters the body in the genital area, it can cause a genital herpes infection — and likewise, if HSV-2 enters the body in the facial area, it can cause an oral herpes infection. Luckily, the first infection is almost always the most severe, and when the infection is reactivated it usually happens without symptoms. So, if you are infected with HSV-1 in your genital area after receiving oral sex, recurrences will be uncommon and your infection will be milder than if you were infected with HSV-2, which is a related virus that is more strongly associated with genital herpes. The term comes from the shape of the tiny parasites, which look very different from head or body lice.
ScabiesScabies is an itchy infestation caused by a tiny mite that burrows into human skin to lay eggs. The Clap (Gonorrhea)Gonorrhea spreads easily and can lead to infertility in both men and women, if untreated.
Later there may be a rash on the soles, palms, or other parts of the body (seen here), as well as swollen glands, fever, hair loss, or fatigue.


In the late stage, symptoms come from damage to organs such as the heart, brain, liver, nerves, and eyes. This virus is usually not an STD; it spreads easily among household members or through kissing.
But it can be spread to the genitals through oral or genital contact with an infected person.
Herpes Simplex Virus Type 2Most cases of genital herpes are caused by a virus called HSV-2. It's highly contagious and can spread through intercourse or direct contact with a herpes sore. People can be infected through sex, needle sharing, and at birth, as well as by sharing razors and toothbrushes.
One limitation is the "window period" of up to six months after exposure to HIV when these antibody tests sometimes do not find the virus.
People take a combination of antiviral drugs in hopes of preventing the infection from advancing to AIDS. Additional treatments can help prevent or fight off serious infections, if the immune system has weakened.
ChancroidChanchroid is a bacterial STD that is common in Africa and Asia but rare in the U.S. LGV (Lymphogranuloma Venereum)LGV is caused by a type of chlamydia that is usually rare in the U.S.
Pelvic Inflammatory DiseaseNot an STD itself, pelvic inflammatory disease (PID) is a serious complication of untreated STDs, especially chlamydia and gonorrhea. Who's at Risk for STDs?Anyone who is sexually active is at risk for an STD, regardless of gender, race, social class, or sexual orientation. The CDC has noted that some STDs are on the rise in men who have sex with men, including syphilis and LGV. Many STDs spread through any type of sexual activity, including skin-to-skin contact and oral sex.
Preventing STDsThe best ways to avoid getting an STD are to abstain from any sexual contact and be in a monogamous, long-term relationship with an uninfected partner. These infections can spread through contact with skin lesions that are not covered by a condom.
How to Tell Your PartnerIf you think you have an STD, tell your partner(s) as soon as possible. You may be able to spread the infection even if you have already begun treatment or are using condoms. Many STDs can be passed from mother to baby during pregnancy, childbirth, or after the baby is born. STDs' effects on babies can include stillbirth, low birth weight, neurologic problems, blindness, liver disease, and serious infection. Treatment during pregnancy can cure some STDs and lower the risk of passing the infection to your baby.  Can STDs Come Back?Most STD treatments do not protect you from getting the same infection again. A course of drugs may cure gonorrhea, syphilis, chlamydia or trichomoniasis, but a new exposure can start a new infection. And if you're not taking the right precautions to protect yourself, you can be re-infected quickly or even pick up a second STD.



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