Q. Will I get a sore on my genitals during every HSV-1 outbreak?

Answered by Dr. Ravinder Kaur Sachdeva and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Hsv or Hiv? We have medical experts to help you right away. Ask a Doctor Now »
 

Hi doctor,

I was diagnosed with HSV-1, but all other tests like HIV, HBsAg, HCV, VDRL, and TPHA are normal. I got infected with HSV through oral sex. My first outbreak was about four months back, and I got sores in the genital area, mouth, head, and my waist. Recently, a sore has erupted in my mouth, but it healed without any medicine within four days. I am a healthy person. Is it compulsory to get a sore on my genitals during every outbreak? If I take Acyclovir at the time of symptoms, will I be able to restrict the infection? Does HSV-1 have complications like ocular herpes and encephalitis in a healthy individual? Does diabetes or thyroid increase the recurrence of HSV-1?


Related Questions:
HIV RNA was negative on 21st day? Can it be positive later?
Can thyroid problem cause excessive hair fall?
Kindly interpret test results taken after erotic massage.
 

Dr. Ravinder Kaur Sachdeva
MBBS., DGO., PHD (HIV MEDICINE
HIV/AIDS Specialist

Hello,

Welcome to icliniq.com.

  • Repeated outbreak of HSV (herpes simplex virus) are common, but repeated outbreaks are usually shorter and less severe. Although the organism stays in the body for the rest of your life, the number of outbreaks tends to decrease over a period of years.
  •  At the time of the first episode, it should always be treated with Acyclovir. This is to prevent the prolongation of illness and to prevent the severity of the disease. Almost all people with symptomatic first episode subsequently experience the recurrent episodes of HSV.
  • Antiviral medications like Acyclovir can be taken as suppressive therapy, so as to reduce the frequency of recurrences or shorten the duration of the illness. Studies have shown that suppressive therapy reduces the frequency of genital herpes recurrence by 70 to 80 percent. 
  • If you take Acyclovir only at the time of the episode, it requires initiation within one day of the lesion onset. This will not only shorten the severity of the disease but also shorten the duration of recurrent episodes.
  • Ocular herpes and encephalitis due to HSV-1 occurs due to reactivation of the virus at the latent sites in the body, one of the possibility is the change in the status of the immune system or due to stress, in immunocompromised patients like in HIV or patients on cytotoxic drugs.
  • Uncontrolled diabetes or thyroid disease can increase the chances of recurrent infection of HSV.

I hope your queries have been answered. If you still need more clarification, please revert.

For further queries consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist 

 

Thank you doctor,

I am a healthy person now, will I be affected with encephalitis or ocular herpes? And what if I get any immunosuppressive disease, thyroid, or diabetes in the future, will I be at risk? Do I need any treatment now? I am not married yet, will HSV affect my life? I am worried about encephalitis and ocular herpes. Please guide me.

 

Dr. Ravinder Kaur Sachdeva
MBBS., DGO., PHD (HIV MEDICINE
HIV/AIDS Specialist

Hi,

Welcome back to icliniq.com.

  • Encephalitis or ocular herpes can occur in people of all ages. The most common cause is infection by a virus. But patients who are immune compromised or immune suppressed are more susceptible than healthy individuals.
  • Your HIV (human immunodeficiency virus) test as you mentioned earlier is negative. Fasting blood sugar and TSH (thyroid stimulating hormone) will help you to know whether you have deranged blood sugar levels and thyroid function respectively, so I suggest you get these done.
  • Suppressive therapy is preferred for immunocompromised or in an immunodeficient state.
  • Use precautions in future like safe protected sex, using condoms.

For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist

 

Thank you doctor,

Is ocular herpes or encephalitis common in HSV IgG positive person? According to my report, IgG is positive and IgM is negative. During reactivation, do the sores appear only on the skin? What is the gap between consecutive outbreaks? Will HSV affect my marriage or life?

 

Dr. Ravinder Kaur Sachdeva
MBBS., DGO., PHD (HIV MEDICINE
HIV/AIDS Specialist

Hi,

Welcome back to icliniq.com.

  • As per world health organization (WHO) statistics, 67 % of people under the age of 50 years are infected by HSV-1, which means you are not alone or rare.
  • As per WHO, ocular herpes and encephalitis is a rare disorder and occurs mostly in specific situations like disseminated HSV infection and patients with HIV.
  • Nearly all of the HSV-infected people will have IgM antibody response followed by IgG antibodies.
  • There is no fixed time period; generally, it reactivates when there is stress, psychological trauma, illness, fever, etc.
  • The most common site of recurrences is skin and the mucosal areas.
  • As far as your marriage or sexual life is concerned, in the case of recurrences in the oral or genital areas, you need to use precautions at the time of active infection.

For further queries consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Are my flu-like symptoms due to HIV infection?
Query: Hello doctor, About 4 weeks ago, I got oral sex from a partner whose HIV status is unknown to me. I did only that with her. I always thought that it represented no risk of contamination to HIV. Now the thing is that about 1 week after that intercourse, I did a general blood test and found out that ...  Read Full »
Dr. Meha Malhotra
Dermatologist

Answer: Hi, Welcome to icliniq.com. Firstly pre-existing lesion of herpes or any genital ulcer on the penis during sexual intercourse or oral sex increases the chances of HIV transmission. Your blood report came positive for Herpes 1 and 2. Herpes 1 mostly causes oral ulcers, and herpes 2 causes genital l...  Read Full »
 
HIV1 RNA test is negative. Can it be concluded that I do not have HIV?
Query: Hi doctor,I had sex with massage girl a month back with a condom. But I am not sure about condom break. I had HIV1 RNA test 21 days late. It came negative. So do I need to take another test or can it be concluded that I do not have HIV?  Read Full »
Dr. Atishay Bukharia
Cosmetologist, Dermatologist, Family Physician, General Practitioner, HIV AIDS Specialist, Plastic Surgeon, Venereologist

Answer: Hi, Welcome to icliniq.com. Yes, you need to go for fourth generation ELISA (enzyme-linked immunosorbent assay). For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist  Read Full »
 
Does thyroid problem delay pregnancy?
Query: Hi doctor, I am a 27 year old unmarried female. Before six months, I was diagnosed with hypothyroidism. I have been taking Thyronorm 100 mcg. Recently, I had TSH test and the level was 0.47 U/mL, which is considered as hyperthyroid. When my doctor asked me the previous dosage, by mistake I told her...  Read Full »
Dr. Swaraj S W
Endocrinologist

Answer: Hi, Welcome to icliniq.com. I suggest you follow the same dose as you are not a hyperthyroid yet. Also, if you are planning for your marriage and pregnancy, then this TSH value is normal.  If the TSH (thyroid stimulating hormone) value is less than 0.3 U/mL, then the dosage of tablet has to be red...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


What is the best treatment for oily scalp and hair?
Hello doctor,I completed my acne treatment one year ago and my skin is clear after some period of time. My scalp and fac ...Read more »
How Is H.Pylori Infection Diagnosed and Treated?
Helicobacter pylori (H.pylori) is a bacteria that infects your stomach. Approximately 50% of the world's population has ...Read more »
Is it normal to have foamy urine?
Hello doctor, My urine is foamy. I am confused whether everyone will get bubble and foamy urine while urinating. Please ...Read more »