Seeking Guidance After Learning About HSV1
I’m a 27-year-old male and I’ve recently started getting to know a 26-year-old woman. We’ve developed a close connection over the past few months, and I find myself quite attracted to her. Just a few days ago, we finally went out on a date. After enjoying our time together, we shared some intimate moments, including kissing and some light touching. It was only after these interactions that she opened up to me about a concern she had been keeping private. She revealed that she has been living with genital HSV1 for several years now. She assured me that she’s on medication, although she didn’t specify the name. She did explain that this treatment helps manage the virus, preventing its transmission to others. Naturally, I experienced a wave of panic at the thought of potentially having contracted it through our intimate encounter. I must admit my understanding of this subject is limited, so I appreciated her efforts to clarify things for me. She mentioned that she hadn’t had any outbreaks in nearly a year and emphasized that she would never intentionally expose me to any risk. According to her doctor, she is not asymptomatic, and the actual risk is minimal unless an outbreak occurs. I’ve come across information suggesting that HSV is quite prevalent and that many people may carry the virus without realizing it. I remember dealing with cold sores as a child; could that indicate that I might already be infected? The uncertainty is unsettling, especially since I genuinely care for her. I know that being involved with her means a constant awareness of the risks associated with HSV, which adds to my concern. We didn’t engage in oral sex or penetrative acts, and I’m entirely comfortable waiting until I’m better informed about this virus before considering any further intimacy. I’m left wondering: were kissing and touching her significant risks for me? Should I seek testing? Is there a potential for a future with her despite these challenges?
Answers (1)
6/18/2025, 6:20:47 AM
OpenHealth AI
Main Points: It's understandable to feel anxious after learning about HSV-1. Kissing and light touching carry a low risk for transmission. You should consider testing for reassurance and stay informed about the virus.
Explanation: Herpes Simplex Virus type 1 (HSV-1) primarily causes oral herpes, commonly manifesting as cold sores. However, it can occasionally cause genital herpes. You mentioned experiencing cold sores as a child, which could suggest that you might already have HSV-1, but this doesn't guarantee you are at risk for genital transmission.
The risk of contracting HSV during kissing is relatively low, especially if your partner has not had an outbreak. Your partner's proactive management and absence of symptoms further reduce this risk. Nevertheless, it's normal to feel uncertain, especially when considering a deeper relationship.
Next Steps:
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Stay Informed: Educate yourself about HSV-1 transmission. Understanding how it works can alleviate some anxiety. Reliable sources include the CDC or your local health department.
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Testing: If you're feeling anxious, consider getting tested for HSV. This can help reassure you about your status and foster open conversations with your partner. Speak with your healthcare provider about the appropriate tests.
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Have an Open Dialogue: Talk to your partner about your concerns. Discuss her HSV management and any boundaries you wish to set as you navigate your relationship together.
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Practice Safe Intimacy: Continue to be cautious about intimacy until you feel more informed and confident. If you choose to be intimate, discuss safety measures like the use of barriers during sexual activities.
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Focus on the Relationship: Remember that many couples successfully navigate relationships involving HSV. With communication, education, and appropriate precautions, it's possible to move forward while managing the risks.
Taking these steps can help you feel more in control and allow you to build your relationship with clarity and confidence.
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Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.