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How does her doctor know if she has herpes I if he's never done a test?

Tagged as: Health, Sex<< Previous question   Next question >>
Question - (16 March 2017) 3 Answers - (Newest, 28 March 2017)
A male United States age 41-50, anonymous writes:

My question is about herpes, I met a woman she told me she has genital herpes, she is now on valtraxs, the doctor didn't even checked her out down there , she says she has had it for over a dozen years, my question is if he doesn't do a blood test, how does a person know if she has herpes one, or herpes two down there, I've read you can have one down there, i have the herpes one virus, never have a cold sore, so if she has herpes one down there I've read i couldn't get it cause I already have it does that mean I wouldn't break out down there, if we had unprotective sex

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A female reader, aunt honesty Ireland + , writes (28 March 2017):

aunt honesty agony auntYou have posted before about this, you and her should go to the doctor and speak to a professional about this, that should ease your mind.

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A female reader, anonymous, writes (16 March 2017):

Why are you making such a big deal about type one and type two . Yes either type can affect a person either orally or genitally . It's about time people stopped treating strain one as normal and strain two like some huge stigma . It's essentially the same virus in a different strain!

And for goodness sakes , yours a 40+ yr old man , stop calling your penis or her vagina ' down there '

These kind of backward attitudes are part of the reasons the one in five of us with HSV type 2 are facing ignorance and discrimination

Better than the dr go see someone at a sexual health clinic and get the latest facts on herpes

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A female reader, RubyBirtle United Kingdom + , writes (16 March 2017):

You should really ask a medical professional these questions.

The treatments for type one and two are exactly the same so there is frequently no need to differentiate.

The virus doesn't show up in the blood (the antibodies to the virus do) so a blood test would be a useless exercise to establish the type of herpes. Confirmation as two which type would have to made by analysing the discharge from the herpes lesions. As I far as I remember from your last post your ex is on suppression therapy rather than active treatment therapy so would probably have had no open lesions to test.

How were you diagnosed with type 1 when you never had a cold sore?

Both types of herpes can occur on the face and/or genitals and generally someone has a level of protection from BOTH virus strains if they have had one type in the past.

It is very uncommon to catch herpes or have a secondary outbreak caught from someone with no open lesions. It IS possible to catch it in the very early stages before the lesions appear but this woman has had the virus and secondary outbreaks for 12 years so she will be able to recognise the early signs and avoid sex at those times.

It's a complex issue though as I suggest you go (back) to the STD clinic or you doctor to ask these questions or find a more suitable online forum.

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