Please educate me about cold sores

Anonymous — Wed, 28 Dec 2005 18:39:50 -0800

This thread about cold sores has prompted me to ask some long-standing questions about them. My girlfriend has had cold sores (2-3 episodes per year) since she was a toddler. I've never had cold sores. Since we've been together she's had a couple, and when she does get one we are careful not to kiss and so far that's been successful. Barring any further knowledge, this strategy of avoidance during her outbreaks will continue to be our gold standard prophylaxis.

However, the things I've read about Herpes Simplex virus 1 (HSV1) have made me wonder whether there's any point. From reputable sources, I've read that as many as 60% of the population have antibodies to the virus, but only a number of them ever show clinical disease. Also, I've read that virus is shed into saliva even during non-symptomatic phases.

I can't help but think that on a long enough timeline I'm going to get it, or that I even have it now but am lucky enough to not be symptomatic. Could either of those be correct? Is there some test I can take that could reliably tell me whether I've already been exposed? Supposing I have, does that mean that we no longer have to be so cautious during episodes? I once tried to ask my doctor these questions, but he didn't know and was kinda pissed that I would waste his time just to ask some questions. He's not the best.

I can avoid kissing her for 10 days, 3 times a year. But if it's a pointless strategy, I'd want to know. And speaking of avoiding kissing her, once the sore has backed down and started the healing process, is it safe then? Or do I have to wait until the area has completely healed?

Finally, can someone with a cold sore give themselves genital herpes (I know HSV2 is typically responsible, but genital HSV1 infection can happen)?

Thanks in advance. There's a lot I don't know, and failing my other reasonably extensive attempts to find out, I put it you you guys. And don't worry, I will take responses with the appropriate-sized grain of salt before acting. So, supporting articles, credentials, or even just where you heard it, would be much appreciated.

I have a cold sore coming, what should I do?

oissubke — Sun, 28 Mar 2004 06:00:41 -0800

Cold sore coming. What do I do!?

Ask MetaFilter questions tagged with simplex

Please educate me about cold sores

I have a cold sore coming, what should I do?