Herpes transmission
Hello, today a friend took a sip of my drink, and after he finished, I remembered that he recently had a cold sore.
I asked him if it was contagious, and he said it was already scabbed over, so it wouldn't be contagious (the scab hasn't fallen off yet).
Although I was still uneasy, I wiped the rim of the glass with a tissue before drinking.
However, later I asked others who have had cold sores, and they said it can be contagious until it is completely healed, which has made me very anxious.
In this situation, is it possible that I could contract the herpes virus? (I have never had it before.)
sss, 20~29 year old female. Ask Date: 2020/09/26
Dr. Wu Yuxin reply Dermatology
It is possible, but most people were infected during childhood.
Reply Date: 2020/09/26
More Info
Herpes simplex virus (HSV), which causes oral herpes (commonly known as cold sores), is primarily transmitted through direct contact with an infected person's skin or mucous membranes. This includes kissing, sharing utensils, or drinking from the same container. Your concern about the potential transmission of herpes through sharing a drink is valid, especially since your friend had an active outbreak of cold sores.
When someone has an active herpes outbreak, the virus is present in the fluid of the blisters. Even after the blisters have crusted over, the virus can still be present in the area until the lesions have completely healed. The risk of transmission is highest when the sores are open and oozing, but it is still possible to transmit the virus even when the sores are crusted over or healing.
In your specific situation, since your friend had a cold sore and shared a drink with you, there is a potential risk of transmission. However, the actual risk depends on several factors:
1. Stage of the Outbreak: If your friend’s cold sore was crusted over, the risk of transmission is lower compared to when the sores are open. However, it is not zero.
2. Amount of Virus: The amount of virus present in the saliva or on the surface of the drink can also affect the likelihood of transmission. If your friend had a significant viral load, the risk would be higher.
3. Your Immune System: If you have a healthy immune system, your body may be able to fight off the virus if exposed. However, if you have a weakened immune system, the risk of developing an infection increases.
4. Previous Exposure: If you have never been exposed to HSV before, your body does not have any antibodies against the virus, which means you are more susceptible to infection.
Given these factors, while there is a possibility of transmission, it is not guaranteed that you will contract the virus from sharing a drink. If you start to notice any symptoms such as tingling, itching, or the appearance of sores around your mouth, it would be wise to consult a healthcare professional for evaluation and potential testing.
To alleviate your anxiety, here are some steps you can take:
- Monitor for Symptoms: Keep an eye on any signs of an outbreak in the coming days or weeks. If you notice anything unusual, seek medical advice promptly.
- Practice Good Hygiene: Avoid sharing drinks, utensils, or personal items with anyone who has an active herpes outbreak in the future.
- Educate Yourself: Understanding how herpes is transmitted can help reduce anxiety. Remember that many people carry the virus without showing symptoms, and it is quite common.
- Consult a Healthcare Provider: If you remain concerned about your risk of infection, consider discussing your worries with a healthcare provider. They can provide more personalized advice and may recommend testing if necessary.
In conclusion, while there is a risk of herpes transmission through sharing a drink, the likelihood depends on various factors. Staying informed and practicing good hygiene can help mitigate this risk in the future.
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