Genital Herpes: Causes and Concerns Explained - Urology

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Genital herpes is a common sexually transmitted infection (STI) primarily caused by the herpes simplex virus (HSV). There are two types of HSV: HSV-1 and HSV-2. While HSV-1 is typically associated with oral herpes (cold sores), it can also cause genital herpes, particularly through oral-genital contact. Conversely, HSV-2 is more commonly linked to genital infections.
In your case, you mentioned that you tested positive for HSV-1 and varicella-zoster virus (the virus that causes chickenpox and can later reactivate as shingles). It's important to clarify how these viruses can relate to your symptoms and concerns.

1. Regarding the lesions on your genital area: The lesions you experienced in August 2020 could potentially be caused by HSV-1. Since you have a history of HSV-1, it is possible that the virus reactivated and manifested in the genital area, especially if you had an episode of stress, illness, or other triggers that can provoke a herpes outbreak. The fact that you had unprotected oral sex in July 2019 raises the possibility that you could have contracted HSV-1 from your partner if they were shedding the virus at that time. However, since you already have HSV-1, it is more likely that the lesions were due to a reactivation of the virus rather than a new infection.

2. Determining the cause of your genital herpes: The source of your genital herpes can be complex. If you had HSV-1 from childhood (likely from chickenpox), it can remain dormant in your body and reactivate later in life. The lesions could be due to the reactivation of this dormant virus. Alternatively, if you had no prior history of genital herpes and developed symptoms after the unprotected oral sex, it could indicate a new infection. However, since you already have HSV-1, it is more plausible that the genital outbreak is a result of reactivation rather than a new infection from your partner.

In summary, the lesions on your genital area are likely due to the reactivation of HSV-1, which you already carry. The history of unprotected oral sex could have contributed to the timing of the outbreak, but it does not necessarily mean you contracted a new strain of the virus.
It's essential to consult with a healthcare provider for a thorough evaluation and to discuss your symptoms and concerns. They may recommend antiviral medications to help manage outbreaks and reduce the risk of transmission to partners. Additionally, practicing safe sex, including the use of condoms, can help lower the risk of spreading the virus, even if you are asymptomatic.
Understanding your condition and its implications is crucial for managing your health and relationships. If you have further questions or need clarification, don't hesitate to reach out to a healthcare professional who can provide personalized advice based on your medical history and current situation.