Overview

HSV-1 is commonly associated with oral herpes, but it can also cause genital herpes through oral-genital contact. Diagnosis and management are similar to other herpes infections.

Causes and transmission

  • HSV-1 spreads through contact with saliva or lesions.
  • Genital HSV-1 may result from oral-genital sex.

How it is assessed

  • Lesion swab PCR is useful during active infection.
  • Type-specific blood tests can identify HSV-1 antibodies.

Management considerations

  • Antivirals may be used for episodes or suppression.
  • Counseling explains recurrence and transmission.

Prevention

  • Avoid contact during active lesions.
  • Barrier protection reduces genital transmission risk.

Key points

  • Usually causes oral lesions
  • Can cause genital infection
  • May recur
  • Antiviral treatment can help

When to seek care

  • Cold sores plus genital symptoms
  • Recurrent oral or genital lesions