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