[Question #10065] Have risk
26 months ago
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Dr hansfield/doctor hook. I have had hsv2 genital herpes for 29 years. I typically have one outbreak a year and some years no outbreaks. I recently ran into an old friend and we had drinks. I did not have any symptoms lesions Etc there was no tingling or anything like that prior. We ended up having sexual contact. It lasted perhaps a total of 20 minutes. It mostly consisted of me rubbing and fingering her vagina. However, there was sporadically insertion of my penis into her vagina a number of times and I would withdraw. That lasted perhaps a total of a minute. What are the risks of her being infected with hsv-2? Do the incidents of viral shedding decrease over the years? Thank you for your
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Terri Warren, RN, Nurse Practitioner
26 months ago
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Viral shedding, for the majority of people, does decrease over time, correct.
The sexual contact that you describe, with you inserting your penis into her vagina for a total of one minute, does not sound risky enough to me to worry about this. It isn't zero, but it is very very low.
We don't have great data on the risks of a single episode of unprotected intercourse when someone has herpes and the partner doesn't. The problem is that when we study couples with herpes, when one is infected and the other not, they've already been together for a while and the high risk period at the beginning of a new relationship has passed. So our data isn't great.
But getting back to your situation, I still think the risk if very low for a few reasons 1) your duration of infection being long and 2) the episode was very short.
Hope this is helpful
Terri Warren
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26 months ago
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Terri, thank you for your quick response. I appreciate that. Is there any way to know how often someone who's had hsv2 for 29 years sheds? Also, as I said we were drinking, the total of a minute between all the insertions and withdrawals could possibly have been 2 minutes? Does that change your opinion at all? I have read in some of Dr hansfield's and Dr hooks responses to other people that it is not all that easy to contract hsv2 from a single episode. Even if lesions are present. There were no lesions present here, does that same information hold true if I were happening to be shedding?
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Terri Warren, RN, Nurse Practitioner
26 months ago
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I would disagree that it isn't easy to transmit if lesions are present. However, I do agree that when no lesion is present, someone has been infected for 29 years, intercourse lasts perhaps 2 minutes, the risk is very low.
The only way to know how often someone is shedding the virus is to do daily home swabbing of the genital area. We do this in clinical trials - that's how we know about asymptomatic shedding. I've had some patients do this - one fellow tested positive for HSV 1 and had never had a cold sore, so wanted to know if he had it genitally. He swabbed every single day for a full year and didn't recover the virus once. It would be different for HSV 2, but the point is, it could be done. The problem is it is expensive - probably at least $75 a day so hardly anyone does it. There is no other way to know the frequency of viral shedding.
Terri
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26 months ago
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Terry, thank you for your response and information. I think that based upon what you have to say and reading the various posts from the doctors I can perhaps stop worrying about this. Thank you again
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Terri Warren, RN, Nurse Practitioner
26 months ago
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You are most welcome
Terri
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