[Question #2109] Genital herpes transmission

48 months ago
Hello, my question is I recently contracted herpes 2, and I had my first outbreak which I'm on medication now, alcavolin whatever it's called, which is subduing it and making me feel better, I don't plan on having any unprotected sex but how long until you think until I could have unprotected sex and not pass it, also since my sores are. It visible right now, can I have protected sex without passing it. I only had two lil bumps near the head for my first outbreak, not my butt, scrodum sack or anywhere else.  And If I receive oral whether I'm shedding or not, can it be passed to her through her mouth to her vagina, or can she get herpes on her mouth for giving me head? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
48 months ago
How were you diagnosed with HSV 2? 
The difficult truth is that even when you have no symptoms, you can still transmit the virus.  This happens through a process called asymptomatic viral shedding, giving off the virus from the genital skin when no symptoms are present.  It is not wise to have sex when even healing lesions are present because they can still contain virus and if the condom breaks or comes off, transmission is certainly possible.  If you receive oral sex, it is possible for your partner to acquire HSV 2 orally, though that is not common but certainly possible.  If you take daily antiviral therapy (acyclovir is fine), the risk of transmission is reduced by about 1/2.  If you use condoms with every intercourse, it reduces the risk of transmission by about 95%, if you use them ever single time.  Please let me know what other questions you might have - this is a big topic and I want to address your particular questions.

Terri
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48 months ago
Ok thank you Terri, So if she gives me oral let's say with no lesions or recent outbreak occurance then she should be good correct? And if she did receive hsv 2 through giving me head would it pop up on her mouth or her vagina? Cus I know HSV 2 like to go below the belt but if she receive it through the mouth what happens? Also if I'm not having any outbreaks, should I take herpe medicine daily or only when I feel a outbreak coming? This is all new to me, I'm 30 yrs old single white male and I just contested this and I'm so mad at myself because I almost always practice safe sex.  Also about transmission, if I'm not having any outbreak everything looks and feels good, if I had unprotected sex and I'm not shedding, if I have rough sex all night can that cause the virus to appear possibly? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
48 months ago
I wouldn't say she would be "good"  There is a chance she could get this even if you have no symptoms and if she got it from giving you oral sex it would be in her mouth, correct.  HSV 2 can live either orally or genitally.
If you want to reduce the chances of transmission of the virus you should take the medicine daily. 
The problem is that you cannot know if you are shedding at any given time.
For some people, rough or extended intercourse can trigger an outbreak, yes

Terri
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48 months ago
Ok, by the way I received it through sex. I had sex with one woman all night. And my follow up to all this is also, My nurse practitioner  told me take the medicine for 7 days(3x daily) and then don't take it again unless u feel a outbreak coming. If I do take a medicine daily which would it be and how many times a day? I don't really want to rely on medicine my whole life, should I see how my body reacts first to no medicine? Is it possible I might not have another outbreak for a whole year or longer? I just had my first outbreak after contracting it within a week. I work out everyday and eat healthy, I'm very fit and healthy, not allergic to anything or have ever had any dieseases or stds till now :-( can I go a long time without having a second outbreak? My first one was relatively small. And if I go months without another outbreak chances are I'm not shedding either right? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
48 months ago
Everyone gets genital herpes through sex, yup
Taking the medicine daily reduces the frequency of viral shedding and transmission others by about 50%.  Of course you don't have to - it's just one of the ways you can reduce transmission to a partner.  It is once a day with valacyclovir (Valtrex).  It's difficult to know what your outbreak pattern will be like but most people have between 2-9 outbreaks per year without medicine. 
No, even if you don't have another outbreaks, you are shedding genitally - everyone with HSV 2 sheds, some with symptoms and some shedding is without shedding. 

Terri
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