[Question #3765] Herpes Questions

33 months ago
I recently was diagnosed with hsv2 I have some questions to ask to get some clarification. I’ve read your Westover herpes handbook which hasn’t been updated since 2012. 

My questions are
1.whats the chances of transmitting this virus while there’s no outbreak or symptoms of a outbreak coming  during unprotected sex,un protected sex while on antiviral medication, just protected sex and protected sex while on antiviral medication with an uninfected female?
2.Does me having oral hsv1 my whole life make me more immune to hsv2 which will cause very mild outbreaks or no outbreaks at all? I’m asking because the only outbreak I’ve had was pain urinating.
3. Recurrent outbreaks usually are in the same place as the other outbreak or the outbreak could be anywhere?
4.i haven’t had a outbreak yet with blisters or lesions, so what are the symptoms to look for before getting the outbreak?
5.the only way to transmit hsv2 is through sexual contact and not by touching. For example using the bathroom and not washing your hands but then you shake someone else’s hand or touch them somewhere else but not sexually?
6.Do antiviral medication cause liver/kidney damage if you take it for your whole
Life because I really don’t want to transmit this to anyone. Is there another way I could go by if these medications cause side effects to the liver/kidneys?
7.Do you think there will be a vaccine for hsv2 or a cure for it in the upcoming years like in the next ten years? I’ve read that it’s been coming closer now than it has years ago. For example vical is working on a clinical trail which so far it’s going well. Also Dr.William Halford had a vaccine study going on that patients were glad about. 
8. I’m still hurt about this because I’m afraid to transmit it to someone else. That’s not the person I am. I’m thinking about this everyday and minute which is stressful. That’s why I’m asking these questions to feel better to know the information because online has so many things. 
9. After 6 months of having hsv
33 months ago
9. I’ve read that after 6 months of acquiring hsv2 you are least contiguous. So with time hsv2  becomes less contiguous to a uninfected partner? 
This right?
By avoiding sex during an active outbreak, chances of virus transmission are 4% a year (Terri Warren, RN, NP – WebMD, 2005). Yes, per year, not sexual session. Dividing this figure by 365 days (or nights), this makes the possibility of spreading the virus on any given day/night .0001%, or 1/10,000 (.04 / 365 = 0.000109589041). 

If also using condoms or anti-viral drugs, it cuts those already-staggering odds in half to 2% a year. The possibility of spreading HSV on any given night would then become 1/20,000. To put this in perspective, you have a better chance of literally dying in a car accident tomorrow on your way to school or work (1/18,585), although, surely this “risk” won’t stop you from driving. 1 in 18,000… driving seems pretty safe, doesn’t it? The fact that you will still drive your car (or ride in cars) after reading this article is proof that you agree. 

It’s cool, though, because you’d be right. Driving is pretty safe. Just remember: having a knowledgeable HSV+ partner is safer. If you’re not scared to drive, you are agreeing to this by default. 

With the use of both simultaneously [condoms and anti-viral drugs], it cuts the number in half once again: a mere 1% chance of transmitting the virus per annual basis. On any given night, we’re now entertaining a “risk” of 1/40,000. You now have better odds of becoming a pro athlete (1/22,000). Do you plan on signing that million-dollar contract anytime soon? 

Didn’t think so. 

Simply put: 99% odds are excellent. If you had a 99% chance of winning the lottery, would you buy a ticket? You’d be crazy not to. There’s no arguing with that. 

Therefore, considering that the only (truly) guaranteed thing in life is death, 99% odds are as solid as it gets. 96% is pretty assuring as well. Plus, people that are aware of their HSV+ status generally tend to notice even the mildest of symptoms, including prodrome symptoms. Because of this, they are much more likely to recognize when an outbreak is about to occur, and can then inform their partner in time to knock transmission rates down to 1-4% per year by abstaining from sex temporarily. 

For females, the chances of contracting HSV are slightly higher, but not by much. Ideally, we’re looking at about 98% prevention instead of 99% (“risk” is doubled because of increased point of contact). Hardly a significant difference overall, though. 

33 months ago
What’s the chances of transmitting hsv2 orally to an uninfected person when not having an outbreak or symptoms of an upcoming outbreak? 
33 months ago
Also if you contracted hsv2 through your penile, can you still get outbreaks in your anus even though it was penile and vagina sex
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
33 months ago
1.whats the chances of transmitting this virus while there’s no outbreak or symptoms of a outbreak coming  during unprotected sex,un protected sex while on antiviral medication, just protected sex and protected sex while on antiviral medication with an uninfected female?
With nothing,male to female, about 10% per year if you make it through the first three months or so without infected the partner, medicine reduce the risk by half and condoms reduce the risk by 96%
2.Does me having oral hsv1 my whole life make me more immune to hsv2 which will cause very mild outbreaks or no outbreaks at all? I’m asking because the only outbreak I’ve had was pain urinating.

It only makes it less likely that you would have significant symptoms with new HSV 2 infection

3. Recurrent outbreaks usually are in the same place as the other outbreak or the outbreak could be anywhere?

Anywhere in the boxer shorts area.

4.i haven’t had a outbreak yet with blisters or lesions, so what are the symptoms to look for before getting the outbreak?

Just skin changes - redness that then forms into a blister.

5.the only way to transmit hsv2 is through sexual contact and not by touching. For example using the bathroom and not washing your hands but then you shake someone else’s hand or touch them somewhere else but not sexually?

Only through sex
6.Do antiviral medication cause liver/kidney damage if you take it for your whole
Life because I really don’t want to transmit this to anyone. Is there another way I could go by if these medications cause side effects to the liver/kidneys?
7.Do you think there will be a vaccine for hsv2 or a cure for it in the upcoming years like in the next ten years? I’ve read that it’s been coming closer now than it has years ago. For example vical is working on a clinical trail which so far it’s going well. Also Dr.William Halford had a vaccine study going on that patients were glad about.

Vical has stopped their trial in the US long ago and Halford's vaccine is in limbo with the FDA investigating the whole thing.  You can safely take long term antiviral therapy.

8. I’m still hurt about this because I’m afraid to transmit it to someone else. That’s not the person I am. I’m thinking about this everyday and minute which is stressful. That’s why I’m asking these questions to feel better to know the information because online has so many things.
OK
9. I’ve read that after 6 months of acquiring hsv2 you are least contiguous. So with time hsv2  becomes less contiguous to a uninfected partner? 
This right?

There is a reduction in viral shedding after being infected for 6 months, yes
We have no data on oral transmission of HSV 2
Yes, you can get outbreaks around the anus if your infection is genital - they are both supplied by the same set of nerves in which the virus lives.

Terri

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