[Question #7405] Asymptomatic transmission after 35 years of being infected

5 months ago
I've had hsv 2 for 35 years .I'm in good health and I rarely have a outbreak. One in the last 4 years. And can trace that outbreak to eating a lot of chocolate. My question is.  What is the probability of transmission to a uninfected person  ? Though my outbreaks are few and having it for so long  ? Also,  I recently began Suppressive therapy.  

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
5 months ago
What is your gender?
If male (and I think you are), if you use a condom with every intercourse and stay on daily antiviral medicine, the risk of transmission is about 1-2% per year.  If you don't use a condom, the risk is about 4% per year.  It could be even lower due to the infrequent recurrences that you have.  But condoms and suppression together are extremely effective in reducing transmission to a female partner.  If I've misread your gender, let me know.


Terri
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5 months ago
Thank you. Yes, I am a male. Other than antiviral medicine. Is there anything else I can do to reduce shedding and outbreaks ?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
5 months ago
No, nothing more that you can do that other than continuing to use condoms with every intercourse.  That won't reduce shedding or outbreaks but it will reduce transmission.

Terri
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