I have genital HSV-1, but have not had an outbreak since my first out break, was was over 11 years. How unlikely(if even possible) am I too pass it to someone during intercourse? Do I need to be concerned about transmission during inter course and oral sex? Since I’ve never had an outbreak since then? 

And can genital HSV-1 even pass genital to genital or genital to oral?

Thank you. 

Around 11 years. I have scrolled through some of the information you have previously posted regarding this issues, which has led me to a few more questions if you do not mind

1- When you and the other doctors on this forum speak about how low the probability is, what does “low” really mean in the way a common person can comprehend? Is it near zero? statistically incredibly low to highly improbable/ almost impossible?

2- You previously stated that you nor Dr. Handsfield have ever seen a genital to genital transmission of HSV-1 before, but have read about them? I was curious as if there was any context to your knowledge regarding the transmission? Were these transmissions that occured with on outbreak? Between someone who recently obtained the virus?

3- Is the probability also low for genital to oral transmission? as well  I have had many partners over the years, and no one has got the virus to my knowledge, in addition to genital shedding being less for genital HSV-1, could it also simply due to the fact is does not want to transfer to genital region of another or the viral count is simply lower? My igg levels have gone up the past couple years, but does the lapse of time since the aquaisiton make it even less probable that the virus may transit?

Again, thank you so much for all your help and information.

1- When you and the other doctors on this forum speak about how low the probability is, what does “low” really mean in the way a common person can comprehend? Is it near zero? statistically incredibly low to highly improbable/ almost impossible?

Once a person has had HSV 1 genital infection for about two years, they shed virus on about 4 days out of an entire year.  So you can do that calculation about low - I would say incredibly low.

2- You previously stated that you nor Dr. Handsfield have ever seen a genital to genital transmission of HSV-1 before, but have read about them? I was curious as if there was any context to your knowledge regarding the transmission? Were these transmissions that occured with on outbreak? Between someone who recently obtained the virus?

There is a case report by Dr. Anna Wald in the literature and it was definitely an outbreak.  I don't recall how long the source partner had been infected.

3- Is the probability also low for genital to oral transmission? as well  I have had many partners over the years, and no one has got the virus to my knowledge, in addition to genital shedding being less for genital HSV-1, could it also simply due to the fact is does not want to transfer to genital region of another or the viral count is simply lower? My igg levels have gone up the past couple years, but does the lapse of time since the aquaisiton make it even less probable that the virus may transit?

The risk of transmission is lower because the immune system has gotten "smarter" about your virus over the years and you are shedding less often.  The IgG levels are not related to the likelihood of shedding or transmission.

Terri