[Question #8477] Genital HSV1
44 months ago
|
Thank you for reviewing my question. I have Genital HSV-1, and have had it for 17 years (have not had an outbreak since the first one 116 years ago). My igg count was very high, within the 50’s.
I have a few questions after reviewing many of the answers on here, as I have become increasingly concerned about transmissions and speaking to my partners regarding this.
1- I saw that after 2 years, the shedding rate is roughly around 4 days of the year, and while it looks as though studies do not go beyond this time, is it likely that the shedding rate continues to decrease year after year? And/or the viral load is at least reduced?
2- With a significance immunes response, would that mean my body is effective at reducing the number of out breaks and viral load during the outbreaks? Reducing the odds of transmission?
3- With all the discussion regarding transmission during asymptomatic shedding, does having sex during asymptomatic shedding near guaranteed transmission, or are the other factors involved? Or, while the risk cannot be zero, is HSV not shed effectively absence a obvious outbreak?
4- Given my situation and I understand if you can’t answer this, would I be on the extremely low end of the odds of transmission? I understand we have the numbers from the few studies, but is there any way you could possibly provide me some more specific recommendation on transmission given my situation?
![]() |
Terri Warren, RN, Nurse Practitioner
44 months ago
|
1- I saw that after 2 years, the shedding rate is roughly around 4 days of the year, and while it looks as though studies do not go beyond this time, is it likely that the shedding rate continues to decrease year after year? And/or the viral load is at least reduced?
We don't have any data beyond that. And I wouldn't take a guess about how much more of a decrease, if any, there is.
2- With a significance immunes response, would that mean my body is effective at reducing the number of out breaks and viral load during the outbreaks? Reducing the odds of transmission?
Your body, during the entire time you are infected, is developing the skills to do better with the virus, likely reducing shedding and there by reducing transmission.
3- With all the discussion regarding transmission during asymptomatic shedding, does having sex during asymptomatic shedding near guaranteed transmission, or are the other factors involved? Or, while the risk cannot be zero, is HSV not shed effectively absence a obvious outbreak?
There are other factors involved in transmission, including probably most importantly the HSV 1 status of your partner (or HSV 2 status). If your partner is infected with HSV 1 perhaps in the form of cold sores, they are highly unlikely to acquire HSV 1 genitally. And if your partner already has HSV 2 genitally, they will almost never acquire HSV 1 anywhere on their body. Another factor is the volume of virus present. It is necessary to have a certain amount of virus present for another adult to become infected. Transmission is not guaranteed during periods of asymptomatic or even symptomatic shedding of the virus.