[Question #9399] HSV-1

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33 months ago
Hi 

I’m a male and got diagnosed with genital HSV-1 about a month ago (which I acquired unknowingly from a female partner with oral HSV-1). All things considered it wasn’t too bad with the pain with 2 small lesions. I wouldn’t have even known without getting suspicious from an enlarged groin lymph node.  I am uncircumcised and it was under my foreskin. I know there are studies lacking and data is hard to come by but based on experiences of the physicians you know how often do you see cases of genital to genital transmission of HSV-1 through hetero sexual intercourse with and without condoms (also assuming no daily suppressive drug)? I’ve heard Dr. Hunter Handsfeld in one of his videos say that it is very rare for this kind of transmission and that he personally hadn’t seen a case like that. 

Also how often have you seen cases of transmission of genital to oral?  What are the odds of me transmitting to someone else who doesn’t have HSV-1. Thank you. Appreciate all the information. 
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Terri Warren, RN, Nurse Practitioner
33 months ago
I would agree that genital to genital transmission of HSV 1 is rare.  I have not seen a patient who was diagnosed with genital HSV 1 who had not received oral sex in the prior two weeks.  This is not to say with 100% certainty that it was not genital to genital transmission but way less likely, in my opinion.  
if you have new genital HSV 1, you are shedding virus from your genitalia on about 12 % of days, at 5 months out, about 7% of days, and then at 2 years out, only about 4 days out of the year.  
Condoms reduce transmission of HSV 2 by 96% so it would certainly reduce transmission of HSV 1 by at least that much.

Terri
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33 months ago
Thank you. May I ask what study do those percentages come from? So if I am with a woman who doesn’t have any HSV are the odds the same for me to transmit to a woman’s genitals as it is to her mouth if she performs oral sex on me (without condom)?
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Terri Warren, RN, Nurse Practitioner
33 months ago
The studies come from Dr Christine Johnston at the University of WAshington.  
The data I gave you is about viral shedding - the giving off of virus from the genitals.  This is not specific transmission date either from intercourse or oral sex.

Terri
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