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Medical Forum / Diseases and Disorders / Herpes / October 2005

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Uninfected male in love with herpes positive female....SOS...

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ryanjohnlenz@gmail.com - 01 Oct 2005 09:46 GMT
So here I am...in this situation that I feel like some of you have
dealt with.  I'll keep this short.  I'm in love with a woman with
herpes.  I wont romanticize this...other than saying she is a woman
that I love, but i'm pretty sure we're not getting married, at least
not anytime soon.  I need to know how much risk i am taking by having
protected sex with her.    Is there anything else I can do?  eat garlic
or something?  I am meeting up with her for 5 days or so...just have to
make a risk/rewards judgement and I really dont know my odds.

this is what the internet is made for.  i love google :)

Ryan
Grant - 01 Oct 2005 11:37 GMT
Hi Ryan,

We can't tell you the odds without having more details as to which type of
herpes she has and if you have ever been tested for herpes and what those
results may have been.

If you haven't been tested, then I suggest you do so before you decide that
someone isn't worth the risk.

Take care,
ar

>So here I am...in this situation that I feel like some of you have
>dealt with.  I'll keep this short.  I'm in love with a woman with
[quoted text clipped - 8 lines]
>
>Ryan
M2slo2cht@nospam.invalid - 01 Oct 2005 11:40 GMT
ryanjohnlenz writes:
> I need to know how much risk i am taking by having
>protected sex with her.  

Unfortunately, there's not a good way to know "risk" on an individual
basis. You can read up on "averages" but you have no way of knowing
whether the two of you are "average".  Many people aren't.

First, I'd start off by getting yourself tested. Up to 90% of people
infected don't even know it and you could be one of them. Second, have
her tested to find out for sure which type hsv she has. If you both
have the same type, you're good to go.

Assuming you're negative and she's positive for type 2, your risk
depends on your immune system plus the frequency of her asymptomatic
shedding plus the frequency of transmission opportunities (sex).
Except for sex, you can't know about the other two. Granted, the
longer she's been infected (years vs months) the less often she has
asymptomatic shedding events (btw, even that's a rule of thumb,
individual cases can be different).

>Is there anything else I can do?

No guarantees. Basically, it's all about reducing risk even though you
can't know what you're reducing it from or to.

First, no sex during an outbreak. That in itself will reduce your risk
considerably.

Second, if she has frequent outbreaks, that's an indicator she may
also shed asymptomatically more often than average (avg is approx 3%
of the days per year). In that case, she may want to go on suppression
therapy (meaning daily Valtrex or Acyclovir).

Third, consistent condom use can cut the risk down even more.

Fourth, washing before (her) and after (you) sex with soap and water
might help a little (soap and water kills virus on the skin surface).
And even if it doesn't help, what the hey, it can be kinda fun.

You might like to know that there are quite a few discordant couples
in the world. Stats show that the longer they go without a transfer,
the less likely it will ever happen. Nobody knows for sure why that
although there are theories floating about having to do with built up
immunity etc.

Anyhow, maybe somebody else can add to all this.

Congrats on having the brains to check into the truth about herpes
instead of just running from her like many herpephobics would. Herpes
is more a problem of social stigma and public misinformation than it
is a physical problem. And it's manageable.

M2
Angela S. - 01 Oct 2005 16:27 GMT
Hi Ryan ~

Have you personally ever been tested for herpes?

Also is your girlfriend on suppressive therapy?

Suppressive therapy reduces asymptomatic by about 95% and it also reduces
transmission by about 50%. If you throw that into the mix of using condoms
on top of that I would say that's pretty good safer sex for the both of you.

But I think it's important to realize that you need proper herpes testing in
order to find out if you have the virus. 90% of people that have genital
herpes don't even know it because they don't have signs or symptoms AND
because it's not part of the routine std testing process.

If you already happen to have herpes then all of this is a non-issue for
you.. ya know?

Take care and keep us posted,

Angela ;-)

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> So here I am...in this situation that I feel like some of you have
> dealt with.  I'll keep this short.  I'm in love with a woman with
[quoted text clipped - 8 lines]
>
> Ryan
Me - 03 Oct 2005 11:09 GMT
Ive had it for about 15 yrs.. my boyfriend of 10 has only just this year
shown any symptoms.. unfortunate. I hate it.. but still.. he knew the risks
and now.. just says oh well about it. Be thankful that she told you. Sounds
like an honest woman. I wish that who gave it to me was so kind.

> So here I am...in this situation that I feel like some of you have
> dealt with.  I'll keep this short.  I'm in love with a woman with
[quoted text clipped - 8 lines]
>
> Ryan
buxom.diva@gmail.com - 07 Oct 2005 17:58 GMT
First of all, for herpes (unlike other STD's), transmission is about
skin to skin contact, not exchange of fluids, therefore the female
condom is more effective than the traditional kind.  Unfortunately you
can buy a couple boxes of "regular" condoms for the price of one female
condom; we should start lobbying to change that!

As far as the risks go, I'm prepared to be shot down by other people
but here's what I know from my readings and from my own life.  It's
really hard for a man to catch this thing from a woman who's being
responsible about it (i.e. avoid sex when it's active, period).  The
virus is actually very fragile, easily killed with soap and water, and
the multiple layers of human skin (such as the kind covering your
testicles) act as a very effective barrier as long as the skin is
intace.  Women's genitals, on the other hand, are basically an open
invitation to any little microbes that want to get inside.

I will never know how long I lived with this thing before I was
diagnosed but I can tell you that my ex had bloodwork done when he got
involved with somebody new.  After 8 years of unprotected sex, he never
caught it from me.

Also, if you ever get coldsores on your face or if you had them as a
kid, that's type 1 herpes.  Even under a microscope type 1 and type 2
look the same.  According to one of the books I've got (by the leading
experts - one's Canadian and one's American) if you already have
immunity to type 1 it reduces the risk of contracting type 2 - I
believe that it would also reduce the severity of the infection if you
did contract it as well.

There's also this thing called asymptomatic shedding, where live viral
cells can be present on the skin even without visual evidence of an
active herpes lesion.  That happens less and less frequently over time,
so it's a good idea to know how long this woman has been living with
this.  In the studies cited in the aforementioned books, there was not
a single man who contracted the virus through this method.

Funny that you mentioned garlic - there are certain chemicals in foods
that can inhibit or promote growth of the virus.  Check this out
further cause I can't remember which is which - sorry!
It's l-lysine and l-arginine that you're looking for, and the one that
inhibits the virus can be purchased as a supplement.  These are amino
acids.  The one that's present in chocolate can trigger a migraine and
a herpes outbreak - comfort food my a.s!!

Does this help??
Angela S. - 07 Oct 2005 18:58 GMT
> As far as the risks go, I'm prepared to be shot down by other people
> but here's what I know from my readings and from my own life.  It's
> really hard for a man to catch this thing from a woman who's being
> responsible about it (i.e. avoid sex when it's active, period).

People do need to know that it's possible to pass herpes to another person
even if there are no signs or symptoms present. Avoiding sex during
outbreaks is a good thing to do but that doesn't cover periods when
asymptomatic shedding is going on. Just wanted to mention that because 90%
of people that have genital herpes don't even know that they have it and one
of the reasons why is because they don't get signs or symptoms.

> I will never know how long I lived with this thing before I was
> diagnosed but I can tell you that my ex had bloodwork done when he got
> involved with somebody new.  After 8 years of unprotected sex, he never
> caught it from me.

Did he have proper herpes testing done? He may have had blood-work for
routine STD testing but that doesn't mean he was tested specifically for
herpes simplex virus. Herpes testing is not included in the routine STD
testing process. Here is a link for herpes blood tests:
http://www.yoshi2me.com/genital-herpes.html

> Also, if you ever get coldsores on your face or if you had them as a
> kid, that's type 1 herpes.  Even under a microscope type 1 and type 2
[quoted text clipped - 3 lines]
> believe that it would also reduce the severity of the infection if you
> did contract it as well.

Actually ~ type-1 doesn't offer as much protection as we once thought. If a
person has type-2 then that's a different story. Feel free to take that up
with Terri Warren over on WebMD.

> There's also this thing called asymptomatic shedding, where live viral
> cells can be present on the skin even without visual evidence of an
> active herpes lesion.  That happens less and less frequently over time,
> so it's a good idea to know how long this woman has been living with
> this.  In the studies cited in the aforementioned books, there was not
> a single man who contracted the virus through this method.

It's still possible for hepres to be passed on via asymptomatic shedding.

> Funny that you mentioned garlic - there are certain chemicals in foods
> that can inhibit or promote growth of the virus.  Check this out
[quoted text clipped - 3 lines]
> acids.  The one that's present in chocolate can trigger a migraine and
> a herpes outbreak - comfort food my a.s!!

Actully there are no clinical studies to support any of this which is why
the "food theory" and "lysine theory" are pretty much herpes myths. Feel
free to take that up with Terri Warren over on WebMD.

Hope this helps,

Angela ;-)

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Diva - 07 Oct 2005 22:02 GMT
I don't know what Terri's qualifications are, but I did exhaustive
research about this to prepare a presentation to my classmates in
Pathology back when I was studying to become a massage therapist.
Those amino acids that I mentioned are certainly not mythical, but I
will concede that it might not be possible to ingest enough through
food sources to have a significant impact.  That said, if chocolate can
trigger a migraine why not a herpes outbreak???
Again, I can't remember the authors or titles of the books - something
like "the truth about herpes" and "living with herpes", by well
qualified doctors, spoke about the incidence of asymptomatic shedding
being less frequent over time and in the hundreds of couples studied
not one man caught the virus from his infected female partner that was
attributable to asymptomatic shedding.
my friend did have the herpes specific test by the way, since he knew I
had it, but it's moot now as he suffered a fatal stroke on November 21,
2003 at the age of 39.
Angela S. - 07 Oct 2005 22:28 GMT
>I don't know what Terri's qualifications are, but I did exhaustive
> research about this to prepare a presentation to my classmates in
[quoted text clipped - 3 lines]
> food sources to have a significant impact.  That said, if chocolate can
> trigger a migraine why not a herpes outbreak???

I believe chocholate probably is a trigger for *some* people. Then there is
the flip side to this discussion. Chocholate doesn't instigate an outbreak
in me at all. In fact, if I don't eat chocholate once in awhile I get a
little nutty. lol ;-)

By all means pose a question about this on the board over on WebMD where
Terri Answers post. I promise she is highly qualified and knows herpes
inside and out! Here's the link:
http://boards.webmd.com/topic.asp?topic_id=90

> Again, I can't remember the authors or titles of the books - something
> like "the truth about herpes" and "living with herpes", by well
> qualified doctors, spoke about the incidence of asymptomatic shedding
> being less frequent over time and in the hundreds of couples studied
> not one man caught the virus from his infected female partner that was
> attributable to asymptomatic shedding.

I actually have the book "The Truth About Herpes" by Stephen L. Sacks MD -
4th edition AND "Managing Herpes - How to Live and Love with a Chronic STD"
by Charles Ebel and Anna Wald, M.D., M.P.H. Is that where you are reading
this information?

This is what I've gotten when reading the 2nd book:
http://www.yoshi2me.com/ipw-web/bulletin/bb/viewtopic.php?t=656

> my friend did have the herpes specific test by the way, since he knew I
> had it, but it's moot now as he suffered a fatal stroke on November 21,
> 2003 at the age of 39.

Oh no... I'm so sorry to hear about the stroke. Now THAT is rotten luck.

Angela

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Grant - 07 Oct 2005 22:53 GMT
Hi Diva,

I'm so sorry to hear about your friend.  That's so sad.

Yes, food is a trigger for some people.  I think it's important to acknowledge
all triggers.  They certainly aren't a myth.

I really don't know about lysine.  I used it for awhile but I have no idea if it
actually worked.  I do have a friend who swears by it for her oral outbreaks
though.

Take care,
ar

>I don't know what Terri's qualifications are, but I did exhaustive
>research about this to prepare a presentation to my classmates in
[quoted text clipped - 12 lines]
>had it, but it's moot now as he suffered a fatal stroke on November 21,
>2003 at the age of 39.
Diva - 08 Oct 2005 06:47 GMT
I'd really like to know if anybody finds that a new partner is a
trigger for an outbreak??  I can easily forget I have this virus most
of the time - mild outbreaks tend to coincide with my "time of the
month" so I'm not having sex anyway! (nature's cruel joke - and
something your doctor never told you about menopause - I woke up 4
years ago with the libido of a teenaged boy - I'm still trying to find
him to give it back!  Demi & Ashton?  no surprise to me at all - the
young ones can keep up!)
Anyway, about eighteen months ago after getting "lucky" for the first
time in years I had the worst outbreak in years!  Got tested for all
the other STD's just in case.  Now it's happened again!  One night of
pleasure, one week of needing crotchless panties and lots of Advil or
something to combat the old "flu like symptoms".
If I've developed an allergy to sex I may have to shoot myself.
Any advice folks??
Grant - 08 Oct 2005 11:24 GMT
Diva,

I put your name in the subject line to differentiate from the original thread -
which you've "hijacked."  :)

Sex is a known trigger.  It's because of the friction.  Find a good lubricant
and, if using condoms, latex may be a problem.

ar

>I'd really like to know if anybody finds that a new partner is a
>trigger for an outbreak??  I can easily forget I have this virus most
[quoted text clipped - 11 lines]
>If I've developed an allergy to sex I may have to shoot myself.
>Any advice folks??
M2slo2cht@nospam.invalid - 08 Oct 2005 13:11 GMT
>to differentiate from the original thread -
>which you've "hijacked."  :)

Ooooops.... guess that makes me an "Accessory after the fact".....
...... sorry  :-P    ;-)

M2
Angela S. - 09 Oct 2005 03:46 GMT
What does it mean to hijack a thread?

You would think after eight years of posting on the internet I would know...
lol

Angela ;-)

>>to differentiate from the original thread -
>>which you've "hijacked."  :)
[quoted text clipped - 3 lines]
>
> M2
M2slo2cht@nospam.invalid - 09 Oct 2005 06:32 GMT
>What does it mean to hijack a thread?

Ha!  :-)
In this case, Ar was joking.... sorta kinda.
But technically, it's changing the subject and diverting the
discussion in a direction unintended by the OP (original poster) when
a new thread and new subject line would have been more appropriate.

>You would think after eight years of posting

Wowzers Yosh! Has it been *Eight* years???
Time sure flys when you're havin' fun ;-)

M2
M2slo2cht@nospam.invalid - 08 Oct 2005 12:50 GMT
>I'd really like to know if anybody finds that a new partner is a
>trigger for an outbreak??

Anything's possible. There may be some stress involved that you may
not even be aware of.

I know a guy (half of a discordant couple) who only gets an outbreak
on vacation. Normally, sex for them is an unplanned impulse thing and
outbreaks are seldom a problem. But knowing ahead of time that sex is
imminent is enough (stress I suppose) to cause an outbreak every time
they take off on a romantic weekend getaway. Especially if it involves
big expense like the Caribbean, Mexico, or something other than a
short drive somewhere. Or at least that used to be the case. Now he
knows to start slugging down Acyclovir or Valtrex a couple weeks
before they leave.

>after getting "lucky" for the first
>time in years I had the worst outbreak in years!

That scenario is pretty common too. Seems to resolve itself once the
"new" partner becomes not so "new".  "New" can also mean stress. Also,
any sort of friction is a well known trigger for many people,
especially if they're not used to it. The best preventative for that
is lube. Lots and lots of lube. Something like Astro-Glide is pretty
good stuff for that. You can get it practically any drug store... even
Walmart.

M2
Diva - 08 Oct 2005 20:46 GMT
Now we begin the product endorsement portion of this thread!   Is
Astro-Glide better than good old KY??  And what experiences have other
users of this group had with the female condom, BTW?  From what little
I know, its' design would protect against spreading the virus better
than the traditional kind??

(it's actually really funny that you mention Walmart, cause this new
guy just e-mailed me the joke about the machine at Walmart that
analyses urine to figure out what's wrong with you)

Thanks for all the great info.
M2slo2cht@nospam.invalid - 08 Oct 2005 22:41 GMT
>Astro-Glide better than good old KY??

I don't recall ever using good old KY.  But it's better than some
other stuff I've tried.

>And what experiences have other
>users of this group had with the female condom, BTW?

Not me... but we've discussed this topic here before. Maybe you can
google up the old threads for some info.
Seems to me it would matter whether you were trying to protect the
male vs the female. Guys are at less risk to begin with and I don't
think a female condom would give us any more protection where it
really counts. Women, on the other hand, seem to be more vulnerable in
general and especially in the area a female condom covers. Neither
one's guaranteed of course. Sometimes a transfer happens no matter
what.

>From what little
>I know, its' design would protect against spreading the virus better
>than the traditional kind??

So I've heard and it makes sense. The more you put between the two
skins, the less skin to skin contact there'll be. Seems to me that can
be over done though.

>the joke about the machine at Walmart that
>analyses urine to figure out what's wrong with you)

I haven't heard it. sooooo.... what's the punch line?

M2
Diva - 10 Oct 2005 01:56 GMT
One day, in line at the company cafeteria, Joe says to Mike, "My elbow
hurts like crazy. I guess I better see a doctor."
"Listen, you don't have to spend that kind of money," Mike replies.
"There's a diagnostic computer down at Wal-Mart. Just give it a urine
sample and the computer will tell you what's wrong and what to do about
it.
It takes ten seconds and costs ten dollars... a lot cheaper than a
doctor."
So Joe puts a urine sample in a small jar and takes it to Wal-Mart. He
deposits ten dollars, and the computer lights up and asks for the urine
sample. He pours the sample into the slot and waits.
Ten seconds later, the computer ejects a printout:
"You have tennis elbow. Soak your arm in warm water and avoid heavy
activity. It will improve in two weeks. Thank you for shopping at
Wal-Mart."
That evening while thinking how amazing this new technology was, Joe
began wondering if the computer could be fooled.
He mixed some tap water, a stool sample from his dog, urine samples
from his wife and daughter, and a sperm sample for good measure. Joe
hurried back to Wal-Mart, eager to check the results.
He deposited ten dollars, poured in his concoction, and awaited the
results.
The computer then prints the following:

1. Your tap water is too hard. Get a water softener. (Aisle 9)

2. Your dog has ringworm. Bathe him with anti-fungal shampoo. (Aisle 7)

3. Your daughter has a cocaine habit. Get her into rehab.

4. Your wife is pregnant, Twins. They aren't yours. Get a lawyer

5. If you don't stop playing with yourself, your tennis elbow will
never get better!

Thank you for shopping at Wal-Mart
Angela S. - 09 Oct 2005 03:44 GMT
Friction from sex could be why you had that outbreak... ya know?

I had the same problem years ago.

What helped my situation was suppressive therapy.

I don't have that problem today probably because they say these issues
decrease with time.

I have found that to be true in my case.

Hope this helps,

Angela ;-)

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> I'd really like to know if anybody finds that a new partner is a
> trigger for an outbreak??  I can easily forget I have this virus most
[quoted text clipped - 11 lines]
> If I've developed an allergy to sex I may have to shoot myself.
> Any advice folks??
Angela S. - 09 Oct 2005 03:43 GMT
Hi Ar ~

> They certainly aren't a myth.

I should probably explain where I am coming from when using the word "myth."

Mostly it's in terms of reducing asymptomatic shedding, reducing intensity
and frequency of outbreaks, reducing the chances of a non-infected partner
from contracting the virus. Avoiding all those "foods" that might be
triggers for some people are not necessarily going to enhance treatment of
the virus in the ways in which I have described.

To me it's like a myth because avoiding those so called food triggers never
did a thing for me when I first contracted the virus. You wouldn't believe
how dissapointed I was when L-Lysine did absolutely nothing to take my
outbreaks away.

In essence ~ it is a bit of a herpes myth based on my own perspective.

Just sharing,

Angela ;-)

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Angela S. - 09 Oct 2005 04:38 GMT
These are just "theories" which is a much better word to use than "myth."

http://www.yoshi2me.com/v-web/bulletin/bb/viewtopic.php?t=656

Angela ;-)

> In essence ~ it is a bit of a herpes myth based on my own perspective.
Grant - 10 Oct 2005 02:57 GMT
Theory may be a better word.  A theory can be fact for many people.  A myth
indicates that it is never a fact.

ar

>These are just "theories" which is a much better word to use than "myth."
>
[quoted text clipped - 3 lines]
>
>> In essence ~ it is a bit of a herpes myth based on my own perspective.
Angela S. - 10 Oct 2005 15:26 GMT
yeah ~ I started thinking of the Greek Gods (ie: Zeus) and Greek Mythology
and decided the word "myth" was probably not the best to use. "Theory"
sounds better.

Now if we can get those "theories" backed up via clinical trials we'll be
good to go!

Angela ;-)

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> Theory may be a better word.  A theory can be fact for many people.  A
> myth
[quoted text clipped - 9 lines]
>>
>>> In essence ~ it is a bit of a herpes myth based on my own perspective.
Diva - 10 Oct 2005 02:00 GMT
when I was first diagnosed, divine intervention wouldn't have prevented
an outbreak!  every time I said the word "herpes" aloud, I broke out.
then I developed a sense of humour about it, and started thinking of it
as "tropical cold sores" - much fewer outbreaks!

never figured out if the l-lysine made a difference when I was taking
it - the most interesting thing I've ever read was about a guy in
England who found evidence that the company who makes Zovirax was
responsible for all the hysteria about herpes in the 80's cause they
wanted to sell more pills.  they paid him $250K to suppress the story
(pun intended) then had him arrested for blackmail!  Now magazine wrote
this up back in '94 or so.
Grant - 10 Oct 2005 02:56 GMT
Hi Angela,

As we've discussed before, just because a "thing" didn't work for you, doesn't
mean that it won't work for someone else.  You keep saying that you agree with
this, but then you make comments that negate that later on.

It's very misleading to say that food triggers are a myth.  By doing so, you may
cause more problems for the person who actually does have food triggers.

And for those that believe that Lysine helps them...then so what?  If their
belief alone (for whatever reason) helps to cut down on outbreaks, then the end
result is the same - less outbreaks.

Less outbreaks may equal less asymptomatic shedding, I have no idea.  But less
outbreaks may equal less chances to infect an uninfected partner.

ar

>Hi Ar ~
>
[quoted text clipped - 18 lines]
>
>Angela ;-)
Angela S. - 10 Oct 2005 15:34 GMT
> As we've discussed before, just because a "thing" didn't work for you,
> doesn't
> mean that it won't work for someone else.  You keep saying that you agree
> with
> this, but then you make comments that negate that later on.

I want clinical studies to prove that these theories work to fight hepes
simplex virus.

> It's very misleading to say that food triggers are a myth.  By doing so,
> you may
> cause more problems for the person who actually does have food triggers.

I've already posted that "myth" is probably not the best word to use. Food
triggers etc. are theories that have not been proven clinically to have any
sort of impact on herpes. That is what I do know...

> And for those that believe that Lysine helps them...then so what?  If
> their
> belief alone (for whatever reason) helps to cut down on outbreaks, then
> the end
> result is the same - less outbreaks.

I do not believe that L-Lysine has been proven clinically to cut down on
outbreaks. Again ~ this is a theory.

The mind is a powerful tool. If somebody takes L-Lysine and they belive that
is why they don't get outbreaks then more power to them. However, there are
other factors that may not be considered as to why they are not getting
outbreaks. #1 It could be that they have genital herpes type-1 which isn't
too much of a problem when it comes to intensity and frequency of outbreaks
when you think about the statistics among people that have genital herpes
type-1 vs people that have genital herpes type-2 and #2 a person could have
had herpes for years and they do say that outbreaks decrease over time.
There are many possibilities and until those get ruled out as well as the
L-Lysine theory I will keep on keeping on.

> Less outbreaks may equal less asymptomatic shedding, I have no idea.  But
> less
> outbreaks may equal less chances to infect an uninfected partner.

Asymptomatic Shedding may also equal not knowing when the virus is present
on the surface of the skin which may equal to more chances to infect an
uninfected partner which is why hopefully proper herpes testing will be
included in the routine std testing process and maybe (just maybe) more
folks will want to know their status.

The fact remains that people are passing this virus on without knowing it
which is a big reason why herpes is such a prevalent STD.

Angela

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M2slo2cht@nospam.invalid - 07 Oct 2005 21:06 GMT
buxom.diva writes:
> I'm prepared to be shot down by other people
>but here's what I know from my readings and from my own life.

No shots to be fired from this direction. I didn't see anything to
shoot about. And Yoshi's response didn't seem to contradict either. It
was more like additional info etc. and/or points for discussion.
Anyhow, welcome to the group  :-)
M2
 
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