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Medical Forum / Diseases and Disorders / Herpes / February 2004

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Triggering an outbreak

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Justin - 01 Feb 2004 14:53 GMT
If I already have genital HSV1 and my girlfriend already has oral
HSV1, will she trigger an outbreak for me if she gives me oral while
she has an outbreak?
Grant - 01 Feb 2004 15:45 GMT
If you have genital type 1, you can not get genital type 1 again.

Any form of "rough" sex can be a trigger for some people.  But that has
nothing to do with whether or not your partner is having an active outbreak.

ar

> If I already have genital HSV1 and my girlfriend already has oral
> HSV1, will she trigger an outbreak for me if she gives me oral while
> she has an outbreak?
Angela - 03 Feb 2004 13:03 GMT
No. You don't keep passing herpes if that is what you mean.

Angela
www.yoshi2me.com

> If I already have genital HSV1 and my girlfriend already has oral
> HSV1, will she trigger an outbreak for me if she gives me oral while
> she has an outbreak?
Derek Snider - 18 Feb 2004 21:00 GMT
I thought you could spread it to new areas... even on yourself... so
why not be able to spread it from person to person?

For example... if both you and your partner happened to only have HSV1
on the mouth, theoretically either of you should be able to give it to
each other on the genitals, no?

> No. You don't keep passing herpes if that is what you mean.
>
[quoted text clipped - 4 lines]
> > HSV1, will she trigger an outbreak for me if she gives me oral while
> > she has an outbreak?
M.L.S. - 18 Feb 2004 21:31 GMT
>I thought you could spread it to new areas... even on yourself... so
>why not be able to spread it from person to person?

That's true, but the original question was whether sexual activity would
trigger a recurrence of the disease that had already been acquired.  For
some people sex, or rough sex, can be a trigger, but new outbreaks don't
equal a whole new infection, just a new outbreak.

>For example... if both you and your partner happened to only have HSV1
>on the mouth, theoretically either of you should be able to give it to
>each other on the genitals, no?

Yep, though it is thought that such transfers become less and less
likely the longer one has had the oral HSV.

Take care,

Mike

>> No. You don't keep passing herpes if that is what you mean.
>>
[quoted text clipped - 4 lines]
>> > HSV1, will she trigger an outbreak for me if she gives me oral while
>> > she has an outbreak?
M2slo2cht@nospam.invalid - 19 Feb 2004 00:28 GMT
On 2/18/04, 3:00pm, derek wrote:
>I thought you could spread it to new areas... even on yourself...

That's possible if you're newly infected, before your body has had
time to develop antibodies which can take 3-4 months. But once your
body is geared up to fight the virus, the chance of spreading it
around to other areas is very slim.

>so
>why not be able to spread it from person to person?

Same thing. Once the other person's immune defense is geared up,
they're not likely to become infected in a different location by
either themselves or by another person.

>For example... if both you and your partner happened to only have HSV1
>on the mouth, theoretically either of you should be able to give it to
>each other on the genitals, no?

No. Not unless one or both of you has a very recent infection. In
which case your body(ies) wouldn't have had time to build up the
necessary antibodies to fight the virus.

All this assumes you both have a normal immune system.

M2
Derek Snider - 19 Feb 2004 15:12 GMT
> On 2/18/04, 3:00pm, derek wrote:

> >For example... if both you and your partner happened to only have HSV1
> >on the mouth, theoretically either of you should be able to give it to
> >each other on the genitals, no?

> No. Not unless one or both of you has a very recent infection. In
> which case your body(ies) wouldn't have had time to build up the
> necessary antibodies to fight the virus.

What if one of you has had HSV1 for say a few years (as apparently
50-80+% of the population does), and a new partner does not.  Could
the new partner become infected genitally from oral sex with the HSV1
partner, and then transfer a genital infection to the original oral
HSV1 partner?  Is this possible?

> All this assumes you both have a normal immune system.

Immune systems go through various cycles of resistance, and can get
compromised due to lack of sleep, strong weather changes, and during
times it is fighting off other ailments (i.e. a common cold).

Could such a thing not be possible while the immune system was
weakened?
M.L.S. - 19 Feb 2004 15:56 GMT
>What if one of you has had HSV1 for say a few years (as apparently
>50-80+% of the population does), and a new partner does not.  Could
>the new partner become infected genitally from oral sex with the HSV1
>partner, and then transfer a genital infection to the original oral
>HSV1 partner?  Is this possible?

Yes, it's possible, but the longer the first person has had the oral HSV
the less likely it is he'll transfer it to his genitals, whether it's
done via a partner or his own fingers.  Having a working supply of
antibodies cruising the blood stream is a good defense against new
infections.

The new partner without any previous infection, however, is most at risk
for picking up HSV both orally and genitally.  The new partner has no
antibodies with which to fight the new infection.

>> All this assumes you both have a normal immune system.

>Immune systems go through various cycles of resistance, and can get
>compromised due to lack of sleep, strong weather changes, and during
>times it is fighting off other ailments (i.e. a common cold).

>Could such a thing not be possible while the immune system was
>weakened?

It's possible even with a strong immune system, just less and less so
the longer one has had the disease.  A weakened immune system, or
something as simple as a tear or cut in the genital region can up the
risks.

Take care,

Mike
M2slo2cht@nospam.invalid - 19 Feb 2004 16:43 GMT
On 2/19/04, 9:12am, derek wrote:
>What if one of you has had HSV1 for say a few years (as apparently
>50-80+% of the population does), and a new partner does not.  Could
>the new partner become infected genitally from oral sex with the HSV1

Just to be clear, I'm assuming you mean the type 1 partner is infected
orally, and is also the one giving the oral sex. In that case, yes,
it's possible.  About 33% of newly diagnosed genital herp cases are
type 1 and most of them are the result of exactly that. That doesn't
mean transfer is likely though. Otherwise I would think there would be
a *lot* more genital type 1 cases in the world, considering all the
type1 oral herpsters giving oral sex around here. It just means it's
possible and it happens at times. The individual risk would be
determined by quite a few individual factors.

>,and then transfer a genital infection to the original oral
>HSV1 partner?  Is this possible?

Not likely. And no more likely than the original partner transfering
it to him/herself genitally via autoinnoculation. And if he/she's been
infected for a few years, that's not very likely.

One other thing, with herpes as with life in general, *anything* is
possible. But don't confuse that to mean anything is likely.
Transmission is a matter of risk just like the rest of life. When you
get in your car to go to work, it's possible you'll be killed along
the way. Doesn't mean it's likely. Whether the risk is low or lower
depends on quite a few different risk factors. They all come into
play, some pushing risk higher, some pushing it lower. You have to
take them all into account.
Having said that, my response to your original hyothetical situation
should have been "not likely" instead of just plain "No". When I said
"no", I didn't mean to imply that it's impossible.

>Immune systems go through various cycles of resistance, and can get
>compromised due to lack of sleep, strong weather changes, and during
>times it is fighting off other ailments (i.e. a common cold).
>Could such a thing not be possible while the immune system was
>weakened?

The weaker the immune system, the more it would affect infection risk.
Wouldn't necessarily be enough to push it into the "likely" range
though, that would depend on numerous other factors. It would,
however, tend to push it higher than it would otherwise be.

M2
Angela - 24 Feb 2004 15:06 GMT
> What if one of you has had HSV1 for say a few years (as apparently
> 50-80+% of the population does), and a new partner does not.  Could
> the new partner become infected genitally from oral sex with the HSV1
> partner, and then transfer a genital infection to the original oral
> HSV1 partner?  Is this possible?

If one partner has herpes and the other partner does not have herpes
(assuming both have had type specific herpes testing and know this fact for
sure) then it's possible that the partner that doesn't have herpes will get
herpes in the future. You can read more about site and type preferences
here: http://www.yoshi2me.com/page6.html.

> Immune systems go through various cycles of resistance, and can get
> compromised due to lack of sleep, strong weather changes, and during
> times it is fighting off other ailments (i.e. a common cold).
>
> Could such a thing not be possible while the immune system was
> weakened?

Anything is "possible."

Angela
www.yoshi2me.com
Angela - 24 Feb 2004 15:03 GMT
> On 2/18/04, 3:00pm, derek wrote:
> >I thought you could spread it to new areas... even on yourself...
[quoted text clipped - 3 lines]
> body is geared up to fight the virus, the chance of spreading it
> around to other areas is very slim.

I wanted to add here that it is possible for people to develop antibodies
within the first two weeks of contracting herpes simplex.
Angela - 24 Feb 2004 15:00 GMT
> I thought you could spread it to new areas... even on yourself... so
> why not be able to spread it from person to person?

Actually, the chance of you spreading herpes simplex to another part of your
body after antibodies have developed are rare.

> For example... if both you and your partner happened to only have HSV1
> on the mouth, theoretically either of you should be able to give it to
> each other on the genitals, no?

It's possible but not common.

Angela
www.yoshi2me.com
Angela - 24 Feb 2004 15:07 GMT
Again... the title of your post was about "triggers" which doesn't really
have anything to do with passing herpes to another person.

Angela
www.yoshi2me.com
 
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