Hello all.
My girlfriend had her first outbreak of Genital Herpes Type 2 more than 4
weeks ago.
The signs and symptoms appear to have completely disappeared, suggesting the
outbreak is over.
Her doctor argues that a person infected can only infect somebody else
during the outbreak, but not when the outbreaks are over. Is this true?
Are there any precautions I should take if we want to have sex now that her
outbreak is apparently over?
How many weeks can an outbreak last for AT THE MOST?
How can we easily tell when an outbreak is about to happen or is happening?
Thank you all!
Bran.
>Hello all.
Hello and Welcome.
>My girlfriend had her first outbreak of Genital Herpes Type 2 more than 4
>weeks ago.
>The signs and symptoms appear to have completely disappeared, suggesting the
>outbreak is over.
>Her doctor argues that a person infected can only infect somebody else
>during the outbreak, but not when the outbreaks are over. Is this true?
Unfortunately, it's not true. The virus can be active even when
there are no signs of an overt outbreak. The process is known as
asymptomatic shedding. It is likely that a great number of
transfers of herpes take place when there is no outbreak present.
To be sure, the highest risk of infecting someone is during an
outbreak, but the risk is still somewhere around 5% a year for
transfer from female to male when abstaining from intimacy during
times of outbreak.
>Are there any precautions I should take if we want to have sex now that her
>outbreak is apparently over?
Wearing a condom will cut your risk in half. Having her take
Valtrex or Acyclovir on a daily basis will likewise reduce the level
of asymptomatic shedding. Neither endeavor will totally eliminate
the risk.
There *are* large numbers of couples, though, where transfer of the
virus does not take place, but before you worry about that, you
ought to think about findind a blood test for yourself. There's no
sense worrying about *getting* herpes if you already *have* it. The
majority of people who do have it are rather blissfully unaware of
it.
>How many weeks can an outbreak last for AT THE MOST?
First, or Primal, outbreaks are usually the most severe and longest
lasting. They can go anywhere from ten days to three weeks. Most
outbreaks, after the virus is relatively established, will last
around ten days or so. However, everyone is different. Some
outbreaks will be very mild, and heal quickly. Other people have
somewhat more severe problems. The only way to know how it's going
to be for your friend is to wait and see.
>How can we easily tell when an outbreak is about to happen or is happening?
There is no sure-fire way, but many people experience a weird sort
of "tingling" or itching (called Prodrome) at the site of outbreak,
a few hours or maybe even a day before the outbreak is openly
recognizeable. Of course, by the time the the prodrome is felt,
there may already be virus out and about. However, if one has a
prescription to Valtrex, et. al, that is the time to begin taking
it.
>Thank you all!
Best wishes to you, Bran. I'm sure you'll have more questions, and
that's what we're here for.
Mike
Some docs will tell their patients that it's not possible to spread herpes
unless there is an outbreak that you can see or feel. This is simply not
true. We all know that asymptomatic shedding does exist and people tend to
shed before, during and/or after an outbreak. Those people that don't have
outbreaks that they can see or feel shed too. Asymptomatic shedding (in case
you didn't know) is when the virus travels the nerve pathways (from the
ganglia it resides in) and is active on the surface of the skin. You can't
see or feel this activity which can allow for transmission possibilities at
that time. Check out the Updated Herpes Handbook over on
www.westoverheights.com .. there is more discussion about transmission that
will help to clear up much of what you have been told that is incorrect.
Another thing.. have you been tested for herpes??
Merry CHRISTmas!!
Angela :)
www.yoshi2me.com
> Hello all.
>
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>
> Bran.
branlory - 07 Dec 2004 17:21 GMT
Thank you Angela!
Yes, I have been tested and diagnosed negative.
Can you tell me about transmission risks regarding oral sex?
thanks,
bran
> Some docs will tell their patients that it's not possible to spread herpes
> unless there is an outbreak that you can see or feel. This is simply not
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> >
> > Bran.
M.L.S. - 07 Dec 2004 23:32 GMT
>Thank you Angela!
>Yes, I have been tested and diagnosed negative.
>Can you tell me about transmission risks regarding oral sex?
>thanks,
>bran
In groups under study, avoiding intimacy during outbreaks, somewhere
between 4% and 10%.
For the individuals who got it, somewhere around 100%.
Here's the old links and blurbs I haven't posted for a few months.
I haven't checked the links to see if they still work.
http://members.aol.com/herpesite/trans.html#risk
Risk of Transmission
In studies of transmission of genital Herpes in couples, the annual
risk of transmission averaged 5 to 10% per year for those abstaining
from sex during outbreaks. The risk of acquisition was much higher
(16.9%) for women, but somewhat lower for those who already had
HSV-1. There is some evidence that people who have HSV-1 are more
resistant to the HSV-2. This should not be interpreted as immunity
but rather as a higher resistance factor. The transmission rate was
also lower for those who used condoms.
http://www.obgyn.net/english/pubs/features/tfp/solomon_smith.htm
The risk of acquiring HSV-2 among sexual partners was prospectively
analyzed in a study by Bryson et al.(8) After 16 months of
observation, 14% of initially HSV-2 sero- negative partners
seroconverted. All seroconverters were women, suggesting that women
are at greater risk for acquiring HSV than are men. None of the
couples in which seroconversion occurred used condoms or spermicides
during asymptomatic periods. There was an annual 10% acquisition
rate of HSV-2 among couples.(8)
http://www.viridae.com/gen4.htm?
In a study performed at the Universities of Washington and New
Mexico, heterosexual monogamous patients with genital herpes and
their susceptible partners were counselled on avoiding transmission
through limiting sexual contact to asymptomatic periods. This study
was on selected partners where one partner was known to have type 2
herpes and the other was known to be susceptible by means of a
type-specific blood test (Western blot). Transmission took place in
14 of 144 susceptible partners (9.7%). In most cases, transmission
apparently took place when the infected partner was asymptomatic. In
some cases, transmission took place during the prodrome or
pre-symptomatic period. Where the gender of the susceptible partner
was male (the woman had herpes), transmission took place, despite
avoiding active phases of infection, with an annual rate of 4.5%.
Where the gender of the susceptible partner was female (the man had
herpes), transmission took place, despite avoiding active phases of
infection, with an annual rate of 18.9%. This study also confirmed
that people with pre-existing immunity to type 1 herpes (eg, by
being exposed to cold sores earlier in life) were partially (but not
completely) resistant to subsequent type 2 genital herpes. It is
clearly wise to consider the possibility that asymptomatic shedding
might occur when making personal choices about preventing herpes
transmission. In case asymptomatic shedding does occur, properly
used condoms (safer sex procedures) are the best protection against
transmission and will minimize the low everyday risk that
asymptomatic shedding might lead to asymptomatic transmission. Using
sensitive and strict criteria for identifying people acquiring
herpes, this study showed that avoiding sexual contact during the
active phases of infection provides protection for more than 95% of
susceptible men per year and more than 81% of susceptible women per
year. It clearly showed, however, that simple avoidance of active
phases, alone, was not sufficient to prevent transmission. To
further minimize the risk of transmission to a susceptible partner,
safer sex precautions during asymptomatic periods should be used.
Angela S. - 08 Dec 2004 13:15 GMT
I can do better Bran.. here's a link that talks about HSV-1 and HSV-2:
http://www.yoshi2me.com/hsv1-hsv2.html
Merry CHRISTmas!!
Angela :)

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> Thank you Angela!
>
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>
> bran