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Medical Forum / Diseases and Disorders / Herpes / January 2005

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I am so unclear about this

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dontgetit - 20 Jan 2005 00:16 GMT
I have resently tested positive for Herpes 2. Please exuse me if I seem
ignorent but I am not so sure what to think. My blood test came back
positive but I have had no symptoms. I am going back for a papsmear next
week. The Dr. says I have been exposed to the virus. I have only been with
one person who has now admitted to cheating with a girl I know. This girl
had a cold sore on her mouth. Can you transmit herpes through oral sex and
then give it someone through intercoarse?
M.L.S. - 20 Jan 2005 00:55 GMT
>I have resently tested positive for Herpes 2. Please exuse me if I seem
>ignorent but I am not so sure what to think. My blood test came back
[quoted text clipped - 3 lines]
>had a cold sore on her mouth. Can you transmit herpes through oral sex and
>then give it someone through intercoarse?

The short answer is, "Yes."  The long answer is that if the other
girl had a cold sore on her mouth, it probably wasn't HSV 2, but
then again, I don't know how certain your doctor was that your test
returned a positive for HSV 2 and not HSV 1.  Since you say the test
was positive but that you haven't had any symptoms, my first
inclination is to think that you have HSV 1 genitally.  But if your
doctor has interpreted the results of the test correctly, it is also
possible that the other girl also had HSV 2 genitally as well as HSV
1 orally.  About that other girl, you really don't know anything,
other than maybe.

But the short answer is still, "Yes."  Reporting from clinics seems
to indicate that about 30% of new genital herpes cases are obtained
from people giving oral sex to other people.

Also, I have to ask whether you know that the pap smear does not
have anything to do with herpes?  The pap smear is for looking at
any abnormalities in the cells of your cervix, which could be caused
by the HPV virus, another sexually transmitted virus, but not at all
related to herpes.

If you have more questions, that's what we're here for.

Take care,

Mike
dontgetit - 20 Jan 2005 01:28 GMT
Now I am even more unclear. So, the pap smear is not going to confirm this?
Also here is the whole situation. My unfaithfull partner told me this girl
gave him oral sex. I did not know this, and I slept with him. He then told
me that his testicles itched and there was a rash that looked more like a
raw area on his testicles. My next question is does he now have herpes? I
tested positive for the antibodies? What does that mean?
M.L.S. - 20 Jan 2005 02:31 GMT
>Now I am even more unclear. So, the pap smear is not going to confirm this?
>Also here is the whole situation. My unfaithfull partner told me this girl
>gave him oral sex. I did not know this, and I slept with him. He then told
>me that his testicles itched and there was a rash that looked more like a
>raw area on his testicles. My next question is does he now have herpes? I
>tested positive for the antibodies? What does that mean?

Pap smears look for abnormalities in the cells of the cervix,
abnormalities that could be precursors to cervical cancer.  It's a
good idea to have yearly or semi-yearly pap smears (if you're a
girl) because if cervical cancer is detected early it can almost
always be treated successfully.

It USED to be thought that maybe herpes had something to do with
cervical cancer, but as more was learned about viruses, like in the
last ten or fifteen years, it was found that herpes is NOT
implicated in cervical cancer.  Now, I'm not an expert, and there
may be more than one cause of cervical cancer, but the entity most
suspected is the HPV virus, also known as the Human Papilloma Virus,
also know as genital warts.

All that said, if I recall, it used to be thought, too, that an
abnormal pap smear was something of an indicator for herpes, but
that idea has been fairly blown away, too, though if you have herpes
you may show up with an abnormal smear.

Of course, you should still have the pap smear, though you shouldn't
be unnecessarily freaked out if it comes back abnormal.  Most
likely, with a history of a recent herpes infection, your doctor
will ask you to come back in three to six months for a follow up,
just to monitor it.

None of that should make you worry. But do take the pap test.  There
are other things out there and it's best to keep on top of them.

To your other question:  If you have not had sexual contact with
anyone but your boyfriend, then yes, he has herpes, too.

HOWEVER (there are always 'howevers' with herpes), since you were
only diagnosed by a blood test, you really don't know where your
herpes is.  It could be genital.  It could be oral.  It could be in
your big toe.  Lots of people get herpes just from friendly kisses
from relatives and the like.  It is thought that HSV 2 is a little
more difficult than HSV 1  to transfer that way, but no one says it
is impossible.

So, okay, my next question has to be:  If you haven't had any
symptoms, why did you go get tested?

Take care,

Mike
dontgetit - 20 Jan 2005 18:35 GMT
I answer to your question. After learning of my boyfriends cheating I
wanted to make a fresh start. I wanted to be sure I did not have any STD's
before I started dating again. I got tested for everything under sun. I
spoke to the Dr. again today. He said I tested positive for the HSV1 and
HSV2. I asked when I should start getting symptoms and he said I may not
ever get the symptoms. I could be a carrier or been exposed. He looked at
my blood work from June (I had surgery) he said it was fine then so the
infection has happen since then which like I said the only change in my
sexual history since then is a cheating boyfriend. This is really scary.
Is there preventative medications for outbreaks?
M2slo2cht@nospam.invalid - 20 Jan 2005 19:07 GMT
>spoke to the Dr. again today. He said I tested positive for the HSV1 and
>HSV2.

Type 1 is much more common than type 2 so this isn't surprising.

>I asked when I should start getting symptoms and he said I may not
>ever get the symptoms.

Right.
Most H positive people never have symptoms which is why most people
don't even realize they've contracted the virus. They  can still shed
virus asymptomatically though. Fortunately, not usually often. But
it's possible to be contageous during these times.

>I could be a carrier or been exposed.

Carrier is one way to put it I suppose. But you've been more than just
"exposed". Otherwise you wouldn't have tested positive for it.

>He looked at
>my blood work from June (I had surgery) he said it was fine then so the
>infection has happen since then

You didn't even have type 1 back then??

>This is really scary.

Not really.
H isn't life threatening. It's not progressive (doesn't get worse) and
you may never even have sypmtoms. How scary can *that* be?

>Is there preventative medications for outbreaks?

Yep. There are several antivirals available. But a blood test doesn't
usually detect antibodies until several weeks after initial infection
(12-16 weeks is the usual waiting period for a blood test ) so you've
had it at least that long without an outbreak. The doc is right. You
may never be bothered with it.  If you're ever concerned with
asymptomatic shedding though, the same antivirals can reduce the
frequency of that too.

M2
dontgetit - 21 Jan 2005 03:30 GMT
I first want to thank you for entertaining all of my questions. This is
such a grey area for me and I think I am still in shock or denial. I have
had 5 sexual partners in my life and I am 30. I have been a firm believer
in getting tested before sex which is what made me get tested this time. I
am unclear about you comment.

"Most H positive people never have symptoms which is why most people
don't even realize they've contracted the virus. They  can still shed
virus asymptomatically though. Fortunately, not usually often. But
it's possible to be contageous during these times."

How am I suppose to know when "these times" are if I am not showing
symptoms.
M.L.S. - 21 Jan 2005 04:00 GMT
>I first want to thank you for entertaining all of my questions. This is
>such a grey area for me and I think I am still in shock or denial. I have
>had 5 sexual partners in my life and I am 30. I have been a firm believer
>in getting tested before sex which is what made me get tested this time. I
>am unclear about you comment.

>"Most H positive people never have symptoms which is why most people
>don't even realize they've contracted the virus. They  can still shed
>virus asymptomatically though. Fortunately, not usually often. But
>it's possible to be contageous during these times."

>How am I suppose to know when "these times" are if I am not showing
>symptoms.

That is the question.  There is no way to know.  Asymptomatic
shedding is thought to occur somewhere around 3% of the time, though
people who have been recently infected may shed at higher rates.
Your immune system will eventually get more efficient at fighting
the virus, which means that your first year is your most infectious
one, but you can never really be sure about your "infectability".

Taking Valtrex or Acyclovir regularly helps reduce, but does not
eliminate the shedding.

It does take a little while to absorb the finer points of the virus.
We've all been through it.  Not having outbreaks has got to be a
plus.  Then it becomes a matter of understanding how to inform
potential partners, which can seem daunting at first, but rarely
turns out badly, if ever.

And, then, of course, the search goes on for a trustworthy partner.

Take care,

Mike
M2slo2cht@nospam.invalid - 21 Jan 2005 19:35 GMT
>How am I suppose to know when "these times" are if I am not showing
>symptoms.

Playing the odds is the best you can do for now. And there are several
ways to reduce transmission risk to a bare minimum.
Here's a recent article that you may find helpful.

http://bmj.bmjjournals.com/cgi/content/full/330/7484/157?eaf

M2
 
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