HSV 2

Posted , 7 users are following.

So a week ago I was diagnosed with hsv 2. I'm at the end of my first "primary" outbreak, taking Valtrex everyday twice a day. Long story short, my boyfriend an I broke up and I slept with someone else..... not even a week later I started showing symptoms of herpes. Now my "ex" boyfriend and I have been talking about getting back together. I told him everything and he's been supportive. He's been tested and he's negative for sure. My main issue with being with him again is im scared to give this to him. I was wondering is it possible if the man I slept with who gave me hsv 2 genitally could have also given it to me orally (at the same time)? I've read it's "very very rare" but I just want to make sure. Also if I give my boyfriend oral could he get hsv 2 if I only have it genitally? If my boyfriend would get it from us having sex is it possible for me to then get it in my mouth from giving him oral and not even know it???

0 likes, 25 replies

25 Replies

  • Posted

    I can be possible, but if your test only showed positive for HSV 2, then you should be set for that. If you are skeptical, then ask your physician for different tests to give yourself a piece of mind. 
    • Posted

      Your best bet to assure you don't auto infect hsv2 orally is to eliminate oral exposure until some time (few months?) after initial ob so your body can develop antibodies.

  • Posted

    From the research I've done, it's highly unlikely for someone to contract HSV2 both orally and on the genital as HSV2 is almost always on the genitals. Also once you've caught it your body builds antibodies so outbreaks and shedding occures in the same region as the initial ob. So to answer your question, the chance of him passing it to you orally is very slim as its site specific. And the chance of you passing it to him during oral is slim as you probably only have it genitally

  • Posted

    It is definitely possible to have type 2 orally and/or genitally but it is less strong (and therefore less transmissible) from the oral location. Blood testing CANNOT tell you which location(s) it is in; only culture or biopsy or PCR can do that. It is true that once infected at one site, antibodies you develop make it less likely you will acquire it in another site BUT hsv-2 can definitely be acquired orally and genitally during the same encounter.
  • Posted

    Yes, it's possible to acquire HSV2 in both locations from the same encounter, but less likely that you acquired it orally due to site preference. Oral HSV2 rarely recurs and sheds, so even if you do also have it orally, it's barely an issue. Acquisition in both locations is most likely during the same initial encounter, but could still potentially happen if you're exposed again before you have established full antibodies (usually around 4 months).

    Being newly infected, you are more infectious genitally than normal (new infections are marked by high shedding in the first few months to a year), so you may wish to consider daily suppressive meds (and condoms) with your boyfriend.

    • Posted

      Thank you for all the information. When I got the call confirming it was hsv 2 , I did speak with my doc about taking a daily suppressive meds.. but she thinks it's unnecessary, saying that this could be my only outbreak for five years. She said daily meds for this are usually only for people who have constant/ frequent outbreaks and since this is only my first OB She just told me that condoms would be enough protection. Im currently back with my boyfriend, we know for sure he doesn't have it, but I'm worried what if condoms don't offer enough protection? Since my doctor isn't going to give me suppressive meds is there any other way to protect my BF besides condoms? Also lets say I want to give him oral, should that be ok (we are not having sex until my ob is fully healed and my meds are gone)?

    • Posted

      Genital herpes, especially gHSV2, is known to shed (and therefore is capable of transmitting) even in times of no outbreak on a relatively frequent basis (compared to gHSV1), particularly during the first year of infection. This is known as asymptomatic shedding (viral shedding without any symptoms) and is the most common way gHSV2 is spread, in fact, as most people know to avoid sex with symptoms. Condoms only offer partial protection (around 50%).

      It is true that the daily suppressive meds are usually prescribed for those suffering from very regular outbreaks, but they can also be used to help protect a negative partner (together with condoms for maximum risk reduction). Since you are newly infected and thus shedding at higher levels and have a negative partner, I would seriously consider daily suppressive meds. I wouldn't worry too much about giving your bf oral sex, however.

    • Posted

      I'm definitely considering daily suppressive meds, but I don't think my doctor will give it to me. What should I do? I told her I only wanted the everyday meds to give me the maximum protection possible, so I don't give it to my negative partner. When I told her this she said condoms should be enough, but I know from all the research I've done that condoms aren't enough protection especially since I'm newly infected.

    • Posted

      You can tell her what you know to show that you are informed and literally beg, lol, go to another doctor/clinic, or order online. If you are in the UK, it may be easier to just order online.
    • Posted

      I was also wondering im still currently having my first OB, and I'm still taking meds (Valtrex 500mg 2x per day, for 10 days) I have about 2 days worth of meds left. But today I started feeling a lot of tingling/itchy feeling on my butt cheeks and vag area. Is it possible I'm having another outbreak or is this normal to feel when I'm still having my first OB. Almost all the sores from my first OB are healed and I don't have anymore pain. Also idk if this could be a factor but last Thursday my period started(I think it'll be over tomorrow). Normally I wear tampons or use a menstrual cup, but I was afraid of spreading the virus up in me so I opted for using pads. I know the pads are kinda making my butt itch but could it just be that? Or could it be a symptom of a new OB or a symptom of my current OB???

    • Posted

      Also I forgot to mention that I was feeling very stressed today, crying a lot so I don't know if the stress is making me feel the tingles.

    • Posted

      Sometimes a first outbreak will involve a second crop of lesions around the one-week mark, so it could be that *or* just an after effect of herpes. Hopefully, it's just the latter, especially since you are on the meds.

      Stress and menstruation can impact herpes, but not necessarily. Depends on the individual. Usually the stress required is intense and prolonged, so not your typical stress.

    • Posted

      I read somewhere that initial ob often has a second round of lesions in second week (mine did, but more minor). I felt random tingling thorought my groin butt hips thighs area for total of about 5weeks (since my boyfriend is positive too, we reduced but didn't refrain sexytime).

      So much conflicting info out there, I was under impression in addition to autoinfecting my mouth or eyes, I might be able to spread it to more of my genitalia and inside me... Based on reputable and clear sources, I have chosen to believe what I've been told that once HSV has made the sacral ganglia home, it can surface randomly anywhere in the genital anal thigh buttocks area. Usually only initial ob surfaces on thighs, buttocks.

    • Posted

      Maybe then it's just the second crop I'm feeling. I didn't know that could happen especially since I've been on meds for almost 10 days now.

    • Posted

      That's been my main issue, finding the right info to believe. Like you said there's soooooo much conflicting info out there it's hard to weed out what's the right info. Thank you for your response. I'm hoping this is just a second round which is kind of what I was suspecting but was unsure. I had thought that me being on the meds for almost 10 days now that it would start to clear up and I wouldn't have anymore of this annoying tingling. I'm ready for this OB to be over so I can try to get back to a normal life and be able to have sex with my partner.

    • Posted

      I beg to differ that hsv-2 is not common both orally and genitally and is barely an issue orally. I have it in both locations and the oral sores bother me as much (initially more) than the genital ones. People who say type 2 orally is a non-issue don't have it there. Whether it is strong enough to be transmissible from oral location is a separate issue, but sores there can be just as recurring and uncomfortable.

    • Posted

      You appear to be an exception to the norm, which is fine, as there are always exceptions. Like genital HSV1 should not recur very often, but it can for an unlucky minority. The norm for oral HSV2 is said to be very rare recurrences and very little shedding, even less than genital HSV1.
    • Posted

      How did you know you had it orally? Did you get sores there and on your genitals as well???
    • Posted

      Yes, the oral sores were much worse than the little scrapes genitally that I never even suspected were herpes. So I assumed for years that I had type 1, until I got a recent blood test showing the opposite. Negative for type 1.

      I have had several drs in different specialties tell me now, herpes 1/2 makes little difference except on childbirth and HIV acquisition issues. Either type can be in either or both locations; there are differences in strength and recurrence but these are generalizations. Dentists are starting to see more type 2 in the mouth.

    • Posted

      The statistics are only based on patients who actually go in for symptoms and who have positive cultures. Culture misses half of all cases, and the vast majority of herpes symptoms are not enough to make the person seek any medical care. So the statistics are based on a very biased, low sample of actual cases and therefore mean little.
    • Posted

      Ok that cleared a lot up for me thank you!! Now I'm a little worried though, if my first outbreak was genital, I'm guessing it's still possible for me to have it orally and just not have an OB orally yet? (from the same encounter that caused my genital OB). I'm scared that if I have it orally and don't know it I could transmit it to my partner genital or mouth? Is all of this a possibility?

    • Posted

      An infectious disease dr told me type 2 is not likely strong enough in the oral location to be infectious or transmissible from there. I have my doubts, but that is what they said. Note they did NOT say it is impossible or unlikely to have it orally or experience oral recurrences.
    • Posted

      Question... what were your symptoms of your oral hsv 2 OB??
    • Posted

      Classic sores (very painful lasting several weeks) on skin just below lip, at lip's edge, and at corners of mouth. Lately sores that are less severe and more like a painful crack within the lower lip, always in the same place. Antivirals have helped. They were not canker sores. I do sometimes get sores inside the mouth and those, I never know are they canker sores of herpes. For years I thought it was type 1 b/c of the location, but it turns out I am negative for 1. And I have had western blot so I know it is accurate and not failing to pick up type 1 (as can happen with ELISA).

      I just found out my ex with whom i had a long relationship is hsv negative. As far as oral contact, this doesn't surprise me b/c thinking I had type 1, I avoided that when I had sores. But we had unprotected sex, as I didn't know I had type 2, and he just tested negative for 2. So, as much as people think it's extremely infectious, that isn't always true. Type 2 is harder for males to acquire than females, at least genitally...

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