It is one of the reasons why condoms help to reduce risk, though not as effectively as in other diseases that are transmitted through genital secretions semen, cervical fluid, etc.
http://john-und.sandra-gaertner.de/economa-y-filosofa-moral-historia-del-pensamiento-econmico.php It is also why we recommend oral daily suppressive therapy to control disease and asymptomatic shedding. Agree with the comment that more should be said about transmission of the virus through asymptomatic shedding. I now have genital herpes oral herpes transmitted to my genital via oral sex.
We need to talk more about the risk associated with oral sex, since it can result in transmission of sexually transmitted infections such as herpes simplex virus HSV , human pappiloma virus HPV , gonorrhea and others. Most of these infections are transmitted through oral sex. About 60 percent of adults are infected with HSV-1, which is the type of herpes simplex responsible for more than 98 percent of cold sores, though it accounts for a growing number of genital infections as well.
The HSV-1 virus can be shed in the mouth even when there are no symptoms; this occurs on anywhere from 6 percent to 30 percent of days. Transmission from mouth to genitals can therefore occur even when cold sores are not present. This does not mean the end of oral sex, but it does mean that all sex yes, oral sex is sex has some risk and should be discussed with partners.
What may be some good news is that genital HSV-1 tends not to cause recurrent disease. On average, there is about one outbreak the first year, and fewer in subsequent years. In addition, HSV-1 is not shed often from the genital tract; shedding occurs on fewer than 5 percent of days.
Telling a Partner You Have Herpes. Thank you for doing this. There seems to be very little information available on this topic in general and especially for gay men and lesbians. A few years ago, I had some internal anal pain and was diagnosed with herpes simplex virus type 2. I have not had a single outbreak since that I know of. I am a newly single gay man who is primarily receptive and I use condoms. How would you recommend telling someone?
Do you have any other helpful advice for navigating sex and dating with herpes? Brian, NYC.
I am glad you had a clinician who made your diagnosis of genital herpes and determined whether it was type 1 or type 2. It is also great that you do not have outbreaks.
Back then, she found a small pool of users and limited heterosexual options, and so has dated "normally" a phrase she uses, but also hates since, and tells me almost everyone she's ever slept with or dated has been negative. That said, this interviewee had a message I found exceptionally valuable. Bottom line: Obviously, that's statistically impossible. But by the mid-'90s, as the first protease inhibitors were integrated into healthcare and HIV-positive people started getting a little less sick , it became clear there was still a life left to lead. Condom use is insufficient.
They will also shed virus from multiple genital sites, since the sensory nerves initially infected with HSV innervate the entire genital area and can shed virus at any time. Up to 70 percent of transmission occurs during periods of asymptomatic shedding. Since you cannot predict when shedding will occur or from what genital sites it will occur the penis, rectum, urethra, etc. Preventive steps include:.
We know that HSV-2 infection is extremely common, occurring in some 18 percent of adults, including 18 percent of men who have sex with men. Ask your partners to get tested for HSV and, for that matter, other sexually transmitted infections like H. Why not be as safe as possible? First, a visible outbreak certainly contraindicates sexual contact.
Second, what he does not discuss is the work done a few years back that provided fairly good proof that condom use plus retrovirals significantly reduced the transmission rate. Medication alone is insufficient. Condom use is insufficient. But if an uninfected partner uses a condom — and uses it every time — with an infected partner taking valacyclovir and to a lesser extent, the other retrovirals , the transmission rate drops to near zero.
One is a felony, and the other should be. We all have the right to make it to our later years with a clean bill of sexual health. Bottom line: HaroldS, California. Great points, and no arguments from me. I do know that the only way to know whether you have genital herpes is to be screened. Many national studies have shown that nearly 90 percent of individuals infected with genital herpes remain undiagnosed and therefore have unrecognized infection. New data suggests that condom use will reduce the transmission risk of HSV by 30 percent, though that is not as good as the 50 percent reduction suggested by previous data.
Suppressive therapy with antiviral drugs will also reduce transmission to an uninfected partner by 48 percent, studies show. We have reason to believe that choosing multiple options — suppression, condoms, avoiding sex when having an outbreak — will be at least additive in reducing risk, but data is not there to allow us to put some real numbers around this approach. As with H.
Right now I feel as though I'll be condemned to celibacy. I'm not the horniest guy at all but that's a harsh reality to accept. Sorry to be so pessimistic. Don't put yourself down, and don't overreact until you get a diagnosis. Even if it is herpes, stay cool. Lots of people including famous celebrities have herpes. Lots of people have herpes and don't know it. And lots of people have herpes, but they won't acknowledge it.
You can't beat yourself up over this. It'll be okay! First let me say: You may be misdiagnosing your self. I'm a straight woman, but I found herpes not to be a huge problem when dating. It made casual sex less frequent and a little less casual. I never felt that I had to only date other people with herpes though I would occasionally tell a guy I had herpes only to have him say, "Oh really? Me too! A few less than 5 guys balked and I never heard from them again but most did some research, asked me some questions and then we went on to have an awesome, healthy sexual relationship.
It also helped me to remember that a guy choosing not to have sex with me because I had herpes wasn't a reflection on me or a rejection. They were just making a choice and I think most of them just didn't like the idea of having to be SO careful all the time, something I could totally relate. You don't have to be disgusted with yourself. At worst you made a mistake, one which lots of people make, and maybe ended up with more far reaching consequences.
Herpes certainly made me feel a little ashamed and self-conscious for awhile but it faded. I'd be happy to answer other questions if you want to memail me. Sorry this happened to you. Contracting any STI sucks.
You have just an area of discoloration? Definitely wait and talk to a doctor before you let this get you down. I went to get something checked out recently that I'd been convinced was somehow STI-related. Not only did that turn out NOT to be the case, the doctor was somewhat incredulous that something so minor would have led me to that conclusion, or to his office.
People overthink their junk. And with good reason I suppose, but honestly try to put it out of your mind until you know you have reason to worry. As a gay man who has HPV, let me reassure you that an incurable viral diagnosis will not spell the end to your dating life and will not require that you shuffle off to a convent to die a lonely celibate death.