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Old 07-24-2005, 09:35 AM   #1
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Possible to get HSV1 genitally if you already have it orally?

I was on another message board where a few people claimed that it is NOT possible to get HSV1 genitally if you already have it orally because your antibodies will protect you as long as you have had it for at least a year so that your antibodies have had a chance to build up. Is that true? They also said that people didn't need to fear spreading it to other areas of their own bodies after the first year, whether they had HSV 1 or 2 and that people who had the same strain on multiple areas of their bodies probably caught it in multiple areas on their first exposure or soon after. I've never heard that before. Can anyone point me to any references that support or dispute that? They said various doctors told them that info so they weren't worried about having sex with people who already had oral herpes just people who have never had cold sores.

 
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Old 07-24-2005, 10:58 AM   #2
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Re: Possible to get HSV1 genitally if you already have it orally?

Not true. You can get genital hsv-1 even if you already have oral hsv-1. Totally possible and it happens. However it is true that oral hsv-1 does provide protection against genital hsv-1, but itīs not 100%. So you still need to be careful if you give oral sex to a partner who has oral hsv-1 but not genital hsv-1. Transmitting genital hsv-1 through genital to genital contact is rare, but that can happen too.

Itīs true that transmitting hsv to another location of your body generally happens at the time when you aquired the virus. This is due to the fact that you donīt have yet antibodies to the virus and you might not know you have the virus in the first place and hence youīre not being very careful about washing your hands etc..Later on it would be very rare to transmit the virus to another location, ex. get herpetic withlow (herpes on your finger, which is rare) from genital herpes. But just to be safe itīs always good to wash your hands after touching an infected area.

 
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Old 07-25-2005, 12:28 AM   #3
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Re: Possible to get HSV1 genitally if you already have it orally?

I honestly wouldn't worry about it at all. The information you mentioned is almost exactly what the infectious disease doctor told me and he is an expert in the field (led the glaxo smith kline herpes vaccine trials, for example). It IS possible to spread, but only in very specific circumstances and even then it is uncommon. While it's always important to practice good hygeine, whether you have herpes or not, you don't need to be concerned about spreading the virus to other parts of your body. If you still have questions, there is a Herpes Handbook on the web that discusses autoinnoculation specifically.

As for their comment about not worrying about oral sex with people with cold sores, I would take that with a grain of salt. The attitude is very irresponsible in most people's circumstances and still risks a lot. In most cases people are probably only assuming that the cold sores are due to hsv-1. Relying on a cold sore as a way to prevent an std just doesn't sound wise to me, personally.
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Old 07-25-2005, 10:38 AM   #4
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Re: Possible to get HSV1 genitally if you already have it orally?

ok, my doctor told me that hsv-1 usuaslly likes to live below the waist. is that true? or what???

 
Old 07-25-2005, 02:15 PM   #5
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Re: Possible to get HSV1 genitally if you already have it orally?

No, that's mistaken. You certainly can contract it below the belt. Either type of herpes simplex can infect any part of the body. Each type of the virus is specifically adapted for one of two nerve bundles. They can both infect and lie dormant in either bundle, but will reactivate more easily and more readily when they are dormant in the nerve bundle to which they are best-adapted. Does that make sense? HSV-1 is best adapted to inhabit the trigeminal ganglia, which is a nerve bundle near your neck, so it is the type of hsv typically associated with oral herpes. HSV-2 is best adapted to the sacral ganglia, which is a nerve bundle near your pelvis and is generally associated with genital herpes. Does that make sense?
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Old 07-26-2005, 04:08 PM   #6
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Re: Possible to get HSV1 genitally if you already have it orally?

yes that makes sence. but thats what my doctor said.. so she said ill prolly/HOPEFULLY i wouldnt have any more outbreaks. so i pray that i wont...

 
Old 07-26-2005, 06:09 PM   #7
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Re: Possible to get HSV1 genitally if you already have it orally?

Do you have hsv-1? If you have genital hsv-1 and your doc says it likes to live below the belt, then why she expect you to have fewer outbreaks? With genital hsv-1, most people get fewer outbreaks because it doesn't like to live below the belt. If you do have genital hsv-1, it IS true that you will probably have fewer and milder outbreaks and possibly none at all. Perhaps your doctor mispoke or maybe the way she explained it just isn't the way most would.
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Old 07-27-2005, 11:28 AM   #8
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Re: Possible to get HSV1 genitally if you already have it orally?

hey girl! im soooooo sorry! i mean it doesnt like to live below the waist! haha im really sorry for the missunderstanding. and yes i do have it. do u have it...people u know tht have it/or surveys how many outbreaks do they get? or what/

 
Old 07-28-2005, 12:12 PM   #9
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Re: Possible to get HSV1 genitally if you already have it orally?

LOL!! I wondered if maybe you meant it doesn't like it! Ha! Yes, then your doc was right. LOL!

I have hsv-1 and we assume it's genital (since my boys were infected) and I've never had an outbreak. You may have more outbreaks, but not as many and not as severe as if you had hsv-2. And after the first year or so, the outbreaks should get even less frequent and severe than now. I sure hope you don't have any more!
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Old 07-29-2005, 01:49 PM   #10
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Re: Possible to get HSV1 genitally if you already have it orally?

have u never gotten one? and what bout ur boys? please tell me more...

thanks sooo much! :-)

 
Old 07-29-2005, 11:45 PM   #11
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Re: Possible to get HSV1 genitally if you already have it orally?

No, I've never had any outbreak or symptoms anywhere on my body at all.

At 7 days old, my oldest twin developed lesions, but he wasn't properly diagnosed until he was 13 days old, when he was admitted and treated for 21 days with IV acyclovir. My younger twin was admitted two days later and treated for 19 days. The oldest had dessiminated herpes with encephalitis and the youngest had only skin, eye, and mouth disease (SEM). Neonatal herpes can me either SEM disease, central nervous system (CNS) disease, or disseminated, meaning it affects more than just one organ system. The mortality and morbitidy rates are huge, but they recovered beautifully and so far the oldest has absolutely NO signs of damage as a result of the encephalitis. They said he would have severe impairments for sure, but he's fine!

The youngest, with SEM disease, has never had an outbreak of any kind. Not even in the beginning. The oldest has had a few smal obs here and there, but nothing huge and no recurrence of encephalitis. He was on suppressive therapy initially after discharge, but we discontinued it quickly because it caused his nutrifil count to drop very very low.

since 85% of babies with neonatal herpes are infected during delivery, and 80% of them are born to mothers with no idea that have herpes, statistically it is most likely that I have genital hsv-1. My bloodwork showed that I was recently exposed, but that was at my 6wks check up. At that point, there's no way to tell if I infected the babies or they infected me, but we assume I infected them

needless to say, i learned a lot about herpes the hard way!
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Old 08-09-2005, 02:21 PM   #12
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Re: Possible to get HSV1 genitally if you already have it orally?

do most gurls have discharge normally? or what...cus before ive gotten hsv1. ive had discharge. but ive still got it. so im confused...

 
Old 08-09-2005, 05:42 PM   #13
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Re: Possible to get HSV1 genitally if you already have it orally?

Ok guys,

I think maybe we need to get the terms right.

HSV-1 is above the waist generally &
HSV-2 is generally below the waist.

About 80-90% of the population by say 35 yrs old has had HSV-1.

HSV-1 & HSV-2 have about 50% in common and so can offer some cross protection.

Most people that get severe HSV-2 below the waist at time of exposure had not encountered HSV-1.

Can you get HSV in opposite parts of the body to where they prefer? Yes. But generally its a one off attack and does not return generally.

Both "strains" have evolved to prefer those different parts.

About 30-50% of college students in the US are estimated to have HSV-2. Generally within the population of the US its about 25%. And here in the UK its about 1 in 8 I recollect. In Nordic countries its far lower... as they actually teach kids about sexual health. (The US and Britain would prefer spending billions extra on health care than millions on education ).

Large numbers of people are asymptomatic - don't have the obvious lesions etc.

Generally the first attack is the worst and over time these decrease (generally). Just like with HSv-1 & HSV-2.

I would say that HSV-2 at a different of the body probably wouldn't offer as much protection as is liked...otherwise it would be preferable to get an injection somewhere non specific than get HSV-2 on your private parts.

It is still quite difficult to detect HSV-2 and requires more specialised tests. Most tests can only detect antibodies of either HSV1 or 2. (And given that approx 80-90% have had HSV-1 that doesn't tell you much...) There are newer more accurate tests though. (I mean this when you don't have symptoms that you can see, or likely lesions that you can get scrapings from for lab cultures).

Intrestingly, quite a number of people in the UK have not had HSV-1 and so quite a number of younger people first contract it below the waist.

Ok thats about it...other than HSV-1 & 2 are for life...so you will probably get it eventually if your partner has it... (Most people get the HSV-2 from viral shedding which means its just below the surface and not showing symptoms).

(personally, I think if you get HSV-1 down below (before getting HSV-2) its a blessing in disguise as you will really think about things more and see all the STD's you really can catch..ie a wake up call).

Ok one last thing, it seems that you can get someone elses HSV-1 below the waist more readily than your own HSV-1. Basically its well documented that children do not spread it below the waist when first contracting HSV-1. (Think of it this way...many males would cross infect themselves as they invariably make contact with their below the waist "object" when needing to pee..so it would come out statiscally that more Men than women ahve HSV-1 below the waist)

Last edited by PokerHot; 08-09-2005 at 05:59 PM.

 
Old 08-24-2005, 01:28 PM   #14
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Re: Possible to get HSV1 genitally if you already have it orally?

people who have hsv-1.....do people usually get a few outbreaks then it "goes away". thats what my doctor said...usually people get 1-5 outbreaks and not anymore..comments?!?!

 
Old 08-24-2005, 09:40 PM   #15
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Re: Possible to get HSV1 genitally if you already have it orally?

that's the general consensus, snickers. I have never had an outbreak and we assume I have genital hsv-1.

either type of hsv can infect any part of the body, including internal organ systems, so while they are generally grouped as "above the waist" and "below the waist," those categories offer little usefulness.

incidence rates depend significantly on many factors, even including factors like age, race, and socioeconomic class. It makes herpes simplex an interesting virus to study.

From what I understand, no study has suggested that having one type offers any protection from the other type. I'd be interested if someone has a citation that says otherwise. In clinical trials, participants with hsv-1 showed less protection against hsv-2 even with the vaccine, so a study suggesting the opposite would be really interesting to consider.

There are actually different strains of both hsv1 and hsv2. the two are considered different viruses, and not different strains.

There really is no basis to thinking hsv-1 would be more easily transmitted to males genitally unless a man had a primary herpes whitlow infection. Except in very rare cases, a person can only autoinnoculate during a primary infection, before seroconverting. If a child had oral hsv-1, he wouldn't be likely to be putting his infected mouth on his genitals. Same for a grown man for that matter. And even if they did, it would have to be during a primary outbreak to "spread" the virus to their genitals. So it wouldn't actually make sense to see a higher incidence rate in men than in women based on that logic.

and genital hsv-1 is NOT a blessing in disguise. While I understand what you meant, it's just not the case, especially for mothers. Disseminated HSV-1 with encephalitis, which my oldest son had (the other didn't disseminate) is statistically the most dangerous presentation of neonatal herpes. I'd hardly call that a blessing. Again, I know what you meant, but there's more to herpes than how many outbreaks a person has.

Obviously, we don't agree on the information we have. But since you were attempting to "get our terms right," I thought I would reply.
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