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Old 06-26-2009, 08:21 PM   #1
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Chances of Spreading Genital HSV1 by anal sex

Hi,

I was diagnosed with Genital HSV1 in April of this year.
I got my first outbreak 2 days after sex. My first outbreak was 1 sore just below the head of my penis. I took Valtrex and it cleared up about 3-5 days later.

I want to know what are the true chances of spreading it <VIA anal sex>

I haven't had an outbreak since my first in April 2009 and the doctor has given me a box of 30 Valtrex with 5 repeats incase I need it... here in Australia we are fortunate that the government actually pays for a large amount of our prescription medication so a box of 30 Valtrex is only $30 at the counter here, the government automatically pays the other $120.

My question is... I have heard of Viral Shedding of the virus, but how large is the area of the viral shedding??? If my outbreak involved 1 sore on the head of my penis, i am betting that if i have another one it will be the same if not less severe.. will that mean i will be viral shedding in that spot?? so if we have anal sex with me receiving, as it is far from the area of the outbreak is there a chance he will still get it, even with no outbreak??

After talking about it, we did have sex about 5 days ago and he has not shown any signs of an outbreak... also I am having no symptoms at the moment or having an outbreak as there is no redness or sores, and we showered after sex as I read that it would help.

Even though the symptoms have not come back, is it wise to go on suppression therapy even though I am yet to have another outbreak, or should I just wait and see if and when I have another one and go from there? My doctor was reluctant the put me on suppression as her view was that HSV1 has a low chance of coming back as it is outside it's home territory, however I am worried about the size of the viral shedding.

I am taking Lysine supplements daily too and trying to keep away from stress and other factors. I have Valtrex incase I need it but haven't had to for an outbreak yet.

Last edited by Administrator; 06-29-2009 at 03:28 PM. Reason: Please leave your sexual preference and details for the sexual health boards or ask your doctor.

 
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Old 06-28-2009, 12:52 AM   #2
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Re: Chances of Spreading Genital HSV1 - same sex couple

I went and spoke to the doctor... and their opinion was that I dont have to go on suppressive as I havent had an outbreak since my first in May... I decided to go on suppressive anyways as I have 6 - 30tablet boxes of Valtrex anyways... to give more of a protection to my new partner from viral shedding.. the script I have will give me 6 months worth of suppressive... and then go from there... will just go get another 6 month worth.. take it for the full year and then assess from there as I am guessing after a year the rate of viral shedding should drop from what I have read with having genital HSV1 tends to be 3% per year then lowers from there...

As for sex... their opinion was that as you viral shed at the site of the break out or where it was, which for me is the head of my penis... receiving anal sex should be low risk as it is far away from the site of where it is living and shedding from... he explained it is like when you have a cold sore if you kissed that persons chin or nose you would be unlikely to get HSV unless you kissed their lip where the break out was.. which made sense..

Last edited by Mick1981; 06-28-2009 at 12:54 AM.

 
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Old 06-28-2009, 05:50 AM   #3
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Re: Chances of Spreading Genital HSV1 - same sex couple

From what I have read/studied about shedding they say that the virus sheds from the 'boxer short area'. So even if your outbreak is on your penis, you can shed from the waist down to where a pair of boxers covers. The virus lives in the nerve ganglions at the base of the spine. Those nerves serve the whole torso area.
Here's a question for you. Has your partner ever been tested? Since HSV1 is so prevalent anyway, he could already have it and just not have outbreaks. Then if you both have HSV1, you would not have to worry about suppressive meds.
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HSV-2 positive. Found out 9-27-07. Flu-like symptom 6-7-07.
Year one outbreaks Sep Oct Nov Dec Apr Jun. Ugh.
Year two outbreaks Dec Apr/May

 
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Old 06-29-2009, 12:33 AM   #4
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Re: Chances of Spreading Genital HSV1 - same sex couple

As I am on Supression.. I did read <removed> that

"VALTREX has not been shown to reduce transmission of sexually transmitted infections
other than HSV-2."

Will it still be of benefit to me as I have Genital HSV1?

Last edited by Administrator; 06-29-2009 at 03:29 PM. Reason: don't mention websites

 
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Old 06-29-2009, 12:34 AM   #5
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Re: Chances of Spreading Genital HSV1 - same sex couple

Quote:
Originally Posted by SeekingTruth4Al View Post
Here's a question for you. Has your partner ever been tested? Since HSV1 is so prevalent anyway, he could already have it and just not have outbreaks. Then if you both have HSV1, you would not have to worry about suppressive meds.
I am not sure... he may have had cole sores at one point.. I asked but he couldn't remember.. no he hasnt been tested.. only for HIV.

 
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