Table of Contents
Are HSV-2 outbreaks worse than HSV-1?
HSV-1 can cause “genital herpes,” but most cases of genital herpes are caused by HSV-2. Typically, someone with HSV-2 will have sores around the genitals or rectum. Symptoms are usually the most intense during the first outbreak and become less intense over time.
How often is HSV-1 spread to genital?
One study examined rates of genital herpes transmission in heterosexual couples when only one partner was initially infected [1]. Over one year, the virus was transmitted to the other partner in 10 percent of couples. In 70 percent of cases, infection occurred at a time when there were no symptoms.
Does HSV-1 make you less likely to get HSV-2?
People who already have HSV-1 infection are not at risk of getting it again, but they are still at risk of acquiring herpes simplex virus type 2 (HSV-2) genital infection (see below). The consistent and correct use of condoms can help to prevent the spread of genital herpes.
How often does genital HSV-1 shed asymptomatically?
Transmission commonly occurs from contact with an infected partner who does not have visible lesions and who may not know that he or she is infected. In persons with asymptomatic HSV-2 infections, genital HSV shedding occurs on 10.2% of days, compared to 20.1% of days among those with symptomatic infections.
Can HSV 2 antibodies go away?
It may take between six and eight weeks to detect antibodies in a herpes blood test after first becoming infected with HSV. Also, antibodies may disappear with time, especially if the person has infrequent recurrences of herpes.
What are the chances of getting HSV-1 genital?
If you are positive for type 1 (HSV-1), it is most likely that it’s in the oral area (though it can be in the genital area)….Asymptomatic herpes shedding for oral (HSV-1) and genital (HSV-2) herpes.
| Herpes type | Chance of oral shedding | Chance of genital shedding |
|---|---|---|
| HSV-1 | 37% | 11% |
| HSV-2 | 6.5% | 78% |
Can you have HSV-2 and never have an outbreak?
Yes. Even when no sores are present, the herpes virus is still active in the body and can spread to others. If you or your partner has herpes, reduce the risk of spread by: using a condom every time you have sex (vaginal, oral, or anal).
What can trigger recurrence of HSV-2?
Triggers for recurrence — Illness, stress, sunlight, and fatigue can trigger recurrent herpes outbreaks. In women, menstrual periods may trigger an outbreak. When did I become infected? — The first time a person has noticeable signs or symptoms of herpes may not be the initial episode.
How likely is it to spread HSV-1 without an outbreak?
Herpes (both oral & genital) can be spread even when there are no symptoms or sores. This is called asymptomatic shedding. Suppressive antiviral therapy significantly reduces asymptomatic shedding (and outbreaks). Valacyclovir taken daily can reduce risk of transmission to a partner by as much as 50%.