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herpes increased risk for hiv ?

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hello everyone.. I know herpes increases the risk of acquiring hiv so I've been diligent and have always used condoms for the peace of my mind.. but now I came across a research saying that healed skin can also favour hiv transmission so my question is even if I used condoms will there be a risk for hiv in the absence of sores ? my infected area is at the base of my penis where condoms don't cover so the vaginal fluids may come into contact with them .. I've spoken to the experts but they seem to give inconclusive answers to this question.. 

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Are you having sex with girls you don't know well?  If your partner does not have HIV then you will not acquire it from them, regardless of what steps you take or don't take.  My understanding from reading literature is to do with openings in the skin, that allow bodily fluid more access to the blood stream, caused by herpes.  Even in the absence of an outbreak there can be micro sores, so to speak, that even though they may not be noticeable are still there.

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yeah, while catching HIV may be enhanced, I think what these studies are actually saying is that people who are persistently promiscuous, engage in high risk activities/decisions and are more likely to catch both HIV and HSV.


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"The biology of herpetic infections supports the epidemiologic observations regarding an association between HSV-2 and HIV-1 acquisition. In experimental animal models, mucosal disruption leads to increased susceptibility to HIV-1, as measured by infection occurring at a lower inoculation of simian retrovirus infection.[43] In addition to mucosal disruption, herpetic ulcerations are associated with an influx of large numbers of activated CD4-bearing lymphocytes,[44,45] providing increased numbers of target cells for HIV-1 attachment and entry in the genital tract during HSV-2 reactivation. Both mucosal disruption and the presence of increased numbers of activated CD4 cells increase the likelihood that any potential exposure to HIV-1 will result in infection of the exposed host.

Several HSV proteins (ICPO, ICP27, Us11, and others) increase expression of HIV-1,[46-49] and HSV infects and replicates in activated CD4 cells and macrophages.[50] Both heat-inactivated and infectious HSV-1 and HSV-2 virions have been shown to increase HIV-1 expression in macrophages, likely through stimulation of nuclear factor (NF)-κ B activity.[51] Biopsy samples have demonstrated viruses in both keratinocytes and macrophages by electron microscopy.[52] Schacker et al.[53] demonstrated HIV-1 RNA in 25 of 26 genital herpes lesions. HIV-1 RNA often exceeded 10,000 copies/mL of swab fluid and the quantity of HIV-1 in genital samples often exceeded HIV-1 RNA levels in blood. Similar findings were reported by investigators in India that demonstrated HIV-1 in genital ulcers in 34% of consecutive HIV-1-seropositive patients with GUD."

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    • CHT
      Hi "firstimeuser".... let's see what "WilsoinAus" thinks but, for what's it worth, I don't see anything in your picture (or description) that looks like herpes..... it actually looks more like a scrape or follicle issue.... maybe even a bug bite.  Also, by the way, the odds of having HSV2 with an outbreak on your testicles is very low.... that is not a typical spot for an HSV2 outbreak.    Have your doctor take a look and if you want some peace of mind, get an IgG antibody test for HSV2 in about 12 weeks (takes that long for antibodies to develop).... but, again, I don't think you have anything to worry about here.... just not seeing anything herpes-related here.    take care....best of luck.
    • CHT
      Hi Marlena..... since you stated you've had "herpes on the lips" then you likely have oral HSV1, which the majority of adults worldwide have... the fact your results for HSV1/2 are positive (at least I believe that's what your results show - I don't speak Polish but, I think I'm seeing your results are positive based on the attachment you included) may simply be reading the fact that you have HSV1.... the question is whether you've contracted HSV2 in your genital area. Your description of symptoms could possibly be related to HSV but, it's difficult to verify with certainty based on your description. You may also have contracted a different type of sexually transmitted infection (STI) or a simple fungal infection.   Your doctor does not believe what he/she is seeing is HSV but, unless your doctor has experience with HSV, they could easily misdiagnose your condition.  You need full STI testing. Do you have the option to travel to a larger city in Poland where you could get an appointment to be seen by a doctor with more experience with STIs?  You really need to have an experienced doctor take a look and run tests to check specifically for HSV2 as well as other STIs.  If they can rule out HSV2 or other STIs then hopefully they can then determine what is causing the redness, itching, and swollen condition.... again, it may not be HSV2 but, you need proper testing to verify.  Have you talked to your boyfriend about all this?  Has he had any symptoms on his genitals that are suspect?  Has he taken any tests to check for STIs?   I hope you can get more definitive testing so you know what you are dealing with and how best to treat it.  If you have any other questions/concerns, please come back and let us know.... I hope this helps a little.... best of luck.... take care.
    • CHT
      Hey Jeremy.... I know only too well that emotional pain you are feeling.... I really do.... and many of us on this site also know that pain.  It's not so much the physical side of having HSV that hurts, it's the stigma and risk of rejection that stings like hell!  You have to do what you think is right as it relates to when you disclose your HSV status when getting to know someone romantically.... I just think it's best to do it relatively early, and certainly before any sexual activity.   Have you looked into dating sites that cater to those with HSV?  I know others have had some luck with meeting partners on these sites.... you don't have to worry about the "disclosure" talk nor would you obviously have to worry about passing along a virus the other person already has.... take a few minutes and search around and see if it's an option you like. By the way, by taking your daily antiviral med and using a condom, your risk of passing along the virus is down around 1.9%.... pretty good odds that if you stick to your regimen you are very unlikely to transmit the virus....keep that in mind when you meet your next girlfriend and need to have "the talk."  That statistic might help calm any concerns about contracting the virus from you. I hope you don't give up.... as tough as it can be to find the right partner, it's still worth trying.... try to stay optimistic and look into some alternate options and see what happens.... all the best.... take care.
    • FirstTimeUser
      @WilsoInAuswould appreciate your thoughts as have seen you comment quite a bit before!
    • Marlena
      Good morning. My name is Marlena and I come from Poland. Sorry, my English is average. For two years I have been in a relationship with a man, for a year and a half I have been struggling with intimate problems. On average, my intimate condition is getting worse every month. Then I feel itching, redness, swelling around the entrance to the vagina, small blisters (not always). Most often it is only red and swollen, itches and then disappears. This state lasts 3-4 days. I come from a small town, doctors don't know what it is. They say it's 'skin irritation'. They prescribe moisturizing creams with lactic acid, probiotics. It doesn't help. I did a blood test for HSV on my own, which is very expensive in Poland, but it does not separate HSV1 from HSV2. The doctor, when he shows these results, says that it's not herpes, but irritation. I would like to add that in the past I suffered from herpes on the lips, then it was a 'scab'. There has never been a scab in an intimate area. Sometimes there are blisters that last 1-2 days, but not always. So what do high blood test results mean? I would like to add that in Poland people do not talk about the HSV virus. It's just that sometimes someone has it on their lips and that's it. Results translation: IgM HSV 1/2: questionable IgG HSV 1/2: result above the measuring range https://files.fm/f/4cpu7uee4  
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