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New BF is HSV2+

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Hello all,

Happy that I just found this forum. 

My best friend and I have just recently decided to move into a BF/GF relationship.  He is type 2 and I have been told I'm type 1. (years ago I had blood tested.  Dr. said I had 'old antibodies' for type 1.  Was shocked as I am completely asymptomatic).  I plan to get an updated blood test this week just to be completely informed.

BF is type 2+ for 10+ years, but has avoided relationships for various reasons for a few reasons incl. the herpes.  So, he hasn't got all the info when it comes to how this works.

I've been reading up on transmission percentages, precautions, etc.  but still have a few questions.

I know you shouldn't have sex until an outbreak is completely healed, but when is it safe after taking the meds if no blisters ever form?  He only takes Valtrex at the first symptoms, not daily. I ask as a few days ago he got the 'hot skin' , as he calls it, which is a first symptom for him.  He immediately took the medicine for the prescribed 3 days.  ... and nothing since, no more symptoms.  So, if the meds did stop the outbreak from occurring, then how do you know when it's safe again?  (yeah, I understand that 'safe' is a relative term.)

Also, more as a matter of curiosity - I found some conflicting info about transmission rates in connection to already having type 1. 
-The STDProject.com: "... folks exposed to oral HSV1, or cold sores, the antibodies established in their system can reduce their subsequent risk of infection with HSV2 by as much as 40%. "

-Justherpes.com: " If you have HSV-1, however, you are still as susceptible to get HSV-2. "

Very different info there.  :/

Thanks for your time!

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In terms of male to female transmission, condoms are awesome at reducing the transmission probability. This is then followed by suppression antivirals (it is worth him considering these).

I'd suggest that if there has been nothing for a period of 24 hours (after fully healing or other signs have subsided) then you are good to go; back to residual risk. Most shedding episodes last a matter of hours.

The issue is when you do a lot of studies, a couple out of 10 will show some weak signs in favour of the hypothesis. The protection afforded by HSV-1 is one such issue. The statistics show that the same proportion of people with HSV-1 as not having HSV-1 have HSV-2. Meaning if in an area 20% of people have HSV-2, then 20% of people with HSV-1 will have it and 20% of people without HSV-1 will have it. This observation in my view trumps the studies.

Some (and only some) studies result in some groups potentially being afforded protection from HSV-2 owing to their HSV-1 infection. I have seen studies where circumcised men with HSV-1 have some protection for example. This is not a repeatable observation with many studies finding no protection being afforded.

My own view is that the evidence is inconclusive and it is appropriate to assume that HSV-1 does not provide tangible protection from a subsequent HSV-2 infection.

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13 hours ago, WilsoInAus said:

I'd suggest that if there has been nothing for a period of 24 hours (after fully healing or other signs have subsided) then you are good to go;

So, just the tingling/hot skin feeling?  That was the confusing part - no blisters to watch heal, just that first vague symptom.  Started the Valtrex withing 24 hours of that (now several days ago) and nothing else developed.  I wasn't sure how long to wait without a more concrete sign.

Thanks for the clarification regarding Type 1.

Yeah, reading about the long-term dangers with the liver and kidneys, I wouldn't want him on it daily either honestly.

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