My possible happily ever after. Disclosure gone well

[Learningtolivewithhsv]

So I was diagnosed with GHSV1 about five months ago. Even though I ended up disclosing to four of my amazing friends, I was dating a guy prior to finding out that I was a carrier of HSV (he’s not the guy who I got it from) and let’s just say he didn’t take it as well as I thought. Recently, this summer some guy who I’ve crossed paths with on multiple occasions over the last couple of years have come back into my life and we fell in love really quickly. Sadly, we ended up having sex prior to me telling him about this new chapter in my life. Thankfully I did end up telling him (just telling him that I get cold sores but not where because I haven’t had any outbreaks since my initial) and surprisingly he was still very willing to continue what we had going on. He recently got checked and surprisingly he doesn’t have it. How can I go about making sure I don’t transmit it to him? I do see us being together long term and want to do everything in my power to prevent him from getting HSV. Hoping to receive advice from women who have ghsv1 (and 2 I guess) and have been in long term relationships with a male partner.

[Scooby2112]

Well I am a male.  But the lack of shedding (which should be your case because you are not getting repeated reactivations- ie: outbreaks) makes it unlikely to transmit.  
 

girl to guy results in less transmissions than guy to girl.  And ghsv1 without breakouts only results in about 9-17 days a year of potential shedding (and some of those days may be too little shedding to transmit).  
 

Take antivirals it may help but there are no studies proving it yet for ghsv1.  
 

make sure he knows and use condoms until things are in a committed direction.  

Edited October 15, 2019 by Scooby2112

[Cas9]

8 minutes ago, Scooby2112 said:

Well I am a male.  But the lack of shedding (which should be your case because you are not getting repeated deactivations) makes it very unlikely to transmit.  
 

girl to guy results in less transmissions than guy to girl.  And ghsv1 without breakouts only results in about 9-17 days a year of potential shedding (and some of those days may be too little shedding to transmit).  
 

Take antivirals it may help but there are no studies proving it yet for ghsv1.  
 

make sure he knows and use condoms until things are in a committed direction.  

I don't understand the statement in bold; i.e.

If someone has hsv, they shed.

What do you mean she is not getting repeated deactivations? What are deactivations?

[Scooby2112]

To clarify the typo.  Deactivations= reactivations (or outbreaks).  
 

ghsv1 has few reoccurrences.  Many people get less than one a year.  40% get no outbreaks after the first.  
 

it has been shown to shed approx 9-17 days in an entire year.  However this was during the time when a person had outbreaks.  
 

the number of outbreaks is proportionally related to the amount of shedding.  Same as in ghsv2.  Most shedding occurs Immediately before and after an outbreak.  There are asymptomatic shedding events but fairly infrequently especially with ghsv1.  
 

Some of the days that shedding is detected the viral replication detected or to low to cause an infection.  
 

so if you are not experiencing outbreaks with ghsv1 you are likely shedding about 9 days in an entire year.  Some of those shedding days are at a level to low to transmit.  So the chance of transmission is expected to be very low based on these averages.  Female to male is also less likely to transmit than male to female.  
 

 

[WilsoInAus]

@Scooby2112 your comments on shedding are not right. It has been shown that shedding outside of outbreaks is pretty uniform regardless of whether a person has outbreaks or not. Some people without outbreaks shed a lot!

Your comments about shedding intensity are correct, only a few shedding instances involve enough virus to infect someone.

It must be admitted that intensity of shedding versus outbreak frequency has not been established and there may be a correlation.

[Scooby2112]

16 hours ago, Cas9 said:

I don't understand the statement in bold; i.e.

If someone has hsv, they shed.

What do you mean she is not getting repeated deactivations? What are deactivations?

Also.  There are proven Clinical non-shedders in HSV2.  That rate is expected to be higher in ghsv1. 

[Scooby2112]

1 hour ago, WilsoInAus said:

@Scooby2112 your comments on shedding are not right. It has been shown that shedding outside of outbreaks is pretty uniform regardless of whether a person has outbreaks or not. Some people without outbreaks shed a lot!

Your comments about shedding intensity are correct, only a few shedding instances involve enough virus to infect someone.

It must be admitted that intensity of shedding versus outbreak frequency has not been established and there may be a correlation.

Disagree on the above.  There was a study that showed higher outbreaks had higher incidence of shedding.  I remember it even had pictoral heat maps of where the shedding occurred and how close the shedding occurred to an actual outbreak.  
 

this is all based on averages as well. So I don’t disagree that some may shed a lot without outbreaks.  But considering a lot of shedding days occur before and after outbreaks it is reasonable to see that those with more outbreaks would tend to also have more days leading up to and after those outbreaks.  

Edited October 15, 2019 by Scooby2112

[WilsoInAus]

39 minutes ago, Scooby2112 said:

Disagree on the above.  There was a study that showed higher outbreaks had higher incidence of shedding.  I remember it even had pictoral heat maps of where the shedding occurred and how close the shedding occurred to an actual outbreak.  
 

this is all based on averages as well. So I don’t disagree that some may shed a lot without outbreaks.  But considering a lot of shedding days occur before and after outbreaks it is reasonable to see that those with more outbreaks would tend to also have more days leading up to and after those outbreaks.  

Happy to review the paper you refer to.

The following is a good one too.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144252/
 

Maybe it depends a bit on the definition of shedding associated with outbreaks. But if you are talking two people with differing frequencies but both have at a least a week since their last outbreak has cleared up, then the chance they are shedding is similar and the intensity is similar as per this study.

[missyrose]

It depends on the research you are looking at and whether it is valid and whether there is a conflict of interests also whether it or qualitative OR quantitative  this has bearing on all research, you need to look at the gold standards in research otherwise its not worth looking.

[Scooby2112]

I am a scientist I know how to conduct studies.   Thanks though.