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Length Of Time Between Exposure And Symptoms ?


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It's been 72 hours since I've been exposed. How long do symptoms usually take to manifest? 

 I've read anywhere between 2-14 days, but I'm not sure I trust most of the general info that is available. 

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52 minutes ago, dumbass said:

It's been 72 hours since I've been exposed. How long do symptoms usually take to manifest? 

 I've read anywhere between 2-14 days, but I'm not sure I trust most of the general info that is available. 

The 2 to 14 days is generally accurate but, remember, not everyone who is exposed to HSV is going to end up with symptoms.  In fact, the majority of people with genital herpes either have no recognizable symptoms or the symptoms are so mild, they go unnoticed.  This is one of the primary reasons the virus is easily passed on to others since the "carrier" is unaware they actually have the virus.  Do you know for a fact you were exposed to HSV?  You may want to meet with a doctor, preferably one who specializes in testing for STDs, and ask to be tested.... but, you will want to wait at least 12 days from your exposure date. 

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9 minutes ago, CHT said:

The 2 to 14 days is generally accurate but, remember, not everyone who is exposed to HSV is going to end up with symptoms.  In fact, the majority of people with genital herpes either have no recognizable symptoms or the symptoms are so mild, they go unnoticed.  This is one of the primary reasons the virus is easily passed on to others since the "carrier" is unaware they actually have the virus.  Do you know for a fact you were exposed to HSV?  You may want to meet with a doctor, preferably one who specializes in testing for STDs, and ask to be tested.... but, you will want to wait at least 12 days from your exposure date. 

thanks for responding

no - i don't. I suppose I should have said "potentially exposed". 

i had protected intercourse, and received about a minute of unprotected oral sex with a sex worker, like a Dumbass. 

From what I understand - to test at 12 days from exposure without visible symptoms is pretty much worthless, and that 12 weeks out is idea. 

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13 minutes ago, CHT said:

The 2 to 14 days is generally accurate but, remember, not everyone who is exposed to HSV is going to end up with symptoms.  In fact, the majority of people with genital herpes either have no recognizable symptoms or the symptoms are so mild, they go unnoticed.  This is one of the primary reasons the virus is easily passed on to others since the "carrier" is unaware they actually have the virus.  Do you know for a fact you were exposed to HSV?  You may want to meet with a doctor, preferably one who specializes in testing for STDs, and ask to be tested.... but, you will want to wait at least 12 days from your exposure date. 

It is not correct to say that the majority of people might have no symptoms, it is somewhere between 75-100% of infected people do. For some in can be mild, this is correlated with having HSV-1 already.

Note that blood tests are not conclusive until 12 weeks after possible exposure.

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3 minutes ago, WilsoInAus said:

It is not correct to say that the majority of people might have no symptoms, it is somewhere between 75-100% of people do. 

Note that blood tests are not conclusive until 12 weeks after possible exposure.

yeah - thats what I meant - i heard that 12 weeks out is IDEAL. 

But the 2-12 days with an average of 4 is about right? 

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On 4/14/2021 at 10:14 PM, WilsoInAus said:

It is not correct to say that the majority of people might have no symptoms, it is somewhere between 75-100% of infected people do. For some in can be mild, this is correlated with having HSV-1 already.

Note that blood tests are not conclusive until 12 weeks after possible exposure.

Have to disagree with you Wilson, according to CDC: " Most people who have genital herpes have no symptoms, or have very mild symptoms. You may not notice mild symptoms or you may mistake them for another skin condition, such as a pimple or ingrown hair. Because of this, most people who have herpes do not know it."

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On 4/14/2021 at 10:14 PM, WilsoInAus said:

It is not correct to say that the majority of people might have no symptoms, it is somewhere between 75-100% of infected people do. For some in can be mild, this is correlated with having HSV-1 already.

Note that blood tests are not conclusive until 12 weeks after possible exposure.

3. If you have herpes, you probably don't know it

http://cdn0.vox-cdn.com/assets/4373407/Screen_Shot_2014-04-22_at_5.17.02_PM.jpg
Most people infected with herpes don't ever have symptoms. And most routine STI testing doesn't look for herpes, either. What? Yes. So that's why most people don't know that they have it. (The graph above is for HSV-2.)

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19 minutes ago, CHT said:

Have to disagree with you Wilson, according to CDC: " Most people who have genital herpes have no symptoms, or have very mild symptoms. You may not notice mild symptoms or you may mistake them for another skin condition, such as a pimple or ingrown hair. Because of this, most people who have herpes do not know it."

This applies after infection, it says nothing about what happens upon infection which is what I was talking about.

Note that this refers to "mistake them for another skin condition" - the majority of people who do not know they carry HSV-2 when told they do will say something like "makes sense"!

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19 minutes ago, CHT said:

3. If you have herpes, you probably don't know it

http://cdn0.vox-cdn.com/assets/4373407/Screen_Shot_2014-04-22_at_5.17.02_PM.jpg
Most people infected with herpes don't ever have symptoms. And most routine STI testing doesn't look for herpes, either. What? Yes. So that's why most people don't know that they have it. (The graph above is for HSV-2.)

This is incorrect, as I said, over 80% of people with HSV-2 are known to have symptoms. 80% not knowing they have herpes is completely different to whether they have symptoms or not.

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12 hours ago, WilsoInAus said:

This is incorrect, as I said, over 80% of people with HSV-2 are known to have symptoms. 80% not knowing they have herpes is completely different to whether they have symptoms or not.

maybe it's a semantics issue.... the CDC reports the vast majority have no symptoms, you state the opposite.... what data are you referring to that show 80% of HSV2-infected individuals have symptoms.... this clearly contradicts the CDC findings.  The fact that most people have no symptoms (including those that have them but they are so mild as to be missed) is a chief reason the virus is passed along "innocently" to others since the asymptomatic carrier doesn't realize he/she has it because they've neither seen nor felt any symptoms.  

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19 hours ago, CHT said:

maybe it's a semantics issue.... the CDC reports the vast majority have no symptoms, you state the opposite.... what data are you referring to that show 80% of HSV2-infected individuals have symptoms.... this clearly contradicts the CDC findings.  The fact that most people have no symptoms (including those that have them but they are so mild as to be missed) is a chief reason the virus is passed along "innocently" to others since the asymptomatic carrier doesn't realize he/she has it because they've neither seen nor felt any symptoms.  

No it isn't semantics, you are being selective. The CDC says "Most people who have genital herpes have no symptoms, or have very mild symptoms" I think this eloquently put. At no point in what the CDC says includes any mention that this applies at infection (and it infers otherwise by using the word 'have'). Nor does the CDC place a weighting on no symptoms versus very mild symptoms.

Remember 'asymptomatic' is a reported concept, not a scientific one. When researchers call for asymptomatic HSV-2 carriers they find the majority when given education and told what to look for do indeed appreciate they have minor symptoms. The following paper is good in this regard:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144252/#:~:text=Persons with asymptomatic HSV-2,accompanied by frequent viral shedding.

This involved people coming forward having being diagnosed with a blood test as the first they realised they carried HSV-2, They then undertook 30 consecutive days of swabs. However what was telling was:

Among the 88 person who had asymptomatic HSV-2 infection, 19 persons reported genital signs and symptoms during follow up.

Yes you read that right. In just one month and a bit for follow-up with the study - over 20% of people who reported themselves as asymptomatic actually had recognisable symptoms! Imagine if the study went for a year or two years!!

I have dealt with the issue of asymptomatic infections previously, I'll summarise here. Note though that the theme is the same. Simply because people think they are asymptomatic doesn't mean they are. When they go to a doctor for education and consciously on the lookout, there is a very high probability if they are infected they will find something.

This article is the main one I use when considering the impacts of HSV-1 on HSV-2 infections: http://www.nejm.org/doi/full/10.1056/NEJM199911043411904#t=article

I believe you have to make a few assumptions to get at some lower level findings. The article is consistent with studies that indicate 60% of HSV-2 infections are reported as asymptomatic. Also included are the findings that:

* a prior HSV-1 infection means you're more likely to report an asymptomatic HSV-2 infection

* males are somewhat more likely to report an asymptomatic HSV-2 infection compared to females.

You can cut the figures a few ways, but I do not think it is unreasonable to reach a conclusion that females have a 70% chance of having a reported symptomatic HSV-2 infection, however a range is possible.

I do not believe that truly symptomless infections are a high probability. Asymptomatic tends to mean you didn't think anything was worthy of seeking medical advice for. Hence there are issues of:

* self diagnosis of things other than herpes, thrush, rubbing abrasions etc.

* mild symptoms you do not notice, or cast off as a pimple or ingrown hair

* cost of access to medical services, meaning there is a threshold that you accept before accessing the services.

For a person that is quite conscious of a HSV-2 infection due to the circumstances, then I believe symptoms would be detectable in well over 70% of instances. 

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"Simply because people think they are asymptomatic doesn't mean they are. When they go to a doctor for education and consciously on the lookout, there is a very high probability if they are infected they will find something."

Absolutely true, no argument on the study you reference.  I am also aware of the clinical studies that have demonstrated that those who self-reported as "asymptomatic" when evaluated by medical professionals are made aware that they they aren't actually asymptomatic.  However, going back to the original question at hand as to whether those who are infected demonstrate recognizable symptoms, the answer is still (as per CDC, WHO, and other reliable sources):"Most individuals infected with HSV are asymptomatic or have very mild symptoms that go unnoticed or are mistaken for another skin condition

 So, when someone comes to this site seeking advice and help when they suspect they are newly infected, we have an obligation to point out, as I did in this situation, that the chances are high that they may not have symptoms, or recognize any symptoms,  so, waiting to observe the classic symptoms (that they will no doubt look up online and find all sorts of photos showing "this is what a herpes outbreak looks like") will likely not detect those symptoms.... but, it does not mean they do not have the virus.  Obviously, most infected individuals won't have the benefit of weeks of clinical observation/testing to help them identify easily misidentified (or asymptomatic) symptoms..... these infected individuals will then move along thinking "I dodged the herpes bullet" and quite easily and unknowingly pass the virus on to others

This occurs frequently when a person who does test positive confronts the person they believe gave them the "gift" and this gift-giver" vehemently denies having the virus since they have never had symptoms of herpes..... (which, again, is very likely as the CDC and WHO clearly point out).  Again, in the unlikely event this person were to enter into a clinical evaluation (as you referenced above), including testing/swabbing, they may find out otherwise.  This fact is one of the main reasons the virus continues to get passed along to others and the percentages of people becoming infected (particularly younger aged population) continues to increase. 

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I'm sorry @CHT you did not give the full information. The chances are not high they will not have recognisable symptoms. And if they do not have recognisable symptoms, then what is the point of going to a doctor for a swab?

It is your obligation to tell people their chances and they how arrive at the correct diagnosis through available tests. Are you aware of the psychological harm that you have probably caused by talking up the chance of infection. You didn't say that there would be 50% plus chance that the person did not have HSV-2 in the first place and that the episode was less than a 1 in 1,000 chance. What happened to those odds? What role do they play when you are interpreting symptoms or their absence?

In life, you support someone by saying what they NEED to hear and not WHAT you know or want to say.

Further, let me guess, white middle class? The bulk of the population cannot afford nor are granted access to health care in your country. Must be nice to be able to afford a clinical evaluation, but let's spare a though for those who can't afford that. All they can do is go with the odds and they are perfectly entitled to do that in their circumstances

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"talking up the chances of infection"  What? Wilson, you are now making up dialogue that never occurred.  He asked about testing and when symptoms might manifest.... I answered his questions and then asked why he felt he may be infected?  You need to go back and read over the actual messages.... never once did I "talk up the chance of infection."  You have done a poor job of reading between the lines of my messages back to "Dumbass."  I suggested he may want to meet with a doctor to discuss his situation with the goal of alleviating his concerns about infection particularly since the little bit of information he provided would likely indicate he had a low chance of infection in my opinion.... hearing it from a medical professional, especially with testing, would help confirm this and give him peace of mind.  

Wilson, what really surprises me is your last paragraph.  I have read many of your posts on this website over the last couple of years and have always held your opinions in high regard.... always well informed and you never resort to petty insults and bullying even when challenged.  However, your snide speculations about my race and socio-economic status are rude, unnecessary and clearly antagonistic.  Further, your remarks about the healthcare system in the US were clearly hostile, not to mention showing a gross ignorance of how healthcare works here.  Your statements were shameful.... lost integrity.

 

 

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@CHT my comments regarding your race and socio-economic status are not rude, sounds like they were accurate. I just want you to be aware that there is unconscious bias in your comments based on your perspective. Yes I stand by my comments that the US healthcare system is shameful. If that loses integrity in your eyes, then that is where you sit relative to the healthcare system and my public health philosophies. There is nothing shameful about expressing ones philosophies.

Have I been antagonistic in the way I have expressed these things. Yes I have and I apologise for that.

I think overall I was pretty shocked that you believed that the majority of infections were asymptomatic for the receiver. Your personal experience was quite the opposite and I admit I was perplexed why you didn't share your personal experience with someone who really wanted to hear a story of a true genital infection.

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