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Gshv1 percentages


Cppleet

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Does anyone know what the chances are if you have genital herpes that it’s gshv 1?

what about in poorer countries are they much different from the usa?

also what are the chances of spreading it if you’re given oral sex? 

thanks in advance. 

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2 hours ago, Cppleet said:

Does anyone know what the chances are if you have genital herpes that it’s gshv 1?

what about in poorer countries are they much different from the usa?

also what are the chances of spreading it if you’re given oral sex? 

thanks in advance. 

Very happy to answer the question, to a point. What is curious though is what in goodness name would you do with such information apart from prepare for a game show?

I also point out that you do not have genital HSV-1, so the information is of no particular relevance to your situation. 

The reality is that there is no precise figure at all. There have been studies done that have taken the swabbed samples of a cohort of people presenting with initial (and probably typically primary) infections. These often show something of the order of 50/50. The problem with this though is that this of course relates to those presenting for a swab. 

Why this is an issue is that 55% of people who are sexually active in the US at present have oral HSV-1. This often means a lighter experience if infected genitally with HSV-2 and potentially a not unfamiliar looking lesion or two. Many of these people do not present for a swab. Whereas a genital infection with HSV-1 is pretty much always a primary infection and youch... this will send you to the doc no worries! The other issue is that those with oral HSV-1 have solid immunity from a genital HSV-1 infection thus leaving an exposure of 45% of the population.

The levels of people ultimately being infected with HSV-1 has been falling for some time in the US. It now looks to be about 70%; there was a time 30+ years ago when it was around 90%. There has also been a significant reduction in HSV-1 infections during early childhood, however the infections have shifted to a large part to sexually active ages.

So who knows... I'd suggest that the ultimate number of genital HSV-2 infections (that is the proportion of people at death who have HSV-2) is currently about 25% and for HSV-1 genitally this would be in the range of 5% to 15%. This the range is that genital HSV-1 infections are somewhere between say 15% to 35% of all genital infections.

I have not actually heard of a case where someone has obtained oral HSV-1 by giving oral sex to someone with genital HSV-1. Given that shedding of HSV-1 from the genital area in sufficient volume to infect someone happens say 2-5 days per year, it would be a rare occurrence.

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