ASHA STI Message Board
It is currently Thu Jul 31, 2014 6:40 pm

All times are UTC - 5 hours


 

National Cervical Cancer Coalition


Forum locked This topic is locked, you cannot edit posts or make further replies.  [ 15 posts ] 
Author Message
PostPosted: Tue Mar 16, 2010 1:30 pm 

Joined: Wed Mar 10, 2010 3:40 pm
Posts: 9
Location: Durham
ADAM lists ASHA as a resource, yet the 2 differ in the important area of HSV transmission, specifically in regard to saliva and semen.

From ADAM: "Transmission - To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through broken skin or a mucous membrane, such as inside the mouth or on the genital area. Each virus can be carried in bodily fluids (saliva, semen, fluid in the female genital tract) or in fluid from herpes sores. The risk for infection is highest with direct contact of blisters or sores during an outbreak."

ASHA posts on HSV2 seem to emphasize skin/skin contact rather than body fluid/skin contact.

Please clarify: in couples where one person has HSV2 and the other does not ... what contact is safe/unsafe in re body fluids? (Maybe a chart would help?)
For example: saliva/semen/vaginal fluid in contact with hands/skin surfaces/mouths/faces etc.

Thanks very much.


Top
   
 
PostPosted: Tue Mar 16, 2010 2:53 pm 
Site Admin

Joined: Wed Oct 04, 2006 4:08 pm
Posts: 2122
Location: North Carolina
Herpes is not a systemic infection (like HIV) and is not naturally produced in body fluids - certainly not in significant quantities- hence the focus on skin to skin contact as the means of transmission. You can see, though, how virus shed through, say, the skin in the genital area might mix with genital secretions. The emphasis of transmission should remain on skin contact. Betsy will hopefully weigh in with more on this.

Fredo

_________________
ASHA Moderator


Top
   
 
PostPosted: Tue Mar 16, 2010 7:00 pm 

Joined: Mon Feb 05, 2007 11:47 am
Posts: 5443
Location: PA
herpes can be present in saliva, urine and semen. that said, it takes more than just contact with either to be an issue. if some one spits on you, not a risk. If someone pees on you, not a risk. If someone puts semen on you, not a risk. It's the heat and friction of the sex act that is the real risk, not body fluids.

betsy

_________________
ASHA Moderator


Top
   
 
PostPosted: Thu Mar 18, 2010 12:40 pm 

Joined: Wed Mar 10, 2010 3:40 pm
Posts: 9
Location: Durham
"herpes can be present in saliva, urine and semen. that said, it takes more than just contact with either to be an issue. if some one spits on you, not a risk. If someone pees on you, not a risk. If someone puts semen on you, not a risk. "It's the heat and friction of the sex act that is the real risk, not body fluids."

Licking doesn't generating much heat, but it is skin to skin contact ... so is it off limits?

What about and fluids in the mouth ... unsafe?


Top
   
 
PostPosted: Thu Mar 18, 2010 2:21 pm 

Joined: Mon Feb 05, 2007 11:47 am
Posts: 5443
Location: PA
you are really talented if you can just get fluids in the mouth without touching a partner's skin ;)

_________________
ASHA Moderator


Top
   
 
PostPosted: Thu Mar 18, 2010 2:40 pm 

Joined: Wed Mar 10, 2010 3:40 pm
Posts: 9
Location: Durham
betsyb1967 wrote:
you are really talented if you can just get fluids in the mouth without touching a partner's skin ;)


Dear Betsy, would you be so kind as to answer the questions directly? Humor and innuendo are fun, but this medical information website is all some of us have to go by and clarity is needed. If it's a grey area, please say so too. Thanks very much.


Top
   
 
PostPosted: Thu Mar 18, 2010 3:16 pm 

Joined: Mon Feb 05, 2007 11:47 am
Posts: 5443
Location: PA
perhaps you need to be more specific about what you are asking about because as far as I"m concerned, the questions were already answered even before I started joking.

betsy

_________________
ASHA Moderator


Top
   
 
PostPosted: Thu Mar 18, 2010 3:44 pm 

Joined: Wed Mar 10, 2010 3:40 pm
Posts: 9
Location: Durham
this is harder than it should be with "Your trusted source of information on STD's and sexual health". Dang it. The questions relate to safety or prohibition of licking and/or fluids in mouth.


Top
   
 
PostPosted: Thu Mar 18, 2010 3:58 pm 

Joined: Mon Feb 05, 2007 11:47 am
Posts: 5443
Location: PA
what exactly do you mean by fluids in the mouth?

betsy

_________________
ASHA Moderator


Top
   
 
PostPosted: Thu Mar 18, 2010 4:06 pm 

Joined: Wed Mar 10, 2010 3:40 pm
Posts: 9
Location: Durham
Semen


Top
   
 
PostPosted: Fri Mar 19, 2010 6:09 am 

Joined: Mon Feb 05, 2007 11:47 am
Posts: 5443
Location: PA
are you asking about performing oral sex and swallowing or just swallowing semen that someone has previously ejaculated?

betsy

_________________
ASHA Moderator


Top
   
 
PostPosted: Fri Mar 19, 2010 6:35 am 

Joined: Wed Mar 10, 2010 3:40 pm
Posts: 9
Location: Durham
The first question is whether any variety of receiving oral sex is safe when a man has HSV2 and a woman does not (though she may have HSV1). It's a big deal to give up a favorite activity (he said on behalf of millions), so of course I am looking for an angle that might be safe.
And I don't mean using a condom.

'Heat and friction' implies penis in mouth is unsafe. What about tongue on tip? Where do you draw the line? I've never had an outbreak in the glans/frenulum/meatus area, so I don't know if that is safe or not.

The second issue is semen. From your replies it seems semen is safe on skin (neck, face, etc) but I'm not clear if it is safe for my partner to swallow any in light of the issue of viral shedding.

Thanks Betsy


Top
   
 
PostPosted: Fri Mar 19, 2010 8:50 am 

Joined: Mon Feb 05, 2007 11:47 am
Posts: 5443
Location: PA
You can transmit hsv2 to the oral area of a partner but the risk in general is low. If you are involved with a hsv2- female then I highly recommend daily suppressive therapy to protect her . daily suppressive therapy helps protect a partner far more than a condom does. combined together, they greatly reduce transmission.

when you shed the virus, you shed from the area of active lesions as well as from the anogenital area. In between obvious lesions, you shed periodically from the anogenital area. so no, there really isn't a "safe" area of the penis as far as just her touching the tip of your penis with her tongue or anything of that sort in regards to where you've had lesions previously. As far as swallowing vs not, makes no difference in risk of transmission if a partner swallows or not. It's not the semen that is the issue, it's the oral sex act itself. our bodies have protective mechanisms in place so if a partner swallows, she's not going to end up with herpes in her stomach or anything or that sort if that's what you were thinking.

when you are in a discordant relationship ( one has hsv2 and the other doesn't ), it's not necessary to over think things. Keep it simple /common sense really does go a long way. You should never be scared of touching a partner or make your herpes such a huge worry that it is restricting your sex life together. Daily suppressive therapy helps tremendously in protecting a partner. Combined with barrier protection it keeps the risk to a partner minimal. it's totally up to the two of you if you want to use barrier protection for oral sex or not. Flavored condoms and flavored lubes help with the latex taste a little too. Your partner doesn't have to perform only protected oral on you unless that's her choice. Just avoiding contact anytime you have obvious genital symptoms alone reduces transmission. Anything over and above that, just puts the odds more in your partner's favor of staying hsv2-.

make sense?

betsy

_________________
ASHA Moderator


Top
   
 
PostPosted: Fri Mar 19, 2010 9:52 am 

Joined: Wed Mar 10, 2010 3:40 pm
Posts: 9
Location: Durham
"it's totally up to the two of you if you want to use barrier protection for oral sex or not.... Your partner doesn't have to perform only protected oral on you unless that's her choice."

The statement above implies a green light for unprotected oral sex in a discordant relationship. Yet the following quote is a red light:

"so no, there really isn't a "safe" area of the penis as far as just her touching the tip of your penis with her tongue or anything of that sort in regards to where you've had lesions previously."

Thus, I'm still confused.


Top
   
 
PostPosted: Fri Mar 19, 2010 10:32 am 

Joined: Mon Feb 05, 2007 11:47 am
Posts: 5443
Location: PA
I believe you are trying to compare the proverbial apples to oranges when thinking about this.

overall the risk of contracting hsv2 orally are very low. far lower than the risk of contracting it through genital sex.

when someone performs oral on you, no particular way of doing it is safer than another.

betsy

_________________
ASHA Moderator


Top
   
 
Display posts from previous:  Sort by  
Forum locked This topic is locked, you cannot edit posts or make further replies.  [ 15 posts ] 

All times are UTC - 5 hours


Who is online

Users browsing this forum: No registered users and 1 guest


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
cron
Powered by phpBB® Forum Software © phpBB Group