Hi all - new poster here...
I am a middle-aged male. I recently tested positive HSV-2 IgG AB Herpeselect test result (4.6) with a positive inhibition study result. Type 1 is negative. I have had no outbreaks that I am aware of either oral or genital. I got tested for everything as a sanity check, not expecting I would be infected with anything.
I am concerned that I don't know for certain where I have it or when I got it or under what circumstances I may have got it. I gave oral recently a few times and wonder about the probability of my female partner being infected. I am even worried a bit about kissing people.
All the reading I've done searching the internet makes it sound like oral HSV-2 is possible but rare (1-3% of all seropositive HSV-2?), but I have not seen studies or statistics to back this up. Specifically I'd like to know:
1. What is the statistical probability that I have oral HSV-2? i.e. ratio of known oral HSV-2 infections to total seropositives.
2. If I have HSV-2 orally, what is the asymptomatic shedding rate? I read in one study 0.1% and another, 1%.
3. What is the probability of transmission of oral HSV-2 to genital area during oral assuming I am shedding at the time?
4. What is the probability of transmission of oral HSV-2 to oral area during kissing assuming I am shedding at the time?
5. What is the probability of having HSV-2 in both genital and oral locations? If I have one encounter with someone who is infected and shedding and have both genital contact and oral-genital contact, could I be infected at both places at the same time? (I suppose so!)
6. If I have it at the genitals and have antibodies, and not orally, does it help to prevent oral infection?
7. I am taking Valtrex (generic) for the purpose of Reduction of Transmission only. The prescribing information refers to genital herpes only, not oral HSV-2. Is it known if it also reduces transmission of HSV-2 from the oral location? Does it reduce it by the same factor as for genital (50%)? I called GSK and they said they did not do any studies on this so they can't tell me anything.
Questions regarding genital HSV-2:
8. Assuming I have genital HSV-2, if a partner touches my penis with her fingers and then touches her genital area, can the virus be transferred?
9. I have read contracting herpes from a toilet seat is practically impossible. If the tip of my penis accidentally touches the inside rim of the bowl when I am seated in a public bathroom, could I be infected? Can HSV survive in someone's urine for a short time? Sorry, I know this sounds disgusting.
I find that trying to search for this information on the internet produces a large amount of conflicting, obsolete and/or incorrect information. I wish there was a consolidated resource that has everything you need to know about herpes and not just vague, ambiguous, and sometimes misinformed statements.
I don't expect answers to all these. Not knowing where I have this is especially frustrating. My doctor said just assume it's genital.