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Oral Hsv 2 - How Common?

Grace,

I've done a lot of research on this site and your information and knowledge has been invaluable.  My question is regarding Oral HSV 2 and how common it is.  I've read repeatedly (from both yourself and from the Dr's in the experts forum) that it is rare.  I believe you stated that around 3% of all oral infections are due to hsv 2.  However, I came across a thread where Dr. Handsfield states the following: "Initial oral HSV-2 infections are not rare, but recurrences are uncommon.  A substantial minority of people who present with initial genital HSV-2 infections also have oral infection, but they generally don't have recurrent oral outbreaks"  This seems to go against what has been previously stated.  So, I guess i'm just looking for some clarification.  Thanks for your help and below is a link to the Dr's post.

http://www.medhelp.org/posts/STDs/HSV-1--Oral-Sex/show/687167
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Avatar universal
I have hsv 2 orally now. Had hsv2 genitally for 10 years and got orally a year ago  from someone else infected.. Even though it is very rare to get don't believe the findings about outbreaks. Even after a year I am still breaking out regularly orally. Of the few studies that are available about it it mostly states that reoccurrence is far and few which is bs. Cuz my break outs orally is on regular basis
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1 Comments
Are you sure its hsv2? U should had have the antibody for the virus as u said u already had it for 10 years... how come u reinfected in the diffrent are?
Avatar universal
Ive got Oral HSV2.  I you want more info please let me know
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1 Comments
Yes, id like more information please. I just got diagnosed with hsv2 and don't know if I had it orally or anally.
Avatar universal
Hi Grace,

I've been surfing around a bit looking for your study and can't find it.  Could you post it?

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Avatar universal
Thanks Grace.  This tends to confirm my thoughts that getting oral hsv 2 would be considered rare.  
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101028 tn?1419603004
I believe it's 10% of all newly acquired hsv2 genital infections also include a hsv2 oral infection if I'm recalling the study correctly.  this fully support HHH's statement of a "substantial minority".  Hsv2 oral infections rarely reoccur ( once in a lifetime on average ) and don't shed much ( 1% of days ).  

the 3% of all oral herpes infections being hsv2 means out of everyone who has oral herpes, only about 3% of them have hsv2 orally.

I know, can get confusing sometimes but the take home message is still the same - you could have hsv2 orally but odds are always in your favor that you don't. Even if you do, it's not the issue compared to hsv2 genital infections as far as transmission to a partner.  make more sense?

grace
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2 Comments
Just wanted to put my hand up here and say that I have HSV2 Orally (around 20 years of age I got it).  I also have HSV1 orally like most people (since I was a kid).  I had a nasty flu like virus with my first HSV2 after a trip to Bali. it came back a few months later, and again maybe another 7 times in my life.  Im now 32 and I don;t think Ive had one for about 5 years.  Only realised with testing what it was just recently, two kids later.  Didnt pass it to my 10 year relationship, but passed it to the genitals of my new partner, after he had had surgery and his immune system was low, I didn't even have a breakout at the time.  Just defying the odds over here :(
Just wanted to put my hand up here and say that I have HSV2 Orally (around 20 years of age I got it).  I also have HSV1 orally like most people (since I was a kid).  I had a nasty flu like virus with my first HSV2 after a trip to Bali. it came back a few months later, and again maybe another 7 times in my life.  Im now 32 and I don;t think Ive had one for about 5 years.  Only realised with testing what it was just recently, two kids later.  Didnt pass it to my 10 year relationship, but passed it to the genitals of my new partner, after he had had surgery and his immune system was low, I didn't even have a breakout at the time.  Just defying the odds over here :(
1174003 tn?1308160819
Oral HSV-2 is uncommon in people because quite honestly HSV-2 doesn't really like the oral site.  I think what Dr. H was saying was basically that the inital infection for if you have HSV-2 Gentially and Oral isn't rare at some points.  The poster was asking about both sites being infected at the same time.  To which Dr. H replied that HSV-1 doesn't typically work that way but HSV-2 does sometimes work that way.  HSV-2 orally does not show up as much as say an HSV-1 Oral infection would.  

However, I would wait for grace's further input to see if I got it right.
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