OK, that is clearer now.
And unfortunately, I have no idea about the answer. Our usual information about the transmission of HSV 2 from mouth to genitals does not apply here as she doesn't have (as far as we know) established HSV 2 oral infection.
If I were you and you have this concern, I would talk to my friend about it and ask about his herpes status. Would that be too weird?
Terri
To add to the above the time frame between her giving him oral sex, then me is probably about 2 hours.
Thanks for the quick response Mrs. Warren, I forgot you frequented this forum as well and value your input just as I would the other doctors. However, I believe you are confused about the question.
I am not worried about the female in this situation at all. Could you please re-read the information, or see below for a summary of sorts, although the answer is probably still going to be the same.
My male friend received unprotected oral sex from the female prior to her giving me unprotected oral sex. My concern was related to my male friend having HSV2, shedding in her mouth during the oral sex she provided him, then her providing unprotected oral sex to me, during which she could have transferred to me via her saliva.
While I know the standard population statistics, lets assume for the sake of this question that my friend is likely HSV2+, as I know his sexual history and habits, and he has multiple high risk indicators (high number of partners (50+), limited if any condom usage, age, etc.)
I don't believe the contact had any risk of acquiring HSV 2 for you. Even if this woman did have HSV 2 genitally, the risk of her shedding virus at that exact moment, and in huge quantities, enough to transmit through saliva to you, seems very unlikely.
I am not Dr. Handsfield or Dr. Hook but herpes is my specialty.
Sometimes when you know something about this area of medicine, it can raise your fears. But when you deal with this for 30 years like I have, you learn a little better what is a risky situation and what isn't. And I don't believe that this is a risky situation.
Your idea about abstaining for 10 days really isn't based completely on facts. IF people are going to have symptoms, they usually do within 10 days, but not everyone with herpes gets symptoms. So this comment really isn't for you, but rather for others who have far riskier experiences than yours.
Terri
I know I am being a hypochondriac about this, but I cant help but run the odds through my head. (I am a medical student unfortunately, and have recently been traumatized by the statistics of about 1:4 women and 1:8 men having hsv2). I cant seem to find any literature about the survival of the hsv2 virus in saliva (given the situation above especially, practically a third party transfer, I don't actually expect to find any statistics of course).
Salivary amylase doesn't breakdown protein so could the virus survive in saliva for a while? What I am wondering about is the odds of my friend (who is highly promiscuous) having provided the virus to her orally, which she could have in turn transferred to me. I do realize the relatively small statistical chance I am at risk, but would prefer to ask someone who specializes in this, like Dr. Hansfield or Dr. Hook.
Right now I am coming the conclusion that guilt is probably the main factor, considering I am involved with someone who I do not wish to discuss this situation with. I am going to assume the general advice of abstain from sex with my other partner for 10 days, and then bar any symptoms I am probably in the clear is sufficient. Am I not considering something I should? There is a lot of misinformation about HSV2 in the medical community unfortunately and would prefer to differ to the professional.