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Genital type 2 to an uninfected partner with only genital hsv 1

Hello. I recently had an sexual encounter with a female that has genital hsv type 1. I have both oral type 2 and genital type 2 confirmed by swab in March 2012. The female I was with diagnosed with genital type 1 in January of this year via swab as well.

We had intercourse on July 20th. It was protected and I was on suppressive valtrex. I did not have symptoms of any obs or prodome nor did she.

What are the chances that she could have acquired either my oral or genital type 2? I was reading that type 2 sheds a lot and can be spread even with correct condom use. This was a one time encounter and for her safety I might pull back from this relationship. I do not buy in that H is H when type 1 on the genitals is less evasive than my type 2 and I know it would be a big deal to her.

Was she sufficiently protected? Can I have been shedding from my mouth? She had her hands in my lower area a lot. Can type 2 be acquired this way. Ive asked her if she has been feeling weird since the encounter and she said she has been itchy and her arms and legs feel weak. This could be her own genital type 1 acting up.

I wanted to know the transmission rates for correct condom use and daily suppression with no obs from male to female. Is she protected by her genital type 1 in some way. I was also reading that once you have a type down there it is hard to get the other because the antibodies will not let another type invade. I think we both have enough antibodies now to protect us.
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Avatar universal
Great, thanks Grace!

Sorry if I was being anxious! Its just hard to wait for the next 3 months to know for sure.
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101028 tn?1419603004
the risk is minimal as I've said previously.
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Avatar universal
One last question Grace how likely is it to have passed my genital type 2 orally or genitally to her with protection. I know the risks are minimal but have there been people who have contracted type 2 on top of type 1?
Helpful - 0
101028 tn?1419603004
she can test for gonorrhea, chlamydia and trich anytime after 1 week after her last partner. syphilis after 6 weeks. herpes, hiv and hepatitis after 3 months. same for you if you haven't both properly covered your std testing bases from your previous partners.
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Avatar universal
Sorry if Im sounding to anxious Grace but this is very worrisome. I guess because I am reading a lot that I am becoming paranoid myself.

What can she test for just to secure al the bases. She is already genital type 1 positive confirmed through swab. I am genital type 2 oral and genitaly positive.

Can she test for syphillis, chlamydia, hiv and all the other stds? Its been about 18 days since our sexual encounter. We had protected intercourse on July 20th.
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101028 tn?1419603004
you do not shed herpes from the thigh or scrotum without obvious lesions present.

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Avatar universal
Is her risk still minimal even if I forgot to take my valtrex two days prior to intercourse? I am trying to remember which day was it that I forgot to take my pills. I know that day I took one but there was 2 days where I forgot.

Minimal for both hsv and hpv? Even on valtrex so I shed on my thigh or scrotum
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101028 tn?1419603004
her risk was minimal. no reason to worry like this.  
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Avatar universal
Grace,

Im afraid I could have exposed her to another STD unknowingly. We had sex due to the fact that we thought that being on supressives, wearing a condom and having no ob would be safe but now after reading all of the forums on one time encounters it seems like a person is exposed either way.
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101028 tn?1419603004
why are you worrying so much?   You aren't a walking biohazard!!!
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Avatar universal
So there is a possibility I exposed her to this? :'(

I do not have a history of warts or any kind of hpv I checked with my doctor yesterday. I know if she sees type 2 on her blood work she will probably freak out.

I was reading that even with one time protected exposure one can get type 2 and hpv.
Helpful - 0
101028 tn?1419603004
as far as we know, hsv1 genitally doesn't offer any significant protection against hsv2.

both hpv and genital herpes are transmitted with condom use though the risk of transmission is lowered when condoms are used.

you probably have never been tested for hpv. we don't have commercially available tests for it for males.
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Avatar universal
How long can it take for HPV to be detected? Im afraid I might not have tested for this and put her at risk
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Avatar universal
Lets say if there was an ob and I didnt know about it or can it be transmitted even through condom use or can hpv be transmitted with condom use as well? Im breaking my head with this.
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Avatar universal
Is it true that genital 1 protects you from genital 2 and one a type has established itself there its hard to get another?
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Avatar universal
So she is in the clear. Its not likely to have both in the 1 and 2 in the genital region. I just want all the information so I can provide it to her. I have both type 2 orally and genital 2. I caught it from my encounter. The condom popped and unfortunately I am here. Because she has type 1 I assumed she was protected by some degree plus we had a condom and I am on suppressive. She is not on meds.

I guess for more reassurance if she wants and I would like her to get tested at the 4-5 mark.

How long does it take for hpv to come out/be detected? is there a waiting period.
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101028 tn?1419603004
the thing about hpv is there are many different types of hpv.  About 30 infect the genital area in sexually active adults. of those, about half of those can infect the cervix and the other half can cause external warts. if any hpv testing is done with pap tests, it only detects hpv infections on the cervix. have you both had your gardasil shots?

the odds of hsv2 and hpv being transmitted through a one time protected encounter are incredibly low. we don't even recommend routine testing because the risk of such is so low.
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Avatar universal
Is it recommended for her to be tested for everything every 6 months? She goes annually but now with this she might want to test like right now!

Shes starting to freak out because she is reading information about hpv and genital type 2 being transmitted at the same time even from a one type encounter with condom use.
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Avatar universal
This is great news! So she is in the clear?!

I do not want her to get worse obs she already had her 2nd ob 6 months after being exposed to genital type 1 and she said it resembled her first. I would hate myself if she were to get blood work back for type 2.

I have asked around and people have told me that hsv 1 genital does not provide protection against type 2 and that it can be spread through the condom so I was very worried thoughout it all.

My next concern is hpv. She does not have anything documented but what if hpv is dormant will it still be detected in the pap smear if she were to go get checked?
Helpful - 0
101028 tn?1419603004
oral hsv2 hardly sheds at all. it is only active less than a handful of days out of the year on average so the odds of transmitting your oral hsv2 infection in general are incredibly low.

as for your genital hsv2, if you are avoiding sex anytime you have anything going on genitally , taking daily suppressive therapy and also using condoms, your female partner has a 2-3% risk/year of contracting hsv2 from you. to give you something to compare that to, she has a 8% risk per year of becoming pregnant while only using the pill for birth control .

no reason for your partner to test from just a one time encounter. if you plan on continuing the relationship, she only needs to test yearly if at all unless she develops genital symptoms or becomes pregnant.

keep asking questions!

grace
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Avatar universal
Also since its been 12 days since encounter how long does she have to wait to test. 4 months is said for accurate results but can she go sooner to check? Or would she have to wait. Also, if she has not had an ob since can I assume she is in the clear?

This worries me since I like her and do not want her to be frantic.
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