Yes, generally speaking, HSV 2 orally is quite uncommon. I'm not sure that our answers are conflicting. I just think the risk of acquiring HSV 2 from oral sex from a commercial sex worker is higher than it would be if this was not a professional. Also, it appears that Dr. Hook was addressing the issue of HSV 1 transmission, not HSV 2.
I still think the whole risk is very low in your situation.
Terri
I though HSV-2 oral to genital transmission was a rare phenomenon. Also after posting the same question to Dr. Hook he advised the transmission of HSV-1 without a visible sore is estimated about 1 in 10,000. Your answer seems to be more conservative and you indicate that it is a higher risk given the situation of unprotected sex. Why is their contradicting answers?
If you have indeed had cold sores (and not canker sores on the inside of the mouth), then you already very likely have HSV 1. The test you took for HSV 1 misses the HSV 1 infection at least one out of 10 times, so it's not great for HSV 1. The risk in your sexual situation is indeed for HSV 1, most likely. I don't think it is out of the realm of possibility, however, that a commercial sex worker would also have HSV 2 orally, given the large number of partners who have had their penises in her mouth. I have no statistics on that, but think about it, it would be possible, though HSV 2 orally is infrequently shed from the mouth if it is there.
Most people who are going to have symptoms with first infection, have them within about 2 weeks, yes.
I cannot really comment on when it is safe to have sex with your wife. If you test negative for HSV 2 antibody 16 weeks after the encounter, I would say that you are, with 97% certainty, not infected with HSV 2.
Terri
How do you feel now? Any more sores, pimples ect?
Additional Comment: The lady was in her high 30's early 40's. Lets say hypothetically she did have HSV1, would i be at a lower risk because of her age?