thanks for reply sir, i had blood test which came positive.i have question reading asymptomatic shedding does this period last after outbreak ? if yes how long after outbreak ? and also my doctor said he had patient who don't had outbreak in last 6 year is that comman ? does outbreak and shedding reduce as times passes ? because i had two outbreak in two months.
Hi - transmission doesn't only occur when an outbreak is present.
There is something called asymptomatic viral shedding. This happens when you have virus active on the skin, but there are no symptoms.
We know how often this happens:
Shedding rates: (and you can find all this in the herpes handbook - https://westoverheights.com/herpes/the-updated-herpes-handbook/)
HSV 2 genital 15-30% of days evaluated
HSV 1 genital 3-5% of days evaluated
HSV 1 oral 25% of days evaluated
HSV 2 oral 1% of days evaluated
How were you diagnosed with hsv2? Did you have a typed culture? A blood test?
If you have genital herpes, it means you are infectious from all the mucous membranes in the genital area - the thinner, moister skin. In males, this is the entire penis, the anus, and the rectum. It's possible to get outbreaks anywhere that your boxer shorts cover. This is because herpes infects nerve groups, and genital herpes infects the sacral ganglia, which affects the boxer shorts area.
Condoms reduce transmission by about half. We have transmission rates for hetero couple, and unfortunately not for same sex couples. We know that, generally, STD transmission is higher in men who have sex with men, or if two people with penises have sex with each other, but we don't have exact data on that.
This is the transmission info for ghsv2 for opposite sex couples, male to female, assuming a long-term relationship, having sex 2-3x a week, over the course of a year:
Only avoiding sex during an outbreak - 8-10%
Adding condoms OR daily suppression - 4-5%
Adding condoms AND daily suppression - 2-3%
If your partners are also male, you can assume it's a higher than that, but we really don't know how much.
You should read the Herpes Handbook that I linked above, and we are here for any questions. I've had herpes for well over 15 years, and it's really just an annoyance in my life now.