My questions relate to the infection and auto-inoculation of HSV-2.
1) What percentage of persons infected do not have lesions upon initial infection?
2) Can you primary infect without visible lesions and then have lesions on a secondary infection site?
3) Although I understand that auto-inoculation is pretty common during a persons first infection, can auto-inoculation occur without contact with an obviously infected region? For example, when lesions are on the shaft of your penis can seminal fluid carry sufficient virus during this period to infect another area?
4) If auto-inoculated, do you get recurrences at the primary infection site or both? Equally often and similar timing?
1) Probably about half to 2/3 of people with new genital herpes get lesions. However, many of those are mild and not noticed, so up to 70-80% say they are asymptomatic. But many of those would see an abnormality if they knew what to look for.
2) I suppose it is possible to have an asymptomatic or unrecognized initial genital infection, and still have symptomatic auto-inoculation to another part of the body. But it has to be rare and I have never seen such a case.
3) HSV probably has to be massaged into the skin or tissues for infection to 'take'. There may be exceptions, but auto-inoculation by less direct transmission (e.g., via semen) either doesn't occur or is very rare.
4) Recurrent HSV-2 outbreaks are uncommon at non-genital sites. I have never seen a person with recurrent HSV-2 outbreaks of the eye, mouth (oral herpes), fingers, etc--even though they are the main sites of auto-inoculation in people with initial genital herpes. Only a tiny percentage of people with recurrent oral herpes have HSV-2, for example--even though several percent of people with primary genital herpes have oral as well as genital infection.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.