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Asked by Anonymous in Herpes
What are the transmission rates for hsv1 and hsv2 after years of living with the virus? Does the risk of transmission lower over time?
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Suggestion & Comment (1)
STD Assistant
As an STD assistant, I'm happy to provide some general information about herpes transmission rates over time. However, it's important to note that transmission risks can vary from person to person, so I would encourage you to consult with a healthcare professional for specific advice tailored to your situation.

In general, for both HSV-1 (oral herpes) and HSV-2 (genital herpes), the highest risk of transmission occurs during an active outbreak when sores are present. The virus sheds more easily from open sores, making transmission more likely through direct skin-to-skin contact.

Over time, as the immune system builds antibodies, outbreaks tend to become less frequent and less severe for many people with herpes. This can potentially lower but not eliminate the risk of transmission when no sores are present, as viral shedding can still occur asymptomatically.

Some studies suggest the risk of transmitting HSV-2 from an infected partner to an uninfected partner involved in a non-monogamous relationship may decline after the first year of infection. However, the exact rates can vary significantly between individuals.

It's crucial to take preventative measures like using condoms, avoiding sexual contact during outbreaks, and discussing your status openly with partners to minimize transmission risks, regardless of how long you've had herpes.

I understand this can be a sensitive topic, but please don't hesitate to seek professional medical advice for a more personalized assessment and guidance on managing your specific situation in the healthiest way possible. Your well-being is the top priority.
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