Get your Health question answered in 3 easy steps

166 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What are the chances of transmitting HSV 2 to partner?

Answered by
Dr.
Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 12952 Questions

default
Posted on Mon, 25 Aug 2014 in Pregnancy
Question: Hi, I have been married 20 years. We have 3 kids together. 3 years ago during a separation, I had two unprotected sexual encounters with a person I knew. He told be he had been "tested" for stds and was good. Hubby and I reconciled. Fast forward 2 years - visit with new GYN. Decided to do STD testing - no symptoms. Everything fine for everything except HSV 2 was IGG specific (herpes Select) was 3.8. Had HSV Western Blot and was negative for HSV1 and postive for HSV2. Again, no symptoms. Last week hubby tested postive HSV 1 and Negative HSV 2. My husband and I had never been tested for any STDs prior to this as monogamous and without issues. Contacted partner from 3 years prior who tells me he is negative HSV 2 and he is going to give me paperwork, but I have not seen his labs. So, currently I'm on Valtrex to protect hubby. Question: is risk of two unprotected encounters (brief) that high? Even if acquired 3 years ago from new partner, husband has not contracted HSV 2. Or is it likely I've had antibodies from premarital dating 20 years ago (7 partners) and never transmitted to husband? Trying to grasp the risk for my husband at this point as I am symptom free and taking Valtrex 500 QD.
doctor
Answered by Dr. Rakhi Tayal 22 minutes later
Brief Answer:
Chances of transmission are low.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
HSV1 is a common infection and can be present for years without a transmission. HSV 2 usually causes a genital herpes. It is possible that your husband is already producing the antibodies for HSV2 and you have antibodies for HSV1.
A casual relationship 3 years ago or premarital relations also could have transmitted the infection. Your infection was dormant as you were asymptomatic before the infection was detected.
This detection of infection should not affect your relation with your husband. Since you have not transmitted the infection in last 3 years the chances of transmitting the infection now are also low. Please do not worry.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Rakhi Tayal 1 hour later
Thank you for your answer, Dr. Tayal. If hubby's IGG herpes select specific for HSV 1 and 2 showed antibodies for type 1 and not for type 2.....are the HSV 1 antibodies protective? Also, is the HSV western blot 100% accurate? Or is swab of lesion only for sure way to formally diagnose? Finally, is it true that the risk for transmission during brief unprotected encounter with an unknown status partner is pretty low if they are not having outbreak? Thank you very much for your expert opinion :)
doctor
Answered by Dr. Rakhi Tayal 9 hours later
Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
HSV-1 antibodies can give some protection against transmission of HSV-2. HSV Western blot is ore than 99% accurate. False positive is very rare.
Swab culture from the lesion is a more sure way of diagnosing the infection.
Yes. This is also true that the risk of transmission is minimal if there is no active outbreak at the time of unprotected sex.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Medical Topics ,   ,  

Recent questions on Genital herpes

doctor1 MD

My husband has genital herpes and was recently diagnosed with colon cancer. He received 1 treatment of chemotherapy and has run a fever everyday for about 2 weeks. About five days after his treatment he noticed discomfort of the scrotum. It was red on both sides and had areas of what appeared to be pus filled lesions. Could this be a side effect of the chemo or is this an outbreak. He is taking valtrex and applying a cream. It seems to be improving slowly. Should he tell his oncologist about the herpes. Will it effect his treatments and does chemotherapy increase the severity of outbreaks.

doctor1 MD

Why would a person have symptoms of genital herpes over 31 years ago, and when tested at that time and having cultures done, over and over again coming back negative, and herpes testing done annually and coming out negative, get currently diagnosed with HSV-2 recently?

doctor1 MD

I have had a painless swollen lymph node for a few months under my right jaw. I have had blood test run showing no serious infections, normal white blood cells and normal lymph. I also had an ultrasound that showed beneign characteristics of the lymph node. Also I just noticed what I believe is a lymph node behind my left ear that appears to be a little swollen but not as much as the one under my right jaw. I feel normal otherwise. I should also note that I was diagnosed with genital herpes about 18 years ago, but have never had an outbreak since the initial one. The only medication I am on is progesterone. My doctor feels that it is nothing serious, but has ordered a biopsy to completely rule out cancer. I'm just curious for another medical expert opinion on if it sounds like it could be cancer or something else.

doctor1 MD

Yes, thank you. My daughter was tested ( blood) and was told she has Herpes Simplex 2. What is it, how did she get it, what do we do now?

doctor1 MD

Ok, I asked about this yesterday in the main forum. After thinking about it and being a little more clear headed, I decided to put it here in the "ask a specialist." Most of my question yesterday went unanswered. What was answered was very short...

doctor1 MD

I have genital herpes and my stomach is so big and im so bloated. I have been to the doctor and they can't seem to find anything wrong. could the herpes cause all the pain im having? i have abdominal pain, it shoots down my leg, my back. My stomach has been bloated for the past two months. Please advise.

doctor1 MD

2 Quetions 1 is I had been married for 22 years when Kaiser diagnosed a sore on my penis as Herpes 1. I haven t had sex with anyone else and I know she hasn t either. When I was a kid I used to get cold sores. Could that herpes virus stay with me...