A 20-year-old female asked:
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hsv-1 genitally, is it preventable to spread if on medications and not having an outbreak present? can i spread it without even knowing?

1 doctor answer
Dr. Hunter Handsfield
53 years experience Infectious Disease
Genital HSV1: Nobody wants genital herpes, but if it happens HSV1 is the preferred type, partly for the reason you are concerned about. Unlike genital HSV2, HSV1 has few recurrent outbreaks and little asymptomatic viral shedding. Therefore, sexual transmission to partners is uncommon. It could happen, but is unlikely. The chance is even lower if taking an anti-herpes drug like valacyclovir.
Answered on Dec 7, 2017
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Related questions:

A 37-year-old female asked:
Dr. Robert Kwok
33 years experience Pediatrics
No, not really: Hsv 1 is considered universally present, in most of the adult population, so there isn't much desire or need to test it further. In a research setting ... Read More
A 23-year-old female asked:
Dr. Larry Lutwick
49 years experience Infectious Disease
Yes: Indeed, when hsv-1 goes "below the equator", recurring infection either clinical or not is much less likely.
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A 29-year-old male asked:
Dr. Rada Jones
Specializes in Emergency Medicine
Yes it can.: That can happen especially if the patient becomes immunocompromised. A f​ollowing outbreak would normally be less severe, but it depends on the degree ... Read More
A 28-year-old member asked:
Dr. Marsha Davis
28 years experience Internal Medicine
Very slim: Usually oral hsvi is not shed if not having an outbreak so do not worry if you refrain form oral contact until the lesions are completely healed.

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