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Thursday, November, 26, 2009
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 PJ Hamel On NPR!

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Hi,     Sorry that you haven't received an expert response yet.   I will do my best, as I am infected but not a doctor, etc.   If you have HSV1 and HSV2, it is possible that you have given either or both to your partner.  It is impossible to pin it down 100%, but if you take sexual history and an accurate timeline of symptoms associated with sexual activity; you may be able to narrow it down.    With no symptoms on the mouth, transmission through oral sex from you to her is statistically more likely to be type 1.  HSV-1 has a higher rate of asymptomatic shedding than HSV-2.  Oral HSV-2 asymptomatic shedding(transmission without sores/symptoms) has rarely been reported, and therefore is remote.  HSV-1 has a higher rate of asymptomatic shedding.  With visible sores, either is likely.  Regardless, she now has HSV, and it is more important to address emotional concerns because there may be a high amount of anxiety following a diagnosis.   I also have had no sores or symptoms on the penis.  I don't know of any way to isolate the diagnosis of HSV to the mouth only.  With blood tests, antibodies are either present or not.  Antibody tests may help to show an estimate of the initial infection, but are expensive.   If any medical expert can correct any of this information, they are welcome to do so.   Good luck, and stay positive. -J. Ed    
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