I want to clarify my questions.
Given I have OHSV 1 for over 20 years, now GHSV 1 diagnosed Oct 1, 2022. Am I still considered to have the same risk for transmission as a newly diagnosed person? I am trying to make sense out of this JAMA article.
It seems to say that shedding rates are different for newly, primary infections vs secondary/non primary, which I think is me.
Primary shedding rate: 12.1% at 2 months, 7.1 % at a year, 1.3 % at 2 years
This is quite new to me, I am still learning. I believe that the article says non primary shedding has lower rates.
In addition, I have read that suppression therapy cuts the above risk in half.
Lastly, genital to genital transmission is rare. It tends to be transmitted orally. So if I am taking antivirals, genital transmission risk is very low … there is higher risk (even that is very low) of giving my partner OHSV 1 through oral sex. My partner got his first cold sore as a child, which makes genital transmission even less likely.
I am a total nerd, I need to understand risk, it helps me process this emotionally & will help me communicate with future partners.
1. Please correct anything I have stated that is wrong.
2. Is there anything else I can do to determine/reduce my risk for transmission?
(Besides the obvious condoms, etc …)
3. Is there a local support group in Portland Oregon? I read about hidden Facebook groups, that makes me uncomfortable.
Thank you for this forum!