JDavid is offline JDavid Post #11  July 30,2009, 7:41pm
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D_Lion wrote :
What is missing from this data, is that the STD’s are not uniformly distributed across the population.
Correction: Information about non-uniform distribution IS presented in the OP – including gender, race, age, ethnicity, poverty, quality of health care, health care behavior, drug use, and community STD prevalence.

JDavid wrote :
HSV-2 infection is more common in women (approximately one out of four women) than in men (almost one out of five). This may be because male to female transmission is more efficient than female to male transmission. HSV-2 infection is also more common in blacks (45.9%) than in whites (17.6%). Race and ethnicity in the United States are risk markers that correlate with other more fundamental determinants of health such as poverty, access to quality health care, health-care seeking behavior, illicit drug use, and living in communities with high prevalence of STDs.

Since the late 1970s, the number of Americans with genital herpes infection (i.e., prevalence) has increased 30%. Prevalence is increasing most dramatically among young white teens; HSV-2 prevalence among 12- to 19-year-old whites is now five times higher than it was 20 years ago. And young adults ages 20 to 29 are now twice as likely to have HSV-2.

D_Lion wrote :
While disclosure may elicit sympathy instead of betrayal, it is still an unwanted and unnecessary risk for me to take to remain with that person.
Can a person make a disclosure if they do not know they harbor the virus? Notice that the information presented indicates that a very high percentage DO NOT KNOW. Does one simply trust their date to know for certain whether they are positive for HSV even if they have no symptoms?

It is an "unnecessary risk" (by some standards) to have an intimate relationship with ANY person who has not tested negative for HSV – since one in five to one in ten people have the virus and many or most are unaware (but can pass the virus to others). The ratio of risk (though not the severity of outcome) is similar to Russian Roulette with one cartridge in a revolver cylinder of five (or possibly ten).
 
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Emme is offline Emme Post #12  July 30,2009, 7:45pm

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I would have a relationship with someone who told me he has herpes. I agree that with suppressive therapy and use of condoms every time the risk of transmission is low, so long as you abstain during an actual outbreak. Most people have been exposed (something like 90%) to HSV I, which usually causes oral herpes. But HSV I can be transmitted to the genitals of a partner through oral sex, thereby giving your partner genital herpes even if you don't test positive for the HSV II virus. And HSV II can be transmitted from someone's genitals to a partner's oral cavity through oral sex. All sex carries some risk. I'd rather know the risk and doe what I can to prevent it than not know and be careless. The only STD that could be a dealbreaker for me is HIV, and with all the progress that's been made on that I'm not even sure that's a dealbreaker. I'd have to read up a lot more and speak to my doctor about it.
 
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D_Lion is online now D_Lion Post #13  July 30,2009, 7:49pm
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JDavid wrote :
It is an "unnecessary risk" (by some standards) to have an intimate relationship with ANY person who has not tested negative for HSV – since one in five to one in ten people have the virus and many or most are unaware (but can pass the virus to others). The ratio of risk (though not the severity of outcome) is similar to Russian Roulette with one cartridge in a revolver cylinder of five (or possibly ten).

Yes, I would concede this point.
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simplemind is offline simplemind Post #14  July 30,2009, 8:25pm
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Been thinking a lot about it, since the earlier thread.

This one, btw, is so much more thoughtful and thought-provoking--thank you, JDavid.

Not sure how I would react to a real person telling me he had "something"; but Hep C, HIV, and some of the influenzae scare me silly. More so, I think, than HSV. And yet I had a friend whose father developed HSV encephalitis and recovered, to be quite less cognitively intact than he'd been before. But I understand that this kind of escalation in adults otherwise healthy is rare.

An acquaintance in her mid 40's developed acute viral cardiomyopathy two 'flu seasons ago, didn't show up for work one day and was found unconscious on her kitchen floor. Three days in an induced coma, and we were advised she was unlikely to survive. She did, but the heart failure is now chronic. A teenager I see in my office has had heart failure from viral cardiomyopathy for several years now, and lives in a wheelchair with O2 while she hopes for a transplant. Influenza kills people, young and old, every year--quick check just now said 21-55, 000 per year in the US from 1979-2001. HSV, especially HSV2, seems less lethal--unless you are a baby born to a mother who's got an active outbreak during the birth process. I couldn't find more on a rapid check--any of you numbers people out there can help me out?

Papillomavirus--guys, those of you who carry it almost never know you have it, and when you pass a certain strain on to us we get cancer. Have two friends to whom this has happened--heck, one of them contracted it from her LTR boyfriend, who is a GYN.

With freedom comes responsibility. And even the responsible sometimes get caught out.

Thinking about it, all I can ask for is if we get to the place in our time together where transmission becomes an issue--you had better tell me what you do know about yourself. Even if it's "just" the 'flu. Be an adult, y'know?
 
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DennisWisconsin is offline DennisWisconsin Post #15  July 31,2009, 5:24am
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AngelEyez2201 wrote :
Something else to be considered:

I don't know about these new test mentioned, however, the testing that has been available is not just exactly a blood test to check for it since this virus is NOT carried in the blood. It affects the nervous system, therefore, that is its home. The blood test only helps if you have already had an outbreak.

When you have an outbreak, your body develops an antibody to the virus. THIS is what the blood test detects. NOT the virus itself.

Also, there are indeed 2 types HSV1 and HSV2. Type 1 is typically oral and type 2 is typically genital. It has been found however, that either type can effect either area.

Just what I have found and been told by medical personnel.
You are correct about this and thank God for the blood test. Prior to the blood test there was no way to identify this disease without having an active outbreak. By the time many people get to the doctor the symptoms are gone. The blood test confirms and is very valuable.
 
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DennisWisconsin is offline DennisWisconsin Post #16  July 31,2009, 5:29am
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I was intimate with two women (not at the same time) over a total period of seven years and never contracted this disease... I tested negative on a blood test last fall.

This truly seems like a strange virus but you could fit my knowledge of biology and medicine on a small post it note
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PoliticalChick01 is offline PoliticalChick01 Post #17  July 31,2009, 6:25am
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Technically, hasn't everyone had Herpes (HSV1) one time or another in their life if they had a cold sore by their mouth in the winter time or on their lip?

By knowing someone had a cold sore on their lip/mouth a year ago/in college etc make them taboo or a paranah to date??

Technically HSV1/Cold Sore on lip/mouth is still Herpes brought upon by stress, spicy foods, etc and no one really talks about that or dating some that had one that is easily curable with lip medication.

Why is HSV1 Herpes okay in society but HSV2 Herpes is not?
 
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AngelEyez2201 is offline AngelEyez2201 Post #18  July 31,2009, 7:14am
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PoliticalChick01 wrote :
Technically, hasn't everyone had Herpes (HSV1) one time or another in their life if they had a cold sore by their mouth in the winter time or on their lip?

By knowing someone had a cold sore on their lip/mouth a year ago/in college etc make them taboo or a paranah to date??

Technically HSV1/Cold Sore on lip/mouth is still Herpes brought upon by stress, spicy foods, etc and no one really talks about that or dating some that had one that is easily curable with lip medication.

Why is HSV1 Herpes okay in society but HSV2 Herpes is not?
I agree!! Yes, HSV1 is simply that: a cold sore. How many people can everyone really honestly think of that haven't had some experience with that at some point or another..?? I know there are some but there are definitely a whole lot more of us that have than haven't!

It is not however, just an "easily curable" thing. Being as it IS the same thing, it is still a virus. It just stays dormant in the body until something triggers it. Which only makes it more ridiculous that people are so scared of it! 90% of the population has some kind of herpes...90%

It is absurd that so many people react the way they do!
 
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AngelEyez2201 is offline AngelEyez2201 Post #19  July 31,2009, 7:19am
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DennisWisconsin wrote :
I was intimate with two women (not at the same time) over a total period of seven years and never contracted this disease... I tested negative on a blood test last fall.

This truly seems like a strange virus but you could fit my knowledge of biology and medicine on a small post it note
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I think you may have missed part of the point of my post:

You can still have and carry this disease WITHOUT having any symptoms and the blood test ONLY detects the antibody in your blood which only forms after having an outbreak.

Not to rain on your parade but you could indeed still have contracted the virus and just not have shown any symptoms.
 
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DennisWisconsin is offline DennisWisconsin Post #20  July 31,2009, 7:40am
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That isn't what my doctor told me...

So how do I know I'm not a carrier? I've had sex with many woman in the last 35 years. enough to know that if I was a carrier, I would have at least heard from some of them that they contracted the disease from me.

and no... not everyone has herpes 1 or 2. The statistics are out there...
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