Havent read all the discussion but I thought id throw my 2 cents in the pot. disclaimer if anyone has concerns about herpes just talk to your doctor, also ask him/her questions about your risk and concerns.
All this info is just from quick and my personal interests. I am not an expert in this and this is not medical advice or Knowledge just some random guys thoughts on the internet lol.
So both HSV1 and HSV2 cause genital herpes.
HSV-1.
It is estimated that 55% of an american population are seropositive of HSV1. This means that they have the virus but not necessarily the disease (You can have the virus and spread it but not have any form of the disease). This is higher in developing world. This number is decreasing, it used to be 62% in the 80s, Most people are exposed to HSV1 during childhood, it can spread easily through oral secretions with sharing utensils etc. (
Source for the stuff previous). You can even get herpes on the skin, wrestlers are known to have it and there is a form that is common on the chest as well. The oral HSV1 is what we call cold sores. Thats the most common. It is also possible to get genital HSV1 herpes. It used to be thought that HSV1 genital herpes is less common than HSV2. But studies are showing now that it is the opposite and there is an interesting increase of HSV1 vs HSV2 genital infection (Interesting article with the
source of this).
Now something I really found interesting. Once you have HSV1 somewhere in the body, you are less likely to get it elsewhere. I think this is why the rates of oral HSV1 are decreasing but rates of genital HSV1 are increasing. In other words, once you have oral HSV1 herpes (cold sores), youre less likely to get genital HSV1 herpes. I dont have a great source for this its just based on immunology. Once you get a virus for the first time your body then creates a defense for it in antibodies. These antibodies circulate in the blood and their job is to destroy this virus if they see it. You would see these proteins in the blood stream years after the infection. Now if the virus tries to take place in another place these antibodies would attack them. So once you have an infection in one place you have an immune response and hence less likely to get it in another place. Now if you are smart you might ask well how come you still get infection in the original site if you have antibodies. The reason is because the herpes virus is a fucking tricky little basted. It refuges in the body of nerves and makes it self a part of that nerve. SO once your infected the first time that virus is now a part of where that infection was, the antibodies cant tell if the virus is inactive. WHen the virus becomes active it spreads along the path of that nerve hence why it always is in the same place (Good
image of this, this is a drawing from nater IE medical PORN). Having said all that you can still infect your self albeit rare. This is a problem with the eyes, you can spread cold sores from your lips to your eyes or genitals which is a problem, this is very rare though for reasons i said above.
HSV 2
Why does it matter to distinguish between HSV1 and 2. Well for one they are different viruses, so that whole immunity thing above goes down the drain. If you have a cold sore you have antibodies to HSV1 you can still get HSV2. HSV2 is more common in the genitals vs elsewhere. The other reason its important to know HSV1 vs 2 is that HSV2 is more likely to reoccur. If you have genital herpes the chance of reoccurnce is 60% if its HSV2 vs 14% if its HSV1 (
Source, this is a NEJM paper ie the holy grail of medicine. I get an orgasm from NEJM articles, now you guys see why I dont have a partner LOLZ). So overall HSV 2 is a bigger problem.
Now how do you get this shit. Its through contact of infected source to host. Oral, gential etc. Problem with this disease is that you can even get it from an infected person even when they dont have an outbreak. This ere is a nice paper on this
here, this is in JAMA so still orgasm worthy but not as much as NEJM. It shows that people with HSV2 who have the infection and are symtomatic (get outbreaks) are shedding the virus (can infect) 20% of the days vs 10% in people who have the virus but are not symptomatic. So your more likely to get it in people who have outbreaks. Its also easier to spread through lesions.
Treatment for herpes is also interesting I wont go into it. SHort answer is there is no treatment. If you get it you have it. Problem is the herpes virus when it gets you in makes it self a part of that region thats inefected, you cant distinguish between a normal cell and a herpes harbouring cell unless you break down the cell. So you cant target it. There are ways you can deal with symptoms and shorten the active phase though.
Problem with guys on this forum is that one risk factor for getting herpes is having multiple sexual partners (
source). So I am sure if you ask a doctor their answer would be not to do this hobby as it increases your risk for herpes as well as other things. That is a personal decision. I know my doctor would tell me that but I still do this hobby. I have accepted the risk. I like to think I take extra precautions, I test my self frequently (mainly for other STDs), I am selective with my partners and I always do a visual inspection, I dont know how much that decreases my risks but I know im high risk still and I have accepted that.
totally off topic now but this kinda stuff fascinates me. I find diseases such has herpes and cancer are actually kicking our ass in all ways possible. If you break things down to a cellular level, the goal of a cell is to survive. In humans once we die our cells die with us. Now with something like herpes they spread and spread, they survive. There is this one particular dog cancer that is not like regular cancers where it forms from mutations but rather it spreads. When you isolate these cells you see that the genetic signature is 11 thousand years old (
Source). So this cell has survived 11 thousand years, and yet our cells die within 80... now who is smarter?
sorry my nerd got out lol il go back to my cave