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that's the general consensus, snickers. I have never had an outbreak and we assume I have genital hsv-1.

either type of hsv can infect [i]any[/i] part of the body, including internal organ systems, so while they are generally grouped as "above the waist" and "below the waist," those categories offer little usefulness.

incidence rates depend significantly on many factors, even including factors like age, race, and socioeconomic class. It makes herpes simplex an interesting virus to study.

From what I understand, no study has suggested that having one type offers any protection from the other type. I'd be interested if someone has a citation that says otherwise. In clinical trials, participants with hsv-1 showed [i]less[/i] protection against hsv-2 even with the vaccine, so a study suggesting the opposite would be really interesting to consider.

There are actually different strains of both hsv1 and hsv2. the two are considered different viruses, and not different strains.

There really is no basis to thinking hsv-1 would be more easily transmitted to males genitally unless a man had a primary herpes whitlow infection. Except in very rare cases, a person can only autoinnoculate during a primary infection, before seroconverting. If a child had oral hsv-1, he wouldn't be likely to be putting his infected mouth on his genitals. Same for a grown man for that matter. And even if they did, it would have to be during a primary outbreak to "spread" the virus to their genitals. So it wouldn't actually make sense to see a higher incidence rate in men than in women based on that logic.

and genital hsv-1 is NOT a blessing in disguise. While I understand what you meant, it's just not the case, especially for mothers. Disseminated HSV-1 with encephalitis, which my oldest son had (the other didn't disseminate) is statistically the most dangerous presentation of neonatal herpes. I'd hardly call that a blessing. Again, I know what you meant, but there's more to herpes than how many outbreaks a person has.

Obviously, we don't agree on the information we have. But since you were attempting to "get our terms right," I thought I would reply.
It is possible to get HSV1 genitally if you already have it orally. I know because it happened to me. I had oral HSV1 for years and years and then got it genitally (confirmed by swab of the genital sore which was positive for HSV1 and my consistent blood tests negative for HSV2. I only had three OBs very close together at the beginning by the way, and nothing since - this was more than two years ago).

I was, however, exposed to an active sore (I was drunk and did not notice the sore on the person's lip and they didn't know it could be passed on that way - not proud of any of this but that is how it is sometimes) at a time when I was quite ill and my immune system was down (although I didn't realise how ill it was then).

I think reinfections with genital HSV1 probably happen more often than we think. For one thing, HSV1 genitally is usually quite mild. If a person already has HSV type 1, their OBs are likely to be milder still and may go unnoticed or be mistaken for genital thrush etc. Blood tests positive for HSV1 would not surprise or alarm someone who knew they had it orally.

For years we heard "HSV1 above the belt and HSV2 below the belt" and now we know either virus can turn up pretty much anywhere (although they tend to have their preferred areas). I am not sure if this the HSV1 reinfection is one of the issues we may see a change in thinking on at some point.

What I would say though is that the HSV1 antibodies a person has from having oral HSV1 already are very highly likely to protect them from reinfection with HSV1 genitally. However, exposure to the high level virus in an active sore may be something that the antibodies cannot deal with (particularly if a person's immune system is down). So the answer is: it's not 100% for certain you can't get it again in a different place (I am testament to that!) but if you avoid active / healing sores (and that "tingling" feeling a person gets shortly before a cold sore appears), everything I have read suggests there probably isn't too much to worry about (I have had several girlfriends, all of whom had HSV1, and I never contracted genital HSV1 from any of them, and they never contracted it from me, and what we did was to simply avoid active sores. As soon as my genitals come into contact with an active sore when I was ill, though....!)





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