Herpes: How Can You Get It Without Sexual Contact? - Urology

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Having herpes simplex without having engaged in sexual contact?


Hello, Dr.
Hsu.
I would like to ask why I have never had any sexual relations or kissed anyone, yet I still have simple herpes, including type 1 oral herpes and type 2 genital herpes.
Could you please help me understand why this is the case? I would greatly appreciate your clarification.

xiang bu tou, 20~29 year old female. Ask Date: 2006/06/20

Dr. Xu Weikai reply Urology


It's hard to understand: Hello, in Taiwan, the overall carrier rate is approximately 80%.
In other words, most people have already been infected.
It only manifests when the body's condition is relatively poor; otherwise, it remains dormant in the body, asymptomatic, waiting for an opportunity to become active.
Don't worry, everyone is the same.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/06/20

More Info


Herpes simplex virus (HSV) is a common viral infection that can manifest in two primary forms: HSV-1, which typically causes oral herpes (cold sores), and HSV-2, which is primarily associated with genital herpes. Your question about how someone can contract herpes without any sexual contact or intimate kissing is a valid concern, and it highlights the complexities of viral transmission.

Firstly, it’s important to understand that herpes can be transmitted through various forms of contact, not just sexual intercourse. Here are some ways you might contract herpes without engaging in sexual activities:
1. Autoinoculation: This is a process where the virus can spread from one part of your body to another. For example, if you have a cold sore (HSV-1) and touch it, then touch another area of your body (like your genitals), you could potentially transfer the virus to that area. This is particularly relevant if you have an active outbreak.

2. Indirect Contact: Herpes can also be transmitted through contact with contaminated surfaces or objects. For instance, sharing towels, utensils, or lip balm with someone who has an active herpes outbreak can pose a risk, although this is less common.

3. Asymptomatic Shedding: One of the unique aspects of herpes is that the virus can be shed from the skin even when there are no visible symptoms. This means that a person who appears healthy and has no sores can still transmit the virus to others. If you have had contact with someone who has HSV, even without visible symptoms, there is a possibility of transmission.

4. Oral Contact: While you mentioned not having kissed anyone, it’s worth noting that herpes can be transmitted through oral contact in ways that may not be immediately obvious. For example, if you were to engage in any activity that involves close facial contact with someone who has oral herpes, there is a risk of transmission.

5. Family Transmission: In some cases, herpes can be transmitted within families, especially if a family member has an active outbreak and does not take precautions to avoid contact. This can happen through casual interactions, such as hugging or sharing personal items.

Given your situation, it’s understandable to feel confused and concerned about how you contracted both HSV-1 and HSV-2. It’s important to consult with a healthcare professional who can provide personalized advice and possibly conduct tests to confirm the type of herpes you have. They can also discuss management strategies, including antiviral medications that can help reduce outbreaks and the risk of transmission to others.

If you are experiencing anxiety or distress regarding your diagnosis, consider seeking support from a mental health professional. They can help you navigate your feelings and provide coping strategies.

In summary, while herpes is often associated with sexual contact, there are multiple avenues through which the virus can be transmitted. Understanding these pathways can help you take appropriate precautions in the future. If you have further questions or concerns, don’t hesitate to reach out to a healthcare provider for more detailed information and support.

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