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I have esophageal HSV-2 and I have some questions.

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If you have HSV-2 orally are you immune from getting it genitally?


If my partner already has it genitally, is it ok for me to perform oral on her?


If one of us starts to have an outbreak and we have sex can it trigger the others outbreak?


Can HSV-2 travel; through the body and infect other areas like genitals?

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There's info to be found on the web about herpes esophagitis, but it typically speaks to herpes esophagitis infections caused by HSV1 since that is much more common than infections caused by HSV2. The good news is that oral HSV2 infections are typically much less symptomatic (usually limited to just the initial outbreak) than oral HSV1 infections and also shed much less (1% per year vs. 6-33% per year for oral HSV1).


You will be more infectious when symptoms are present and while antibodies are building over the first few or several months. If your partner has been infected more than a few months, you don't need to be concerned about spreading it to other parts of them, but you will want to take care in not spreading it to other parts of yourself. Autoinoculation is uncommon but can happen while antibodies are still building. Once you have sufficient antibodies, yes, you will be largely protected from contracting HSV2 genitally.

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