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This virus is spread by skin  to skin contact from  active blisters to an open cut or even where the skin has been  roughened-up by an abrasion or by heavy sex.  Some reports suggest that the virus may also be spread before the blister stage when the area is reddish and itchy.

In theory  this virus will die very quickly once the temperature drops or the moisture around the virus dries up  but a scenario can be suggested where the temperature and moisture holds on long enough for the virus to survive outside the body for several minutes. This could arise where an infected person  leaves the virus in droplets of warm urine on the toilet seat  and someone uses that toilet seat within a few minutes and has a cut that comes in contact with that pool of warm urine. To avoid this scenario wipe the toilet seat before using.


Contact with an open blister should be scrupulously avoided because of the highly contagious nature of this virus  If this is possible because the blister is somewhere else on the body, not directly at a sexual organ,  or the blister is small an can be covered up then sex can be engaged in fairly safely. If this is not possible  then a rubber condom and soft rubber surgical gloves should be used and disposed of, NOT down the toilet, but first into plastic bags and then ideally incinerated or at least double wrapped and put outside  into the garbage bin,

It is promising to hear reports from couples,  within which one partner has the virus and the other does not,  that if you employ the right avoidance techniques it is possible to have sex  and not spread the virus

Transmission is also possible from mother to the new born if the birth takes place during the mother's infectious period or if the mother has contacted the virus during the last weeks of pregnancy. Transmission usually occurs only infrequently ( about 4% of the time) but it does occur and can be dangerous to the baby.

Neonatal HSV infection can have a severe impact on both the infant and the family, with the potential for death or mental and physical handicap for the child, and psychological and social implications for the parents.

Risk Factors for Neonatal Transmission

  • HSV is mainly transmitted from mother to child during delivery when the infant has direct contact with infected maternal genital secretions
  • The risk of transmission to the neonate is greater if the mother experiences a primary episode of genital HSV infection during the third trimester of pregnancy, particularly if she has lesions at the time of delivery
  • Recurrent episodes of genital herpes in the pregnant woman carry a reduced risk of neonatal disease
  • In managing the woman with primary genital herpes who is in labour:

    - Caesarean section is only indicated it the mother has genital lesions at the time of delivery, when the risk of neonatal transmission may outweigh the risks of undergoing a Caesarean section

    - The use of invasive procedures, such as fetal scalp monitoring and forceps, may facilitate transmission of HSV to the neonate

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Information and pictures on this site are provided for informational purposes and are not meant to substitute for the advice provided by your own physician or other medical professionals. You should not use the information contained herein for diagnosing or treating a health problem or disease, or prescribing any medication. If you have or suspect that you have a medical problem, promptly contact your health care provider.

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