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Self-Study STD Module - Genital Herpes Simplex Virus (HSV) Infection

Epidemiology (continued)

Transmission

HSV-2 is transmitted sexually (genital to genital, oral to genital, or genital to oral) and perinatally (mother to child). HSV-1 is usually transmitted via a non-sexual route; however, sexual transmission appears to be increasing. The efficiency of sexual transmission is greater from men to women than from women to men. The presence of serum antibody to HSV-1 is not thought to be protective against having a symptomatic HSV-2 infection.

Most genital herpes infections are transmitted by persons unaware that they have the infection or who are asymptomatic when transmission occurs.

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The incubation period after acquisition is 2-12 days (average is 4 days). The likelihood of transmission (frequency of occurrences and asymptomatic viral shedding) declines with increased duration of infection. Washing with soap and water readily inactivates HSV; therefore fomite transmission is unlikely.

Genital HSV-2 infection facilitates both acquisition and transmission of HIV infection.

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Page last modified: June 3, 2009
Page last reviewed: June 3, 2009

Content Source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention


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