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HSV in saliva

22 years ago I was diagnosed with HSV2, genital region, but I do not have HSV1 or any oral infection. I have not had an outbreak in at least 20 years. I am questioning whether or not the virus is present in saliva. I am finding data on the web that it is found in saliva, but I'm wondering if this is from an oral infection, or any HSV2 infection. I understand that I will always have the potential of passing the virus, whether there is an outbreak or not, but I need to know if the virus is only present in the genital region, or if it is also shed orally.
I have the opportunity to begin a relationship with someone with a compromised immune system and we need to verify whether or not the virus can be present in saliva from a genital HSV2 infection before we choose to proceed. We understand the physical nature of our relationship will have to be modified to protect him from transmission, but if the virus is present in saliva, that pretty much ends the possibility of any physical contact at all. But we are hoping that we can at least engage in some form of sexual contact.
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Avatar universal
Is it? The fact is that rubbing to your genital area poses a risk of transmission. The odds are minimized with you taking antivirals and always using condoms. No one can tell you what the odds are as they vary depending on you and your partner.

The average would be about 1-2% per year of vaginal with the full minimizing approaches listed above. No couple is exactly average.

Only your genital area carries a risk of infecting him.
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Avatar universal
I was recently retested (blood serum), and yes, it is a genital HSV2 infection.

He does not have any HSV infection and has some pretty significant health issues that could be seriously impacted by any type of new infection, so it is imperative that we have completely accurate information.

I have also found information out there that the chance of genital to genital transmission without an outbreak is approximately 3%. Is this accurate? I have also read that the chance of transmission drops by 2% each subsequent year without an outbreak. Is this true? I also saw something about it being even less likely to transmit HSV2 from genitals to mouth. Is this true?

I realize I am pelting you with a lot of questions, but it is imperative that I be able to provide all the facts so he can make an informed decision on how to proceed. And whether to proceed for that matter. Thank you!
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Avatar universal
I would have a blood test to confirm type. I would guess that 20 years ago your genital infection was not correctly typed.

Did you get sores a few days after oral sex the first time for example, this would mean HSV1 is a possibility.

Either way, with a genital infection, there is no virus outside your genital area, full stop. Kissing in no way can cause infection.

Does he already have HSV1? This would be common and you may find you have the same type! This would then not be an issue and means all sexual contact is on the table.
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