How HSV Spreads

Herpes is most often spread from person to person through contact. Herpes cannot spread through the air like the common cold. Direct skin contact in an environment that contains heat and moisture is necessary for transmission.

In addition, physical symptoms do not have to be present to spread herpes to another person. Some people are unaware that they have herpes because their symptoms are so mild (e.g., bump or rash), and they unknowingly spread the virus to others. You can also be contagious and spread the herpes virus, but not have any signs or symptoms at all. This is called asymptotic viral shedding. It's also important to know that transmission of the herpes virus can occur in heterosexual and homosexual relationships (both men and women).

After the virus has finished being active, it then travels to the nerves at the end of the spine where it stays for a while. Even after the lesions are gone, the virus stays inside the nerve cells in a still and hidden state, which means that it's inactive.

In most people, the virus can become active several times a year. This is called a recurrence. But scientists do not yet know why this happens. When it becomes active again, it travels along the nerves to the skin, where it makes more viruses near the site of the very first infection. That is where new sores usually will appear. HSV remains in certain nerve cells of the body for life, and can produce symptoms off and on in some infected people.

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