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Herpes simplex 1 (HSV-1), the virus that causes those painful lip blisters, or cold sores, for example, has an internal pressure eight times higher than that of a car tyre.

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Herpes simplex viruses comes in two forms: type 1 and type 2.I’m sure my boyfriend doesn’t have herpes, a patient recently told Dr. Shrier, a researcher on sexually transmitted infections, goes through this kind of conversation all the time.Lydia Shrier, an adolescent medicine specialist at Children’s Hospital Boston. Patients tell her that they’ve never had blisters or lesions or sores, and so cannot possibly have genital herpes. It falls to her to disabuse them of these notions, saying: “You can have lesions or not, you can have symptoms or not, you should basically be operating the same way, which is to assume that everyone has herpes.” That means taking precautions, from limiting sexual contact to using condoms. I read the article about five times myself, saying, wow, and I do this for a living.Last week, a pre-eminent researcher on the genital herpes virus, known as Herpes Simplex Virus 2 or HSV-2, published a landmark paper documenting the striking rate at which people with no herpes symptoms can nonetheless “shed virus,” potentially infecting partners. Anna Wald of the University of Washington, found that people who’d had symptoms of herpes shed virus on about 20 percent of days, while people who test positive for herpes antibodies but have never had symptoms shed virus on only about 10 percent of days. Highlights: -More than 80% of people with herpes are undiagnosed.But here’s the kicker: When they’re shedding, people who’ve never had symptoms shed roughly the same of virus as people who’ve had symptoms. -Overall prevalence by the time people reach their forties is 26%. Shrier of Children’s pointed out that “herpes is tricky:” genital herpes infections can also involve HSV-1, the virus known best as “cold sores” around the mouth.

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