Know about Herpes? What’s the deal with penile/urethral transmission given a perianal initial infection and recurrrences?

2022.01.16 19:35 Glittering_Brick_560 Know about Herpes? What’s the deal with penile/urethral transmission given a perianal initial infection and recurrrences?

Hi all- 23M recently diagnosed with HSV-2 on my butt :/ I need your hopefully informed opinions! Figured I’d get the gays’ thoughts
There seems to be ambiguous information about viral shedding throughout the anogenital tract, particularly in sites other than that of initial infection. Many say that shedding occurs throughout the “boxer shorts” zone — although more likely in areas with thinner skin (e.g., penis, vagina, rectum). However, some studies indicate that HSV-2 shedding is actually much more likely to occur around the anus vs urethral-penile.
For example, see the 1998 study below. When daily samples were taken from multiple sites in anogenital tract, all detected shedding was perianal/rectal:
1998 Study
The same lead author published an article with a larger sample size, which yielded similar results:
2000 Study
And lastly another not limited to men who have sex with men, which of note did have higher rates of penile shedding:
2002 Study
We don’t know the site of initial infection for these samples. I suspect that a high proportion of the MSM in 2000 and 2002 had perianal HSV2 infections given much higher rates of transmission via receptive anal intercourse compared to the primarily heterosexual, (presumably) primarily penile initial HSV2, 2004 study pop. In which case, perianal initial infection seems to yield less frequent penile shedding.
I know this conclusion is a stretch, but there isn’t much research to help out. What do you all think about my chance of transmitting HSV2 via penile shedding given that all symptoms and initial infection are perianal? Thanks in advance and I hope some of you at least find this research—or lack thereof—interesting!
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