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Alie Ward

๐Ÿ‘ค Speaker
See mentions of this person in podcasts
9053 total appearances
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Podcast Appearances

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

It ducks out of sight of your immune system.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

It hides in your nerve cells.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

And when your immune system is weak or you encounter certain stressors or triggers, the virus hops on the express train of your neurons, long axons, right to the skin where it causes mayhem.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

So which skin destinations?

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

And let's take a peek at the 2022 JAMA paper, Viral Shedding One Year Following the First Episode Genital HSV-1 Infection.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

And this paper found that people who had genital outbreaks of herpes simplex number one shed the virus about 12% of the days two months past their initial outbreak.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

Now, nearly a year later, that went down to 7% of days.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

But that genital shedding could be asymptomatic.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

So you kind of never know.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

But the steep decline over time in viral shedding is why Dr. Park says it's sometimes a one and done, meaning it's usually dormant, but you never get rid of it entirely.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

So not one and done, typically number two.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

Yeah.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

And what happens, let's say that you contract herpes or you have it.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

Yes.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

Is there anything anyone can do to make sure that it doesn't recur or that they don't give it to anyone else?

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

They don't put anyone at risk?

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

for that.

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

Like, should people be using dental dams or saran wrap or should they be getting tested or should they disclose anything or should they disclose it only if they're having an active outbreak?

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

Let's say someone's like, oh, I get cold sores or I've had an outbreak once downstairs or

Ologies with Alie Ward
Venereology (SEXUALLY TRANSMITTED INFECTIONS) with Ina Park

or recurring, what would be the best course of action?