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Mono is a viral infection that causes symptoms like fatigue, swollen glands, and a severe sore throat. That means you can infect other people who come in contact with your saliva, so you have to be careful about kissing or sharing personal items like cups or utensils. This is called the incubation period. You can pass the virus to other people through your saliva for up to three months after your symptoms subside. Some studies have reported that you may still be contagious for up to 18 months. EBV spreads from person to person through saliva and other bodily fluids.

A second study showed an association between EBV seroconversion and previous sexual activity in 98 teenaged girls in Sweden [ 10 ].

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Our study was undertaken to gain up-to-date epidemiology, including more-detailed information on the role of sexual contact in EBV transmission, and information on risk factors for IM in a group of university students. Because a cohort study from early childhood is not practical, the retrospective cross-sectional design of the present study is the only feasible alternative. However, this leads to the possibility that information may be inaccurate through recall.

Although this may have led to underestimation of risk associated with sexual intercourse, such misclassification is likely to have been nondifferential i. Misclassification of this type leads to dilution of true risks, not inflation or creation of them [ 13 ]. The major outcome examined in the study, EBV serological status, was a laboratory measure, not a recall variable. The information on the other outcome variable, IM, did originate from recall, but the findings were supported by the serologic test results, so could not be simply a recall artifact; for this variable, too, recall errors would be expected to be nondifferential and so to have led to underestimation, not inflation, of associations.

Again, this is likely to have been nondifferential and hence not to have led to artifactual associations, especially since EBV serostatus was unknown to respondents and nonrespondents alike. We found a highly significant association between sexual intercourse and EBV seropositivity, with a correlation with increasing numbers of sex partners. These data strongly suggest that sexual contact, or a factor closely associated with it, is an important factor in acquisition of EBV during the teenage years.

Sep 15,   To determine the role of sexual contact in transmission of Epstein-Barr virus (EBV) and occurrence of infectious mononucleosis (IM), a cross-sectional study was undertaken of EBV serologic testing and histories of IM and sexual behavior among new students at Edinburgh by: Here is what I found Drew: Once someone gets mono, the virus stays in that person's body for life. But this doesn't mean that if you've had mono you are always contagious. Over time, the virus becomes less contagious. Eventually, it's very unlikel. Mar 06,   Mono is a viral infection that causes symptoms like fatigue, swollen glands, and a severe sore throat. It's hard to say exactly how long someone with mono is Stephanie Watson.

Because EBV has been found in genital secretions from healthy seropositive men and women [ 78 ], direct spread of virus during sexual intercourse is possible. It is very difficult, however, to distinguish between this and transmission of virus by kissing or orogenital contact during sexual intercourse, and, therefore, an indirect association remains a possibility. Our results show some evidence of a reduction in risk with condom use, which would accord with a direct route of transmission, but the results are not clear cut and need repetition.

Quick background for those of you that don't know how mono works, it's a virus, you have it forever, it takes weeks for symptoms to show, symptoms last about a month and you can be contagious from 1 month before symptoms to up to 18 months after symptoms, though usually its only a month or two but no contagiousness tests exist. Sep 30,   Infectious mononucleosis, or mono, is commonly referred to as the "kissing disease" because it's spread through saliva. Learn what causes mono and how it's treated. Mononucleosis is sometimes called "the kissing disease," but kissing isn't the only way you can get it. Learn from the experts at WebMD how to spot the .

It seems implausible that the association with sexual intercourse could be explained by confounding factors; certainly, there is no known nonsexual etiological factor that could provide such an explanation.

This suggests that, on a statistical basis, only in about half of instances does sexual intercourse with an infected person lead to seroconversion. The analyses of risk in relationship to long-term sexual relationships suggested that risk of infection by an EBV-positive partner is not increased by greater numbers of episodes of sexual intercourse.

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The relationship of risk of IM to age at first sexual intercourse is less clear. Without adjustment for number of sex partners, the relationship was just significant; after adjustment, it was not significant, so it may simply reflect confounding by number of sex partners as the true risk factor.

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In cross-tabulations by both factors, there was mixed evidence of an independent effect of age at first sexual intercourse. If there is an effect, it would be reminiscent of the relationship between the sexually transmitted papilloma virus and cervical cancer and might be due to greater susceptibility for exposures occurring at younger ages.

What is Epstein-Barr? Signs, Symptoms, and Statistics

A larger study is needed to clarify whether age at first sexual intercourse is an independent risk factor. The increase, in percentage point terms, in prevalence of a history of IM with increasing numbers of sex partners e.

May 18,   Epstein-Barr virus is the most common cause of mono (infectious mononucleosis). It's a relatively benign disease that causes minor symptoms such as fever, sore throat, enlarged lymph nodes in the neck, as well as fatigue. Mono usually resolves on its own within a few weeks, although the fatigue may persist. Jul 08,   How long does it take to recover from an Epstein-Barr virus infection? ANSWER Although you should start feeling better in two to four weeks, the . Mar 20,   Dating someone with Mono? I started dating this amazing girl, but on our first date she confessed that she has mono. She got the symptoms 2 months ago, and they have subsided now. We have been on two more dates since, and I am starting to really like her. We still haven't kissed and I really want to.

The It seems unlikely that there were appreciable numbers of students who had had sexual intercourse but replied that they had not; the replies in the questionnaires seemed to be very frank, and this is our experience of the students.

We calculated prevalences of EBV and IM history status in relation to the whole student group as the denominator, but it is arguable whether this provides the best assessment of the effect of intercourse on these factors. Ideally, the analyses would be restricted to individuals who had not seroconverted in childhood and, therefore, were at risk of seroconversion as a consequence of sexual behavior.

Thus, it is probable that many seropositive individuals, if their serological status before their first sexual intercourse had been known, should not have been included in the denominator for the analyses.

Removal of these childhood seroconvertors from the analysis, however, would be likely to increase the associations shown in the tables, as illustrated by the reanalyses of IM risk shown in Results. The prevalence of seropositivity at entry to university was significantly greater among women than among men, a difference not explained by age at first sexual intercourse or number of sex partners.

It might be related to the fact that women tend to have sexual relationships with men older than themselves; for those who have sexual intercourse before university entrance, this might make them more likely to have seropositive partners who would be able to transmit the virus.

The deficit of IM in homosexual students, with evidence of heterogeneity in risk by sex of partner, is based on small numbers, but raises the possibility that clinical severity of infection may be affected by the sex of the partner, because there was not a substantial deficit of overall seropositivity among homosexual men.

Subjects and Methods

The corollary of the finding that sexual contact is associated with spread of EBV is that lack of previous sexual experience is a risk factor for EBV seronegativity. Indeed, among women, three-quarters of seronegative students had never had intercourse. Therefore, this group could benefit from a vaccine that prevents primary EBV infection.

We thank all the student volunteers; the staff of the Edinburgh University Health Centre for their help with this study; P.

Hamill for her efficient organization of student recruitment; T. Alexander, B. Armstrong, A. Bommi-Reddy, T. Haque, C. Maguire, S.

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Morris, H. Nguyen, and J.

Infectious Mononucleosis

Thomas, for their valuable help in recruiting study participants; Z. Qiao for computer programming; I. Anthony, A.

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Ashton, A. Bielski, E. Bonell, C. Boyd, D. Dombagoda, B. Forrest, R. Harper, D.

Dating someone with mononucleosis

MacDonald, I. McWilliam, and K. Matthews, for laboratory assistance; F. Burden, K. Chaggar, D.

Commonly referred to as the "kissing disease," mono doesn't just spread through kissing and it isn't something that just teenagers can get.

Is it possible to contract EBV more than once?

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And does that mean you can get mono. Infectious mononucleosis, or mono, is commonly referred to as the "kissing disease" because it's spread through saliva. Learn what causes mono and how. Spread Reduce risk See your doctor When can you spread or contract mono?

How is mono spread?

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How to reduce the risk of transmission. When to see your doctor. Can You Get Chlamydia from Kissing? Why Is It Painful to Swallow? A hit or fall could make it break open, or rupture.

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A ruptured spleen causes internal bleeding, which is a life-threatening condition. Drink a lot of fluids. If your body does not have enough water, you can become dehydrated. Dehydration can make you feel worse. Rinse your mouth with salt water. This can help soothe a sore throat.

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You can also try sucking on hard candy or eating a Popsicle. Take acetaminophen Tylenol or ibuprofen Advil, Motrin for aches and pains. Do NOT take aspirin. You're more likely to get it if you kiss her while she is having an episode of it.

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