How is HSV transmitted?

HSV is transmitted by direct contact of the infected mucocutaneous surface(s) of one individual with the mucosa or skin of another individual. HSV does not survive long outside its normal habitat, and so transmission by contact with fomites is extremely uncommon. It is assumed that HSV-1 is generally transmitted inadvertently during childhood from infected family members, whereas infection with HSV-2 may develop later when individuals become sexually active.