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I've seen the statistics showing how wide-spread HSV-2 has become and at this time, we have not been intimate. She just began taking Valtrex and we've had a number of conversations to discuss this, where we are in our relationship and how we would like our relationship to progress.
While I plan on speaking with my physicial and being tested for HSV-2 and other STDs as a precaution. Assuming my test results come back negative:
- What are the possibilities of contracting HSV-2 through protected sex?
- Does HSV-2 preclude a couple from engaging in oral sex between outbreaks?
- Are there other ways to supress the virus other than or in addition to Valtrex/other meds?
- Are there other precautions we can take (beyond using a condom) that will lessen the possibility of transmitting the virus and protecting our individual health?
Many thanks in advance. Thoughts from those with a similar experience will be most appreciated.

if you two did nothing but avoid sex any time she had anything going on genitally, you are 96% likely each year NOT to contract hsv2 from her. If she takes daily suppressive therapy and you use condoms, you are 99% likely each year NOT to contract hsv2 from her on average.
can you get hsv2 orally? yes you can but the risk is low. Her being on daily suppressive therapy helps to protect you too. You can also discuss only having protected oral sex too for even more protection.
I'll be honest - I was extremely nervous about getting into a relationship with her because of herpes but between research and books; comments posted here and other threads; and most of all, her honesty and openness, I feel 100% certain that I can have a fulfilling relationship with a very special woman.
Many thanks ~

I do know it's more likely for a girl to contract hsv2 from a guy then it is for a guy to contract it from a girl.
I was just wondering where you were getting your statistical information from. I'm just trying to do all the research I can, so I can make the best decision.
The guy I'm dating is a great guy. I hate to walk away from a good relationship due to hsv2. But I need to understand my risk.
Thanks!
We have not become intimate with each other, but moving in that direction and he wanted to be open and honest with me about it, to which, I absolutely appreciated and thanked him about doing so. Now the ball is in my court on what to do. I feel as though with proper research and discussions with my own primary doctor and discussions with other people going through the same thing, maybe there is a way I can live with it and we can move forward with our relationship - I mean, I owe him at least that much after having him tell me. That alone speaks volume on his character - which makes me like him even more! BUT I'm with you, I want to fully understand my risk to make the best decision.
I'm equally curious on your questions and my biggest question is, if there is no evidence of outbreak *no blister* and we were to have unprotected sex, what is my risk of contracting?
Also, same goes for if I were to apply oral sex with no evidence of outbreak, can I contract this virus in my mouth?
If anyone can help us with our concerns, it would be greatly appreciated!
Good luck Lorraine!!
The CDC confirmed that if the guy is on supressive medication that it only protects him from transmitting hsv2 to you by 50%. Even if he's not having an out break.
I've read that condoms will protect you up to 30%, but I wasn't able to get CDC to confirm this. My understanding is, that condoms will protect you, only if the condom covers the area where the guy has his out breaks. For example, if the guy has out breaks at the base of his shaft or in the ball area, your not going to be covered with the condom.
A guy can transmitt hsv2 to you even when he's not having an outbreak. And yes my understanding it can be transmitted to your mouth if you were to give him oral.
My statistics I was given by the CDC and what I have read online doesn't fall in line with what betsyo had listed, and that is why I had asked where she had gotten her info. I'm not saying her info isn't correct. I was actually wanting to know where she got it from so I couldn't read more info, and do more research. I'd love to find that her info is correct. It would make me feel a lot more comfortable and make my decision a lot easier. As her statistics look much better then mine.
I highly suggest to you that you call the CDC and talk to someone to get your questions answered. They are very helpful and will answer any questions you have.
I hope this helps. Good luck! I know how hard of a decision this is.
I found this website with some of the statistics Betsyo had come up with. This makes a lot more sense. And makes me feel a bit better. Take a look at this site. Under Prevention.
http://en.wikipedia.org/wiki/Herpes_simplex
Thanks so much for your very detailed response!! I will most definitely take that website info and check it out.
I would scare myself away from this man if I started thinking that even kissing him would put me at risk. I want to be as informed as possible. Trouble is, trusting the source of information.
On a side note, he has told me that in the 2 previous long term relationships he had (one for 4 years and the other for 2 years) that both partners agreed on unprotected sex during non-outbreak and to this day, he said neither of them have had any evidence of contracting. He also said that he read somewhere on this site that a woman can have the HSV2 virus, and show absolutely NO evidence or outbreak of it and spread it unknowingly. WOAH. Is that something you've come across in your findings??
I guess my other question is, how soon after contracting, would an outbreak occur? Is it immediate?
THis is pretty scary stuff....I've tried to call my own doctor who is on vacation for the next week. Trying to stay sane, but it's hard - the more I'm with this new man, the more I can see falling for him!
Thanks again for your help.
From my understanding tranmission of HSV2 happens during shedding, which is just prior to an outbreak, and then also during an out break. Some people will know when their shedding and others will not.
I have spoken to the CDC, my gyno Dr and also have done a TON of research. I highly suggest you do the same. I also suggest you speak to the guy you are dating. He needs to understand your concerns. You should also understand where physically his out breaks are. Whether a condom will cover that are. If so, you are in luck and protected a lot more then others who might have an out break in an area that a condom might not cover. Like around the base of the shaft.
No matter how much info you have, and no matter how much you understand HSV, I understand how hard of a decision this is. It's been very difficult for me.
I wish you the best of luck.
All this is mentioned in the herpes handbook that we reference regularly here and is listed in our resource center.
the reduction in transmission info comes from the valtrex and reduction in transmission study - NEJM jan 2004 ( I think that's the year ).
You are correct on your condom info too. It is a 30% reduction. that comes from a recently published study ( totally blanking at the moment on the journal and date ).
HOW LIKELY BETWEEN OUTBREAKS AM I TO CONTRACT
THIS DISEASE?
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