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HERWriter Guide

Hello Anon

Thank you for writing!

HSV 1- are cold sores - on the mouth, Most humans have been exposed to this virus.

It can spread to the genitals via oral sex and this is called HSV 2. I think you mean you have genital herpes - HSV-2. I don't know what you mean by HVV -1 - genital.

We don't know what the percent risk of contagion is - nobody can tell you that. Best thing you can do is tell your partner, always use a condom and never have sex during an outbreak. If he chooses not to have genital contact with you, then so be it.

In terms of vaginal fluids - via orgasm or not - there are no percentages as to how high or low the risk is. Since your partner will be wearing a condom, you will protected to a good degree.

If you have oral herpes, don't kiss when you have an outbreak. That's about all you can do.

HSV-2 - genital - is commonly known as genital herpes and is highly contagious. Follow your doctors advice.

There is no cure for herpes. You are looking for percentages and actual levels of risk and there are no such answers to the degree you are looking for.

Many doctors prescribe oral suppressive therapy to prevent frequent recurrences and to reduce the length of an outbreak. There are also topical treatments that could be used. Those experiencing more than six outbreaks a year may be put on additional medication. Antiviral medication could be prescribed, and but must be taken within 24 hours the first signs of an impending outbreak (tingling, itching).

Using condoms (they lessen the risks) is important, but there isn't a guarantee that it can't be passed on.

With regard to oral sex, this can lead to infection of HSV-1 (cold sores) that could then potentially lead to a genital infection via oral sex. But this risk is low.

The bottom line is that most people with STI's have a sex life. Since you told your partner about your situation, he should be well-informed (or get well-informed) about the risks. Having herpes should not stop you from having a sexual relationship with a monogamous partner.

Bear in mind the advice above and take precautions.

Best,
Susan

January 17, 2019 - 5:27pm

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