Hi Dr. Terri,

I recently changed my primary care provider and tested positive for HSV-1 and HSV-2 on a blood panel. I’ve never had noticeable herpes symptoms (no lesions/sores) and no known exposures. My partner and I have been in a monogamous heterosexual relationship for the past 7 months with unprotected sex. He has tested negative for HSV-1 and HSV-2 three times.

Given this mismatch, I’d really value your guidance on:

1. Testing accuracy & next step:

   • Do you recommend a confirmatory Western Blot , I have had Roche Test thrice and tested positive

2. Risk reduction for a discordant couple

   • Besides abstinence, what is the best current strategy to reduce transmission from me to my male partner? I have never had any symptoms and in the 7 months we have had unprotected sex he has tested negative?

3. Oral sex & HSV

   • Is oral sex safe if I have no symptoms?