[Question #14029] GHSV1 and GHSV2

 
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1 months ago

Hi docs, in 2019 I contracted genital HSV-1 from a partner with oral HSV-1. It ended up being very manageable: one minor PCR-confirmed outbreak, no recurrences, and disclosure was rarely an issue. In 2025, I began dating a partner with genital HSV-2. I believed she was taking suppressive therapy consistently, but she was not, and I contracted genital HSV-2 shortly after we started dating. Fortunately, my symptoms have also been mild, and daily 500 mg valacyclovir has stopped outbreaks aside from one brief stress-related recurrence after our breakup this April. My question is: from both a medical and practical perspective, how should someone with both genital HSV-1 and HSV-2 think about future relationships, disclosure, and transmission risk? I’m struggling emotionally with the idea that intimacy may never feel spontaneous or carefree again, and I’m afraid future partners won’t accept me despite my symptoms being mild and well-controlled. Thank you for your time.

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Terri Warren, RN, Nurse Practitioner
1 months ago
This is a very complicated subject, and one that won't be easily answered in this format.
Many people with both viruses live full and wonderful lives with partners who accept their diagnosis and love them for all the other good things they bring to the relationship.  No, intimacy won't be as spontaneous or carefree as it has been in the past.  Some people will say they can't take this risk with you but others will see past this skin condition and be ready for a very good relationship with you.
I hope you'll consider reading the Herpes Handbook at westoverheights.com for more information on disclosure and transmission risk and perhaps read the forum for things other people have to say about herpes in their lives.  Feel free to ask additional questions here.
Terri Warren
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