I am a 62 yo female with genital HSV1 (confirmed by WB) since 1985-transmitted orally by my previous long term partner. I've had 5-6 recurrences, last one 2 years ago. I'm now nervously planning to disclose to a potential new partner, so need to have my facts straight- hope you can confirm points I've gleaned from the forum and answer associated questions:

·         If my partner already has oral or genital HSV1, no steps against transmission are needed.  Question:  How strong is the data supporting this recommendation?

·         Based on your clinical observations, transmission via vaginal intercourse is rare, but there is one case report in the literature. Studies have not been done, so actual transmission rate is unknown. Questions:  A. Are studies underway to define transmission rate and inform practice? When are results anticipated? B. If genital to genital transmission is rare, why is condom use and chronic antiviral suppression recommended for sero-discordant couples? If only a few infections are prevented, is drug treatment worth the expense or risk of viral resistance and side effects? Emotionally it's appealing to do everything to avoid the awful prospect of infecting your partner, but does it medically add up?  

·         Contagiousness is highest the first year after infection, and tends to decrease with time. Question: Is there information that people like me who continue to have outbreaks remain more contagious, and thus antiviral therapy might be considered more strongly?  Thanks for the help.

Thank you for your reply-just what I looking for.  I'm relieved to say that I had "the talk." He has history of cold sores, and was very understanding, but point 1 is now especially important to me. I agree that HSV1, has had almost no impact on my life physically (and that's 33 years worth), with the emotional aspect being significantly more difficult, especially concern about infecting other people.  Knowledge (and honesty), have  been helpful In addressing those feelings, and am grateful this forum exists and provides accurate  and detailed information.

     In 1985 I had typical symptoms of genital HSV after oral exposure (my partner had a cold sore that was just appearing). I have never had a  cold sore. After a lot of angst, we did the research, realized what had likely occurred, and elected not to test since we were mutually monogamous for many years.  After that relationship ended, I  recently chose to be tested to verify HSV1  (HSV2 was negative), and WB appeared to be the best way to give the most accurate answer in the absence of an outbreak. I realize WB testing doesn't differentiate site of infection, but based on my history, genital HSV1 seems probable.

     I do have an additional question- having to do about STI testing recommendations in women.  It is not strictly related to my first, so wondering if acceptable to ask in this thread.