[Question #5059] Non insertive frottage HSV2

24 months ago
Hi Terri.  I am still trying to assess what are the most low risk exposures. Background - I have had HSV2 for 40 years, have been taking Valtrex 1 gram once a day every day for 3 months.  My initial outbreak was vaginal but for the past 15 years or more they are only anal - about 3 times a year. Question is about your feelings on the percentage of risk of vaginal frottage.  I have read all the posts on the website. One in particular sounds like what we have done 3 times in the past 2 weeks. It was question #681 which you answered.  A man rubbed his penis on the vagina/clitoris of a woman and asked of HSV2 risk. You said chances quite small of acquiring HSV this way and you were not aware of people having contracted herpes from frottage but rubbing has a risk. 

In a standing position I took my boyfriends penis in my hand (it was not totally hard) and rubbed the head of it inside the vaginal lips and at the vaginal opening. No insertion.  Each time it was for a maximum of 15 seconds but probably closer to 10 seconds as he was already excited and it didn't take long.  The other two doctors seem to feel with no insertion there is a theoretical risk but quite small.  Since actual intercourse with no outbreak and with the valtrex has an average risk of 2% over the course of a year with sex twice a week, wouldn't what we did have a much smaller risk?

I know rubbing on the outside of the vagina would be pretty close to no risk, what is the risk percentage do you feel rubbing on the inside with no penetration.


23 months ago
Reply please?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
I would agree that there is a theoretical risk for very small.  And yes, a much smaller risk than intercourse.  I'm so sorry that I can't give you an exact percentage but way less than 1% I would think - way less.  Does he know about your herpes situation?

Terri
---
23 months ago
Yes. So even though it was inside but not actual intercourse a small risk. Did I also read that since my outbreaks are anal that during an outbreak I would shed vaginally 25% of the time. The 25%  iisnt all the time even with no outbreaks, right?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
The correct statistic here is that 25% of the time when a person has an outbreak on the buttocks, they are also shedding from the genital tract.  Slightly different scenario.

Terri
---
23 months ago
I have one last question. Before I started taking Valtrex all my outbreaks were basically in the same place and were a cluster of watery blisters. Now I am getting random red spots (usually single) with no fluid and in a different place every time. Happening every 3 weeks or so even on daily Valtrex. Now I have a line of 3 each about an inch apart. Don’t look watery and no cluster. Tried to pop one. No pus or anything that I could tell.  They don’t last more than a couple days. Herpes sores or what?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
23 months ago
That sounds nothing like a herpes outbreak to me but the way to be more clear is to have one swab tested when they first appear.  it doesn't make sense that Valtrex would cause the appearance of outbreaks to change that much

Terri
---