[Question #6976] Partners with HSV1(G) and HSV2(G)

10 months ago

I have hsv-2 genital, and my partner has hsv-1 genital.  We need to understand the risks/likelihood of us transmitting what we have to the other person. Specifically via oral sex.  If I perform oral sex on her, can I get HSV-1 Oral?  If so, are the chances greatly reduced by the fact that we already the anibodies for the sister virus? 

If she performs oral sex on me, can she get HSV-2 Oral?  Is there even such a thing?  Are either of these situations avoided or reduced if both of us take valacyclovir daily?

thx

Joe

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
Once a person has HSV 2, they have an extremely low risk of getting HSV 1 - probably around 1 in 50,000.  However, it is possible that she could acquire HSV 2 orally by giving you oral sex.  It's not common because HSV 2 has a strong site preference for the genitalia.  Because she has HSV 1, if she acquired HSV 2, it is likely that her symptoms would be far milder or missed entirely. 

If you take valacyclovir daily, the risk of transmission to her is reduced by almost 50%, definitely something you will want to do if you want to reduce the risk of infecting her.

Terri
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10 months ago
Thank you.  Can you clarify, i am not clear on what you are saying.   I presume you have a two typos in your 2nd sentence.
I am looking to be clear on both oral sex scenarios.  
1. hsv-2 genital male, performing oral sex on hsv-1 female, what is the risk to the male if her hsv-1 is active at the time(asymptomatic shedding)?
2. hsv-1 genital female, performing oral sex on hsv-2 male, what is the risk to the female if his hsv-2 is active at the time(asymptomatic shedding)?

10 months ago
Hello, can someone respond to my questions?

thx
Joe
10 months ago
Hello??
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
Sorry, Joe, I had carpal tunnel surgery last week and was unable to type!
If you have genital HSV 2, then you giving her oral sex is not a risk.  Once you have HSV 2, you are highly unlikely to acquire HSV 1 subsequently.
The second question is answered above, about her acquiring HSV 2 orally.  Highly unlikely but not impossible.

terri


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