[Question #7341] HSV-1 and Anal Sex

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58 months ago
Hello,


So I found out many years ago via bloodwork that I am HSV-1 positive. I tested twice a couple of years apart and both igg levels were over 5.


I have been considering starting a friends with benefits relationship with a man. I am a man as well. This would be the first time I’ve had sex since finding out.


I did not want to keep my hsv-1 status a secret but found it hard  to actually say the word herpes so I told him I had cold sores in the past (which isn’t true). He got the message. He knows cold sores mean hsv-1 .


I TRULY believed he would not want to continue discussing having sex with me at all. I was sad but felt proud of myself for telling him about my status.


I was quite shocked when he came back a few days later. He wants to skip oral but is still very interested in performing anal sex with me (he’d always be the top and he’d always wear a condom). We won’t kiss and I won’t perform oral on him.


My dilemma comes from the fact that although I have HSV-1, I don’t truly know where it is. I’ve been guessing it’s oral because that’s where it usually resides but I’ve never had an outbreak anywhere of any kind as far as I can tell.


If it wasn’t for the bloodwork, I wouldn’t even know I have HSV-1. 


I spoke with my doctor and he’s written me a prescription for valtrex as a means for daily suppression and I’ve already started taking the meds.


 don’t know what I should tell my potential fwb now. I don’t even know how likely it is I have genital hsv-1 as opposed to oral hsv-1. I’ve also not had many different sexual partners that I’ve had anal sex with. I’d say 3 men total.


I really was trying to do the right thing but now I’m not sure what to say, if I should say, or if me and him will both be ok with the steps I’ve taken. I do not want to give him anything. What should I do?

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Terri Warren, RN, Nurse Practitioner
58 months ago
You have disclosed your status and good for you for doing so.  If you are not going to give him oral sex and condoms will be used for anal intercourse, and since HSV 1 genital infection, if you have that, is so rarely transmitted through intercourse, you have done enough.  Since about half the population of the US has HSV 1 infection, I'm certain he's come into contact with others who have HSV 1, and indeed he may actually be infected himself.  Has he actually been tested, do you know?

Terri
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