[Question #8753] Herpes

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40 months ago
Hi.  I am a sexually active 70+ year old male.  About 35 years ago, I acquired herpes — and still experience periodic breakouts for which I will take some Valtrex.  Being in a monogamous relationship now, we have researched transmission risks factors but have some uncertainty regarding some of the posted information.  Can you please tell us what the risk is of transmitting genital herpes when there are no visible lesions and a condom is used?  BTW, we have had one intercourse session but decided, after a few minutes, to abort pending acquisition of reliable information.
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Terri Warren, RN, Nurse Practitioner
40 months ago
Condoms reduce transmission by 96%, hugely effective.  In addition, if you decided to take daily antiviral medication, that would reduce the risk of transmission by about 50%, if a condom failed, or, after a while, you decide not to continue the use of condoms. 
With no condoms and no antiviral medicine, having sex about twice per week, with no outbreaks, about 10 women out of 100 will become infected in a year, given those circumstances. 
What other questions about this might you have?

Terri
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40 months ago
Thanks for your helpful answer.  Is it common during the early part of an outbreak to experience nasal congestion, runny nose, sneezing, and mild fatigue and headache?  These symptoms have lasted only a day or two and then everything is fine.
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Terri Warren, RN, Nurse Practitioner
40 months ago
No, none of those are related in any way to a new herpes infection.

Terri
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39 months ago
Oh, I did not mean to indicate that this was my first herpes question.  It seems that flu like symptoms often have accompanied breakouts.  The 97% protection rate with condoms is amazing efficacy.  There seems to be a lot of misinformation on the internet.  I really do not have any other questions but wonder if condoms are that effective against all STIs.  
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Terri Warren, RN, Nurse Practitioner
39 months ago
If it is you that are trying to protect someone else, then yes, condoms are very effective against almost all STI's except they may not be quite as good against the transmission of HPV, the genital wart virus, as they are against others.

Terri
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