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Odds I infect my partner with Ghsv1 while being on Acyclovir.


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Hello all , about 5 months ago I was diagnosed with Genital hsv1 .I just got into a relationship with this woman and she is negative for both types. This is my 4th day being on suppressive therapy (Acyclovir x2 a day). I know she doesn't want me to wear condoms and most likely it will stay that way. I really love this girl but don't want to infect her. I will also receive unprotected oral , what are the odds she gets it orally? I have already disclosed .

I know that if we go by statistics it is much more likely she would get genital herpes by someone who has oral hsv1 since the virus sheds more than genital

Given that I will only be on supressive therapy what is the percentage I can transmit this virus to her? Am I risking it too much? just being on antivirals? any comments or personal experience would help. Thank you .

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There haven't been any studies done on this, so there aren't any statistics to share unfortunately. Chances that you would transmit the virus are very very small. So I don't think it is too risky, and you have disclosed, so everything seems a-ok there. There is a chance she may already have oral hsv, as many people do. Just don't have sex if you are having an outbreak or feel you are about to have one and it should be pretty safe.

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I'm really curious what experience people with genital hsv-1 have with receiving unprotected oral sex. I just started a relationship with someone who's really eager to do it, but neither of us are comfortable with the risk. I wonder if it's actually a really really small risk that we're both worried about. Hearing anyone's personal experience about whether or not they transmitted to their partner from receiving oral sex would help, especially when there's no studies!

I read this article where two leading experts on STIs talked about how genital-to-genital transmission of hsv-1 is really rare to the point that they haven't encountered it with any of their patients: http://thehairpin.com/2013/11/how-i-found-out-i-didnt-have-the-herpes-id-been-living-with-for-four-years/

Maybe that'll help you to better gauge how you feel about the risk of not using condoms.

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