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Can you spread hsv 2 by...

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Question: When having sex without an ob and on Valtrex, can you spread hsv 2 by the genital's touching another part of the body while having sex? I'm new to all this, I've had hsv 2 for about 8 mts. What are the do's and dont's for sex? In detail.

Most of the times I reject guys; men because I feel that why even date or have a relationship with anybody because of the virus. I'm afraid of rejection. Then again I want to be in a relationship. This is so hard for me! I wouldn't even know how to tell someone I have it or when is the right time to do so.

Any advice for me out there?:roll:

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Sometimes, people get outbreaks while on Valtrex, even though it is usually quite effective at keeping the virus under wraps. In terms of passing it on while on suppressive Valtrex and using safe sex practices (i.e. condom, not having sex during outbreaks), the chances of transmission are somewhere around 2% versus 3.6% who did not use suppressive Valtrex (but still used safe sex, it is assumed). Chances of shedding while on suppressive Valtrex are around 3%. Here's the abstract of the study I'm basing this on:

BACKGROUND: Nucleoside analogues against herpes simplex virus (HSV) have been shown to suppress shedding of HSV type 2 (HSV-2) on genital mucosal surfaces and may prevent sexual transmission of HSV. METHODS: We followed 1484 immunocompetent, heterosexual, monogamous couples: one with clinically symptomatic genital HSV-2 and one susceptible to HSV-2. The partners with HSV-2 infection were randomly assigned to receive either 500 mg of valacyclovir once daily or placebo for eight months. The susceptible partner was evaluated monthly for clinical signs and symptoms of genital herpes. Source partners were followed for recurrences of genital herpes; 89 were enrolled in a substudy of HSV-2 mucosal shedding. Both partners were counseled on safer sex and were offered condoms at each visit. The predefined primary end point was the reduction in transmission of symptomatic genital herpes. RESULTS: Clinically symptomatic HSV-2 infection developed in 4 of 743 susceptible partners who were given valacyclovir, as compared with 16 of 741 who were given placebo (hazard ratio, 0.25; 95 percent confidence interval, 0.08 to 0.75; P=0.008). Overall, acquisition of HSV-2 was observed in 14 of the susceptible partners who received valacyclovir (1.9 percent), as compared with 27 (3.6 percent) who received placebo (hazard ratio, 0.52; 95 percent confidence interval, 0.27 to 0.99; P=0.04). HSV DNA was detected in samples of genital secretions on 2.9 percent of the days among the HSV-2-infected (source) partners who received valacyclovir, as compared with 10.8 percent of the days among those who received placebo (P<0.001). The mean rates of recurrence were 0.11 per month and 0.40 per month, respectively (P<0.001). CONCLUSIONS: Once-daily suppressive therapy with valacyclovir significantly reduces the risk of transmission of genital herpes among heterosexual, HSV-2-discordant couples.

Overall, suppressive therapy and condoms seem to minimize the risks. I also wonder how many of those who ended up getting infected did so due to not playing it safe one way or another. Furthermore, there's no indication of how long the affected partners had been infected. Usually, the instances of shedding and viral activity decrease over the years.

Okay. So the answer to your question is that yes, apparently it is possible to spread herpes while on suppressive Valtrex. It's not very likely if you use safe sex practices (i.e. a condom) and don't do anything during outbreaks. As better drugs come out, it will be even less likely. If the guy performs unprotected oral sex on you, he'll be at risk for getting oral herpes - so watch out for that.

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