Oral sex is not necessarily out of the question if either partner has herpes, but it does require understanding the risks based on the type of herpes infection involved. 1. HSV-2 oral infections ar...

I want to make sure I’m understanding correctly. I have hsv-2. I am a woman. If my partner performs oral sex on me the chances of transmittal to him is rare?

I am in antivirals and no outbreak. Thank you.

"Oral sex is not necessarily out of the question if either partner has herpes, but it does require understanding the risks based on the type of herpes infection involved.

1. HSV-2 oral infections are rare. If one partner has genital HSV-2, the risk of transmitting it through oral sex is extremely low, as HSV-2 prefers the genital area. Still, avoiding skin-to-skin contact during an active outbreak is advised.

2. HSV-1 (oral or genital) carries more risk during oral sex. If one partner has oral HSV-1, they can transmit it to the other person through oral sex, leading to genital HSV-1 in the partner. Similarly, someone with genital HSV-1 can transmit it through oral sex to the other partner’s mouth.

3. Avoid skin-to-skin contact during outbreaks. Outbreaks are when the virus is most contagious. It's essential to avoid any direct contact with sores or affected areas during this time, whether it’s through genital contact or oral sex.

4. Suppressive therapy can reduce transmission rates. For individuals with genital herpes, daily antiviral medication (such as valacyclovir) can reduce the risk of transmission by about 50%, and condom use further lowers the risk. Even without an outbreak, suppressive therapy combined with other precautions can significantly reduce the chances of passing the virus.

While the risk can't be eliminated, open communication, using protection, and suppressive therapy can make oral sex a safe option in many cases."