If both partners in a couple have herpes (either HSV-1 or HSV-2), the main consideration is that they can potentially pass the virus back and forth to each other. This means that there is a possibility of reactivating symptoms through sexual contact, which may involve outbreaks of sores on the genitals or mouth.

It's important for couples with herpes to communicate openly about their status, practice safe sex by using condoms consistently, especially during active outbreaks, and considering antiviral medications as recommended by healthcare providers to help reduce transmission risk.

While having herpes as a couple does not necessarily cause any additional health complications beyond managing flare-ups together, it requires understanding and management strategies for both partners. It's always advisable to consult with healthcare professionals for tailored guidance based on individual circumstances.