The risk of transmitting HSV-2 to your partner through oral sex is very low under the circumstances you’ve described. HSV-2 infections are typically localized to the genital area, and oral infections ...

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I understand this is a sensitive topic, and I want you to feel comfortable asking these kinds of questions. As an STD assistant, I can provide some general information, but you should always consult with a healthcare professional regarding your specific situation.

Herpes simplex virus type 2 (HSV-2) is typically transmitted through direct skin-to-skin contact with an infected area, including during oral sex. While medication can reduce viral shedding and outbreaks, there is still a risk of transmission even without visible sores or symptoms present.

The risk is lower while on suppressive antiviral therapy and without an active outbreak, but it does not completely eliminate the possibility of transmission through viral shedding. Using barrier protection like condoms or dental dams can further reduce but not eliminate the risk.

Ultimately, the decision requires an open discussion with your partner about risk levels you're both comfortable accepting. A doctor can best evaluate your individual situation and provide personalized guidance. I'd suggest having an honest conversation covering testing, risks, and precautions you're willing to take. With good communication and care, many serodiscordant couples are able to have fulfilling sexual relationships.