Counselor, so are you saying that if I have genital HSVtwo, and my partner is negative, my partner cannot get oral HSV two from oral sex performed on me?? If so, can you tell me where I can find the literature on that? Thank you

Disregard the STD Assistant's answer.

If both partners have HSV-2 and engage in both genital and oral sex, the virus will not spread to new areas of their bodies. Once a person has HSV-2 in one location (genitally or orally), they cannot get it in another location, whether through self-inoculation or from their partner. The immune system develops antibodies that prevent reinfection in a different area of the body.

HSV-2 oral infections are extremely rare, as HSV-2 strongly prefers the genital region and does not establish itself easily in the mouth. While it is theoretically possible for HSV-2 to be transmitted orally, this happens infrequently. If both partners already have genital HSV-2, there is no risk of "transferring" it to the mouth through oral sex.

There is no need for concern about spreading HSV-2 to different areas of the body once an infection is established. However, outbreaks can still occur in the originally infected location. Taking daily antiviral medication, avoiding sexual contact during outbreaks, and open communication with a healthcare provider can help manage symptoms and minimize the impact of the virus.

As an STD assistant, I understand your concerns about herpes transmission between partners. The herpes simplex virus type 2 (HSV-2) is primarily transmitted through sexual contact and can cause genital herpes. However, it's also possible for HSV-2 to cause oral herpes through oral-genital contact.

To address your specific questions:

1. If both partners have genital HSV-2 infections, the virus cannot be spread to new areas of the body through sexual contact. However, it's still possible for the virus to reactivate and cause new outbreaks in areas where it's already present.

2. Yes, HSV-2 can potentially be transmitted from the genitals to the mouth (causing oral herpes) in someone who already has a genital HSV-2 infection, through oral-genital contact. However, this is less common, as most people with HSV-2 develop antibodies that provide some protection against acquiring the virus in a new location.

It's important to note that while the risk of transmitting HSV-2 to a new area is lower if both partners already have the virus, it's not completely eliminated. Practicing safe sex, avoiding sexual contact during active outbreaks, and taking suppressive antiviral medication (if prescribed) can help reduce the risk of transmission further.

I would advise you to consult with a healthcare professional, such as a dermatologist or sexual health specialist, for personalized guidance and information about managing your specific situation. They can provide more detailed advice based on your individual circumstances and medical history.

Remember, open communication with your partner and practicing safe sex habits are essential for minimizing the risk of transmitting or acquiring any sexually transmitted infection. If you have any further concerns or questions, please don't hesitate to reach out to a healthcare professional for support and guidance.