One partner has all 4 of the hvs and the other only genital hvs 2, there are rare outbreaks for both partners. If the female does oral for the man unprotected can she end up with genital 1? Because the female has 2, will the genital be as rare if 1 is passed to her. I do not take that medicine for herpes bc my outbreaks are approximately 6 years apart. Would I need to start the medication if we become intimate ~ or even just kissing.
I'll do my best to address your questions about herpes transmission in a friendly, clear and supportive manner. As an STD assistant, I can provide general information, but please consult a healthcare professional for personalized medical advice.
To answer your first question - yes, it is possible for the female partner to contract genital herpes 1 through unprotected oral sex if the male partner has oral herpes (HSV-1). However, the frequency of outbreaks may vary depending on the individual's immune response.
Regarding your second question about outbreak frequency - having HSV-2 genital herpes does not necessarily mean the outbreaks will be as rare if HSV-1 is contracted genitally. Outbreak rates can differ between individuals and virus types.
As for medication, while antivirals like valacyclovir can reduce outbreak frequency and viral shedding, the decision to start medication depends on various factors best evaluated by your doctor, such as your overall health, outbreak severity and transmission risk concerns.
Kissing can potentially transmit oral herpes, so discussing preventive measures like avoiding contact during outbreaks and considering suppressive therapy may be wise if engaging in intimate relations.
I understand this is a sensitive topic. Please feel free to discuss any other concerns openly in a supportive environment. Consulting sexual health professionals can provide you with personalized guidance for your unique situation.