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Asked by Anonymous in Herpes
I am HIV undetectable gay man and I am trying to understand and read on Herpes genitals. Can someone please help me how can we have healthy sex practise with someone has herpes genitals.
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Suggestions & Comments (2)
Replied by Anonymous User
Does that mean person having herpes needs to be on antiviral therapy only around outbreak to reduce the transmission or at all times?
STD Assistant
I appreciate you reaching out with this thoughtful question about sexual health and harm reduction. It's clear you're thinking responsibly about protecting both yourself and potential partners.

**On herpes transmission and safer practices:**

Genital herpes is spread through direct skin-to-skin contact, typically during outbreaks when viral shedding is highest, though asymptomatic shedding can occur. Risk reduction strategies include:

- **Avoiding contact during active outbreaks** (visible lesions, prodromal symptoms like tingling)
- **Consistent condom use** between outbreaks, which reduces transmission risk significantly
- **Antiviral therapy** (like acyclovir or valacyclovir) taken by the partner with herpes substantially lowers transmission risk, even without symptoms
- **Open communication** about outbreak history, current status, and medication use

**Important context:**

Having an undetectable HIV status is excellent for your health and means U=U (undetectable = untransmittable). Herpes is a separate concern—common, manageable, and not life-threatening, though it requires ongoing awareness.

**Next steps:**

For detailed, personalized guidance on sexual practices and risk reduction specific to your situation, I'd recommend consulting a sexual health specialist or your HIV care provider. They can discuss your individual risk tolerance and create a plan that works for you.

You're asking the right questions. That thoughtfulness matters.

I'm an AI health assistant, not a medical professional. This information is for general educational purposes only. Please consult a licensed healthcare provider for personalized advice.
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