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Herpes Simplex 1, and oral sex

I've been wondering this for awhile now, as I haven't performed oral sex on my female partner in several years because I gave her genital herpes simplex 1 about 4 years ago. I have simplex 1 in my mouth (so I have cold sores every once in awhile) and while we have taken very precautionary steps to ensure her not having breakouts in the past, we have succeeded in minimizing her recurrent outbreaks. She has been on suppressive therapy for years now (I believe she has been taking valtrex ever since she was diagnosed) and since I haven't performed orally on her for years, her outbreaks have been very small.

My questions now are as follows:

1) Considering I have it, simplex 1, in my mouth, and she has simplex one in her genital area, would performing oral sex on her increase her chances of having an outbreak?

2) If performing oral sex on her, would the simplex 1 virus possibly evolve into simplex 2? I certainly don't want to make her condition any worse than it already is.

3) If performing oral sex would not have any detrimental affects to the already existent simplex 1 disease, are there any further recommendations you could make in ensuring that a breakout not occur, such as bathing right after performing, using mouthwash before performing, so forth and so on?

4) i know of shedding periods that people go through during non-symptomatic periods, are there any ways of knowing if your going through a shedding period? Such as, I just had a cold sore for a week, it healed, is there a given time period that I would have before i begin shedding again, or is the shedding period before the cold sore, and then u are not having a shedding period after it has healed?

Thank you so much for your answers and any advice/recommendations/tips you can provide. It is much appreciated.  

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101028 tn?1419603004
I'd just double check as to how she was diagnosed as having hsv1. Make sure it was a lesion culture of active lesions that was typed as hsv1.

If she's taking suppressive therapy it should be either acyclovir 400mg 2x/day or 500mg valtrex once daily.  You don't take less medication than is recommended just because you've had herpes for a long time if you want it to work.  

Now go tell your wife to shave her legs even though it's the middle of winter because it's going to be a fun weekend at your house ;)

grace
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Avatar universal
She was diagnosed by going to the doctor, I'm not exactly sure of the exact manner that she was diagnosed, but her first initial ob years ago was pretty bad (as they all seem to be), and they diagnosed her with having simplex 1. The doctors emphasized to her that it was simplex 1, rather than simplex 2, just because of the condition that she had during her first ob.

She doesn't have many outbreaks actually, I can't even recall the last one she had in all honesty, it may have been 6 months almost to a year ago.

She decided to go on suppressive therapy because she often is under a lot of stress, and its actually been that way for years now, as the times she finds herself under considerable stress, she has a ob. Sadly, because of her current responsibilities to her work, family, and so forth, she is always under massive amounts of pressure and so forth. And the outbreaks were seriously affecting social and sex life, so she decided to just go on suppressive therapy as a means to really try to make it not an issue without taking other steps to.

I also remember having heard her mention that when you are on suppressive therapy for a certain number of years, stopping the suppressive therapy actually, or staying on it but taking less medication (the same amount, but less than the normal amount u would), your chances of outbreaks decrease. I am not completely sure of this analysis, but this was certainly something that only came about within the past year or so, as I noticed she's been taking smaller doses of her suppressive therapy.

As always, thanks for the advice, good to know this information, and your certainly right, we have missed out on years of fun :). Will certainly not make this mistake again in the future ;-)
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101028 tn?1419603004
Darn shame it took you 4 years to get info on this :(    You two missed out on a lot of fun during that time.  

First of all - how was she diagnosed as having hsv1 genitally? How often is she having ob's?

You have hsv1 orally, she has hsv1 genitally - you won't make each other's infections "worse" or anything. This is a non-issue for the two of you other than if she has an ob you shouldn't be having genital sex with her just to err on the side of caution. Your own hsv1 oral infection gives you significant protection against contracting hsv1 genitally or on other body parts.  

No hsv1 can't turn into hsv2. It's always hsv1 regardless of location.  

Most folks with hsv1 genitally don't have very many recurrences. What prompted her to go on suppressive therapy if you don't mind my being nosey?

grace
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