June 2, 2019 at 5:31 pm #37933
I’m a heterosexual male with HSV2 (via IGG test I had a few months ago. Never have OBs but never bothered to get tested again because my sex life has not changed, I simply just disclose and haven’t had any issues).
I’ve read that HSV2 increases the risk of contracting HIV by 2-3x depending on which source you read.
As a heterosexual male, who engages in protected condom sex (unless my partner has been tested to be STD free), should I really be worried about an increased risk of contracting HIV?
I don’t have sex with prostitutes/sex workers and exclusively have sex with women.
My understanding is that protected vaginal sex has a less than 1% transmission rate of HIV (female infected, male not infected).
So in your opinion, is this something you think I should be worried about?
June 3, 2019 at 12:57 pm #37969
First, it would be useful to look at the index value of your positive antibody test. If your index value falls between 1.1 and and 3.5, there is a possibility of a false positive here, particularly since you’ve not had an outbreak.
While it is true that HSV-2 significantly increases the risk of acquiring HIV infection if you are having sex with someone who is HIV infected, using condoms and asking partners to be tested isn’t easy way to deal with this increased risk. If your partner is HIV negative, this is a nonissue. If you are having sex with someone who is HIV-positive, condoms are an effective method for reducing your risk of acquiring HIV.
Does that answer the questions that you had?
June 9, 2019 at 2:21 pm #38096
I suppose the question I’m asking is, in general, should I be worried about contracting HIV if I’m having casual sex since the risk is heightened due to having HSV2.
Additionally, do I have some protection against HSV1 oral since I already have HSV2 and am taking 500 mg valtrex daily?
And if I’m with a partner and we are engaging in oral sex, should I be worried about transmitting my HSV2 to them if they perform oral sex on me?
June 12, 2019 at 9:36 am #38187
So you aren’t answering my question about your index value so I am going to answer assuming you have HSV 2.
If you are having casual sex with people who you do now know have been tested for HIV then there is some risk for acquisition of HIV.
You do have protection against HSV 1 if you already have HSV 2, yes
There is some small risk of someone acquiring HSV 2 orally by giving you oral sex but that is quite uncommon.
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