Transmission concerns

[alanplm]

So now very little research msm transmisdion I’m msm anal receptive hsv localized on inside a butt cheek
Hsv positive many yrs prob over 15 by now /daily med 500 MG valcyclovir..outbreaks extremely rare
as I can’t know viral shedding what are the risk for anal insertive partner w condom vs no condom
Condoms reduce 50 ? W meds ? Eould you advise lysone as well ? Your insight appreciated !

[Terri Warren]

I would not really advise Lysine, no. If your partner uses a condom with anal insertive sex, I would say we could extrapolate from vaginal penile sex with a condom and say it reduces transmission by somewhere around 90%. Combine that with the valacylcovir and your risk of transmitting to a partner is very low.

Terri

[alanplm]

Do you think 500 mgs daily is enough to reduce outbreaks and hopefully viral shedding and could the virus shed in other areas aside from the infection spot ?

[Terri Warren]

yes, 500 mg is a typical dose and the dose used in most studies of reduction of symptoms and transmission. Condoms reduce transmission by 96% from men to women so it should apply to you as well?

Terri

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