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HSV 2 infection with new HIV + partner

Mar 25, 2012

I recently started to date a man who is HIV + whom I like quite a bit. Over the last year I had been with someone who did say they were "clean" as I had thought myself. I have not had what I consider many sexual interactions. I did have some upper respiratory infections, swollen neck glands and when anxious I would get a bit sweaty, and at times some discomfort in pelvic region. I went to the Doctor and had some blood work to check for any other STD including HIV. HIV was neg, but I was positive for HSV1/2. I know I've had cold sores throughout my life since I was younger. The nurse suggested Valtrex as a daily med for life. My younger sister has been living with HSV2 for nearly 20 yrs, has married, and claims no outbreaks and does not use safe sex with her spouse and says her spouse has had no issues. What are the concerns between my new HIV+ friend and myself. I like him alot but am concerned this would be a difficult thing for me to deal with as I do not want to hurt him or his health further. I contacted the person I was with and notified him of my HSV status and all he said was "Thanks, now I know", I told him it was considered STD and he should be checked....he didn't seem to be much concerned and now my mind spins about other potential problems.

Response from Dr. Holodniy

A positive antibody status indicates a chronic infection with HSV2. Although many people will have symptoms when they have a genital outbreak, woman can be asymptomatic and still be shedding virus in the genital tract. There is thus the possibility of transmission through unprotected sex.

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