5 doctors weighed in:

Woman I am involved with has herpes over 20 years, takes valtrex (valacyclovir). How safe are we if we start having sex?

5 doctors weighed in
Dr. Rahil Malik
Obstetrics & Gynecology
3 doctors agree

In brief: Risk exists

You can transmit herpes via sex even if your partner is not actively shedding or has active lesions.
While Valtrex (valacyclovir) can prevent outbreaks from herpes lesions, it in itself is not a cure and only a drug to suppress outbreaks. Condoms can drastically reduce but not entirely eliminate the risk of transmission.

In brief: Risk exists

You can transmit herpes via sex even if your partner is not actively shedding or has active lesions.
While Valtrex (valacyclovir) can prevent outbreaks from herpes lesions, it in itself is not a cure and only a drug to suppress outbreaks. Condoms can drastically reduce but not entirely eliminate the risk of transmission.
Dr. Rahil Malik
Dr. Rahil Malik
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Dr. Hunter Handsfield
Internal Medicine - Infectious Disease

In brief: Low risk, not zero

Over many years, recurrent outbreaks of genital herpes become less common and so does asymptomatic viral shedding, i.
e. transmission risk without an outbreak. After 20+ years and taking valtrex, the risk probalby is low. But not zero. You can further lower risk by consistent condom use. Some couples in this situation don't worry and just let it happen, since effective treatment is available.

In brief: Low risk, not zero

Over many years, recurrent outbreaks of genital herpes become less common and so does asymptomatic viral shedding, i.
e. transmission risk without an outbreak. After 20+ years and taking valtrex, the risk probalby is low. But not zero. You can further lower risk by consistent condom use. Some couples in this situation don't worry and just let it happen, since effective treatment is available.
Dr. Hunter Handsfield
Dr. Hunter Handsfield
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