Please continue to see your physician to discuss your new diagnosis of herpes, and to openly discuss your concerns as well as treatment options. As you may have discussed, there are several types of herpes simplex virus, also known as HSV. The strain detected on genital swab can cause both oral and genital herpes, while the other common strain does not typically cause oral lesions. Herpes is a sexually transmitted infection caused by contact with an infected partner. Condoms do not fully protect from transmission. Spread to a partner without HSV is most likely to occur during an outbreak; however, transmission can also happen without a visible outbreak. If you are considering a new sexual partner, it is important to be open about your diagnosis and the risk of spreading HSV before intercourse. Further, oral intercourse carries the risk of spread to the oral cavity, and this should be considered when discussing sexual practices with any partner. If both partners have HSV, you cannot worsen the infection, though intercourse during an outbreak may worsen trauma to the area, which can lead to more pain or more lesions. Please be sure to follow up with your doctor
, as there are medications available that can help alleviate and shorten outbreaks.