Dr. Vanessa Cullins: My Partner Has Herpes. Cheater?

Hello again,

A couple of years ago, a young man asked me an interesting question about herpes. He said he'd been with his current partner for six months and just got diagnosed with herpes. He said his partner swore she didn't cheat on him. He wanted to know if he should believe her.

My advice to the young man was, "Believe her until you have real evidence to not believe her." Herpes may not be the evidence that a partner is cheating. A person can be infected with herpes for years -- even a lifetime -- without knowing it. That's why it is possible for herpes to break out in someone whose partner has been sexually faithful.

The infection could have been there long before they met. A weakened immune system or other stress can cause an outbreak long after infection occurred.

At least 50 million U.S. women and men have herpes. One million people find out they have it every year. Millions of others have it but don't know they do. More than 40 percent of all these infections occur in our community. With so many invisible infections being passed around, herpes has become one of the common risks of being sexually active.

Of course, folks who have active herpes sores shouldn't have sex with anyone else until the sores are totally healed. But if we find ourselves with an outbreak of herpes, trying to figure out who to blame will not be helpful.



Instead, take these steps if you think you have herpes. First, see a health care provider for an accurate diagnosis. Do not have sexual contact during the outbreak. Use condoms to reduce the risk of passing the infection when you do have sex. And talk with your clinician about medications that can reduce the number of outbreaks and the chances that you will pass the infection on to others.

The herpes virus stays in the body for a lifetime. So, it's good to know that women and men with herpes can lead healthy and happy sex lives by practicing safer sex and following the good advice of their health care providers.

Herpes is just one of many sexual health issues important to our community, so I'm looking forward to talking with you again soon. Until next time, when we'll talk a little bit about chlamydia, here's to your sexual health,

Vanessa

Vanessa Cullins, MD, MPH, MBA, is a board-certified obstetrician/gynecologist and vice president for medical affairs at Planned Parenthood Federation of America.

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