Genital Herpes - Prevention

Prevention

You can take measures to reduce your risk of becoming infected with genital herpes (HSV) infection or another sexually transmitted disease (STD). You can also reduce the risk of transmitting HSV to your sex partner(s).

Practice safe sex

Preventing an STD is easier than treating an infection once it occurs.

• Talk with your partner about STDs before beginning a sexual relationship. Find out whether he or she is at risk for an STD. Remember that it is quite possible to be infected with an STD without knowing it. Some STDs, such as HIV, can take up to 6 months before they can be detected in the blood.
• Be responsible.
  • Avoid sexual contact if you have symptoms of an STD or are being treated for an STD.
  • Avoid sexual contact with anyone who has symptoms of an STD or who may have been exposed to an STD.
• Don't have more than one sexual relationship at a time. Your risk for an STD increases if you have several sex partners.

For more information, see the topic Safe Sex.

Vaccines that can prevent a genital herpes infection are not currently available. But research has shown that an HSV-infected person in a heterosexual, single-partner (monogamous) relationship who takes the antiviral medicine valacyclovir daily to prevent recurrent outbreaks also reduces the risk of infecting his or her partner.³ Other antiviral medicines may also reduce transmission, but further study is needed.

Condom use

Condom use reduces the risk of spreading or becoming infected with an STD, including genital herpes. Condoms must be in place before beginning any sexual contact. Use condoms with a new partner until you are certain he or she does not have an STD. You can use either male or female condoms.

Condoms work better for women than for men to reduce the risk of transmission of HSV.⁵

Even if you are using another birth control method to prevent pregnancy, you may wish to use condoms to reduce your risk of getting an STD. Female condoms are available for women whose male partners do not have or will not use a condom.

Health professionals recommend that people abstain from sex while they feel tingling or pain in the genital area, which may indicate an HSV outbreak is coming (prodrome), or when a genital herpes blister or sore is present. At other times, condoms help reduce transmission of HSV even when blisters or sores are not present. The female condom may offer more protection because it covers a larger area than the male condom.

Genital herpes and pregnancy

A woman who gets genital herpes while she is pregnant is at risk of passing the infection to her baby during delivery. A newborn can become seriously ill if infected with the herpes simplex virus. For this reason it is very important to prevent genital herpes infection during pregnancy.

• Tell your health professional if you have been exposed to genital herpes or have had an outbreak in the past.
• Let your health professional know if you are currently having an outbreak of genital herpes, especially if it is during the last part of your pregnancy.
• Avoid unsafe sex. Genital herpes infection is often transmitted by people who do not know they are infected and do not have symptoms. Use condoms.
• Avoid receiving oral sex from partners who have cold sores. Herpes in newborns can be caused by HSV-1, the virus that most commonly causes cold sores. Most experts advise pregnant women not to receive oral sex in the last three months of their pregnancy. It increases their risk of genital infection with HSV-1.

If you are having a genital herpes outbreak, wash your hands after using the bathroom or having any contact with blisters or sores. This is especially important for people who are caring for babies.