Worried About HSV-1? How to Tell a Partner and Manage Symptoms

Herpes simplex virus type 1 (HSV-1)is the virus that causes cold sores (oral herpes) and, sometimes, genital herpes. Because the breakouts are fairly easy to manage and complications are rare, you may think that HSV-1 is not something to worry about.

However, it is easy to pass the virus on to others, and in some instances, having genital herpes increases the risk of getting other sexually transmitted infections (STIs). So, discussing your diagnosis with your partners is important.

Is HSV-1 Nothing to Worry About?

Cold sores typically aren’t anything to worry about and can be easily treated. But that doesn’t mean HSV-1 is harmless.

Cold sores usually appear as a single watery blister on the lip or mouth, or several blisters that consolidate into one. They can be painful, but typically crust over and begin to heal within four to six days.

But HSV-1 never goes away. If you develop another cold sore, the virus can spread more easily. This can occur through saliva and direct contact.

HSV-1 is easily passed through kissing and oral sex. Both HSV-1 and genital herpes (HSV-2) are considered STIs because each can be transmitted through sexual contact.

Why You Need to Tell Your Partner if You Have a Cold Sore

Herpes viruses are highly contagious, and there’s more to consider than just the risk of spreading a cold sore.

Herpes can transfer from the mouth to the genitals or vice versa. HSV-1 is transmitted through saliva, including activities like kissing and oral-genital contact.

How to Tell Your Partner You Have Oral Herpes

HSV-1 is often spread through non-sexual contact, but discussing it with your partner is crucial during sexual activity to prevent transmission and complications.

Here are some tips for the conversation:

• Pick a private, quiet spot: Ensure you won’t be interrupted.
• Practice with someone you trust: Talk it over with a friend or family member to boost your confidence.
• Stay calm and factual: Approach the topic with a positive mindset. HSV-1 is very common.
• Talk about both partners’ sexual histories: Your partner may have information to share too. It’s appropriate to ask if they have been tested or diagnosed with HSV-1 or any STIs.
• Know the details: Be ready with facts and ways to treat herpes and prevent its spread during sex.
• Give your partner time: Allow them space to think about the situation without pressure.

If You Got Herpes Through Oral Sex

If you acquired genital herpes through oral sex, discuss it with your partner to educate rather than blame.

It’s often not intentional, as many people with cold sores don’t know the transmission risk during oral sex.

Using a condom or dental dam during oral sex can significantly lower this risk.

Treatment

There is no cure for HSV-1, but you can manage the outbreaks, which will help you avoid transmitting the virus to your partner.

Your provider can prescribe antiviral medications, such as acyclovir, valacyclovir, and famciclovir. These prevent outbreaks of genital herpes, suppressing the virus to prevent passing the virus on during sexual intercourse.

Self-care during an oral herpes outbreak can help you shorten the duration of the blisters. First, keep the cold sores clean and dry. You can use over-the-counter (OTC) pain relievers or ointments with ingredients such as benzocaine or lidocaine or antiviral cold sore medication to help the blisters heal.