I am dating a woman who does not have HSV-2, but I do have it. I take Valtrex suppressive and use condoms to be as safe as possible. I also avoid sex when any symptoms are present.
This makes sense to me for "classic outbreaks", because those are usually obvious and (luckily for me, not a very frequent thing). But I have noticed that applying peroxide allows me to see tiny symptoms that I would not have noticed before, and these tiny red marks are present much more frequently (but are just redness, no blister, not tingling, no itching, no pain - hard to even see). These marks are also just on the upper right buttocks area only, not anywhere more sensitive or intimate - kind of like a barely visible rash, but with the classic HSV-2 ring-like shape, and in a general area that has had symptoms before.
The question is, should I not have sex whenever I can see these marks? I have been avoiding sex for a month because it is "symptoms" and people say to do that to be safest. But I recently read that HSV2 is active every few days in most people, less with suppression, sometimes just for 6-12 hours and barely making a mark, but still much more often "reactivating" than people realize - because the symptoms are small enough to be unnoticed.
Should I be so vigilant about these minor marks and refrain from intimacy if I can see "anything"? I am not sure how the studies on risk reduction have been done - do they consider avoiding sex during "outbreaks" to be just visible and obvious ones? Or do they really mean "any time any teeny tiny mark is visible"? I just don't know if the marks are a sign that the virus is asymptomatically active all over, so I should be really cautious, or if it just means that it might have been active in that one area last week for a few hours, and that it takes a bit of time for the marks to totally go away, and isn't really a big deal.
I am being very cautious for now, but my girlfriend thinks I am being paranoid to worry about such tiny marks (she can't even see them unless under bright light and right after peroxide used used on the area) . . . what makes the most sense?
Does anyone else have this issue?