Hi Terry, the number featured are very interesting, Would you give me the rate for the next situation: "having sex twice per week, not Valtrex daily, (just used in the outbreaks time), adding condoms in and percent lower than 50% of the intercourse" second situation "in the same situatuation mentioned but not using condoms.
Only one of the things that you list, Valtrex, has been shown to reduce transmission of herpes from one person to another. I worry about putting things on the labia that have unproven effects. For example, for a long time we believed that nonoxynol 9 could reduce the risk of herpes transmission, but it turned out it increased the risk! So if you were my patients, I would say that you stop putting things on your vagina except lubricants specifically made for sexual contact.
The studies vary some in their results, but on average for female to male transmission:
If both couples are aware of herpes being in the relationship, if there is no sex during actual outbreaks, if Valtrex is taken daily, having sex twice per week, the risk of transmission is about 2% in a year. Adding condoms reduces the risk of transmission by another 30-50%.
I'm not sure about your vaginal sensations, hard to sort that one out.
I'm assuming he has tested negative for HSV 2?
Terri