Herpes simplex virus 2 (HSV2) is more commonly known as genital herpes, even though HSV1 can also set up camp genitally (50% of new genital herpes cases are via HSV1). Herpes simplex virus 1 (HSV1) is known as oral herpes or simply “cold sores.” Genital herpes is only spread through skin-to-skin contact. Herpes can lie dormant, which is why even if you’ve never had an outbreak or haven’t had one for a while, it can still be spread (this is called “viral shedding”). Over 25 million Americans have herpes (16% of Americans age 14-49), but 80% of people don’t know it. The most important part, though, is for you to realize this: You are not alone and you are still just as sexy and vibrant as ever. Don’t let herpes hold you back. For more helpful statistics, download the free e-book and handouts.
Frequently asked questions
If both partners have HSV-2, do we still need to use protection?+
If both partners have established HSV-2 infections (not newly acquired), you generally don't need to worry about reinfecting each other with the same type in a new location, because your immune system already has antibodies that protect against that. However, it's still worth discussing with your doctor, particularly regarding other STIs and any differences in outbreak patterns.
What is the difference between HSV-1 and HSV-2?+
HSV-1 and HSV-2 are two strains of the herpes simplex virus. HSV-1 most commonly causes oral herpes (cold sores) but can also cause genital herpes through oral sex. HSV-2 almost exclusively affects the genital area. The key behavioral difference is that HSV-2 recurs more frequently and sheds more when located genitally, while genital HSV-1 tends to be milder with fewer recurrences.
Can you have HSV-2 and never have an outbreak?+
Yes, this is actually quite common. Many people who test positive for HSV-2 have never had a recognized outbreak. They may have had symptoms so mild they were mistaken for something else, or they may truly be asymptomatic. Even without symptoms, the virus can still shed and potentially be transmitted to partners, which is why testing is important.
Does HSV-2 get better over time?+
For most people, yes. The first year after diagnosis tends to be the most active, with more frequent outbreaks as your immune system learns to manage the virus. Over time, outbreaks typically become less frequent, shorter, and milder. Many people find that after a few years, they rarely have outbreaks at all, even without medication.
