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Question:
I am a 22 year old woman who contracted genital herpes in December of 1997. This past July I met a wonderful guy and we eventually started dating each other. Early on in the relationship I told him that I had herpes and he was extremely understanding and appreciative of the fact that I told him. Our sex life is fun and we always use condoms. But a couple of months ago I shared my feelings with him that about missing oral sex. One of the main reasons that I broke down like I did when I was diagnosed with herpes is because I knew that I was going to be missing out in the oral sex department. It just feels so good. But I really don't know about using dental dams and all of that stuff because I don't believe that it would feel the same (i.e., as good). He told me that he really wants to perform oral sex with me but he's scared (and rightly so) of contracting herpes. Our discussion prompted me to look on the web for some information on the transmission of herpes via oral sex. I found an article that said that it was highly unlikely (although not impossible) to pass genital herpes to your partner's mouth. The article was rather technical but I think that was the gist of it. So, I mentioned this to him and he was rather skeptical and told me that I should probably do a little more research. I'm just not sure where to start. If you could please give me some feedback or let me know where to look for answers I'd truly appreciate it.

Answer:
by Yvonne Fulbright:
(05/13/2004)
The article that you came across was correct in saying that the transmission of herpes via oral sex (from your vagina to his mouth) is unlikely. What is likelier would be for a person to transmit oral herpes from one's mouth (i.e., via a cold sore) to the partner's genitals. Yet, as the article also stated, transmission of the genitals to the mouth is not impossible, especially during a time that you might have an outbreak, so it is understandable that your partner is concerned. For him to have a piece of mind about herpes and for you to start enjoying cunnilingus again, practicing oral sex while using protection is the way to go. Honestly, it may not be exactly the same as when you don't use a barrier method, but it's better than no oral sex at all. Plus, many barrier methods allow for the same sensations you would normally experience anyway. Your two biggest options with barrier methods are the dental dam and non-microwavable Saran-Wrap. Both are thin enough for oral sex to feel good, and dental dams made of polyurethane allow for excellent heat transmission and sensation. It wouldn't hurt to try out oral sex using a barrier method to at least see what it's like! You might be surprised at how good it can be! Thank you for visiting the Sexual Health Network. Yvonne K. Fulbright

Reviewed by: Kathleen VanKirk DHS

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