My partner possibly acquired GHSV-2 in late July. We've been operating under the assumption that she did acquire it, although there has been no confirmation yet. I asked her to get tested back then, but as I've read on this forum, it takes twelve to sixteen weeks before antibodies build up to a point where it's detectable by any tests, so it looks like it was wrong of me to ask that of her. That three to four month delay means moving a possible test into late October or even as far as late November.
From what I've read, doctors will only prescribe suppressive therapy if repeated outbreaks occur; this is in spite of asymptomatic carriers still being capable of transmitting the virus to those who do not have the virus. If I understand correctly, suppressive therapy are able to decrease the probability of transmission by more than half. To go off on a brief tangent, I don't know how it can possibly be considered a sound medical practice to recommend avoiding suppressive therapy to someone who has tested positive for any form of HSV and who poses a risk of transmitting HSV to someone else, whether or not they are asymptomatic.
While a male or female condom does decrease the transmission probability by half, I can't see how that would help in all cases of female-to-male GHSV-2 transmission since the area around the genitals can also be sites for virus transmission, especially if genital fluids manage to get around a female condom.
I mention this because I don't feel safe having sex with her until the test results are either negative or if they're positive, waiting until she's on suppressive therapy. I haven't seen her since July. I don't know whether or not she's continued to have sex with the person she possibly acquired it from, which would increase the probability of acquiring GHSV-2 if she didn't already get it the first time. She didn't have an OB within twelve days of the initial exposure, but one, it could be dormant and not everyone has an OB within twelve days, and two, if she's continued to have sex with the GHSV-2 carrier that we do know tested positive, then it continues to push the most probable OB window out another twelve days every time. Like I said at the beginning of this post, we're operating under the assumption that she already has it, which means not avoiding sex with her GHSV-2 partner.
I want to support her and continue a relationship with her, but one that doesn't involve sex until the unknowns are settled. I don't know if I can keep the relationship going for the two to three months between now and when the test will happen. She disclosed to me almost immediately once she knew she'd been exposed by her partner (they had sex prior to knowing that he was a carrier that at the time was asymptomatic; I don't know if he's become symptomatic since then).
When I had told her I wanted to wait until she was on suppressive therapy to have sex, she wanted to break up with me. All I've done so far is buy some more time by saying I needed time to think things through and eventually we could return to having sex. Our current relationship is tenuous, unstable, and strained: she wants to have sex with me, I want to have sex with her, but I want to find some way of having safer sex with her. Our relationship is more than just sex of course, but sex is a major part of it--if that goes away, the whole thing is destabilized and will eventually collapse if it's not brought back.
The situation is further complicated: she doesn't intend to ever go on suppressive therapy regardless of the outcome of the tests in two to three months. That means the only feasible way of avoiding acquiring GHSV-2 from her is to just not have sex with her again, which would end the relationship.
I don't know what my next course of action is in the short or long term. The only way I see this resolving in a way that both continues our relationship and doesn't expose me to GHSV-2 is if the test is negative in October or November and either never has sex with her GHSV-2 positive partner again (which is definitely not going to happen), or if the test is negative and her partner goes on suppressive therapy (which is a big maybe; if she doesn't go on therapy, I don't know if her partner would or even could go on therapy).