Best type of condom for protection against an STD?

Q. Which is the best kind of condom? Is it latex or polyurethane?  Do they protect against STDs? A member.

A. It is not the type of condom but the way it is used that matters.  Properly used, condoms significantly reduce the transmission of STDs.

However, there are skin contacts outside the condom area and I have seen Herpes, HPV and mollluscum transmitted in this way despite condom use.

Improper use of condoms include:  not using it until penetration (ie some unprotected sex before), not using it till orgasm, condom breaking, condom slipping off, infection creeping around the sides of a condom.  So you are still at risk even with a condom. - Dr. Laurence Gerlis.

Transmit herpes without symptoms?

Q. I have started seeing someone who does not have herpes (I do). He is unsure about us sleeping together and to be honest I don’t blame him.

I don’t want to pressure him. I had one outbreak and that was it. If I had warning symptoms of a future outbreak or another outbreak we would not have sex. If he uses a condom while I don’t have any blisters, will he be ok?

What else can we do to reduce his risk of getting herpes?  Is there anything I can do to reduce the chances of another outbreak? - A member Continue reading

HSV2 & Herpes transmission risk while asymptomatic

Q. Can a person get hsv2 from someone who has it but has no symptoms? - A member.

A. Yes. You can shed virus between attacks, and women in particular may have non-visible internal lesions.

This is called Asymptomatic Transmission. Herpes simplex infections are often spread by people who don’t know they are infected. These people may have symptoms so mild they don’t notice them at all or else don’t recognize them as herpes. Continue reading

Reducing risk of partner getting herpes

Q. I am just starting to see someone who does not have herpes. I’ve told him I have herpes and he has been ok.

We have not had sex as yet. I want to know what can we do to reduce the risk of him getting infected when we make love.

Also, can we have a bath together or share a towel? - A member.

A. No problem bathing together or sharing a towel, unless you have very obvious visible sore lesions.

You should still use protection for intercourse as you may have internal visible lesions or be shedding HSV. - Dr. Laurence Gerlis.

Introducing Ask the Doctor to

Datepositive introduces a new feature, Ask the Doctor.

Dr Laurence Gerlis, MA, MB, B Chir (Cantab), MRCP (UK), FFPM will answer three to four questions a month about sexual health issues from both members and non-members of our site.

This is a completely anonymous and confidential service. You do not have to identify yourself at all.

Continue reading