A patient diagnosed with herpes simplex II is concerned about sexual relations. What information should be provided to the patient?
1. The infection can be transmitted only when lesions are present.
2. The infection can be prevented with condom use.
3. Sexual relations must be avoided during the prodromal period and for at least 10 days after the lesions are healed.
4. Sexual activity is permissible once the lesions have dried out.
Correct Answer: 3
The herpes simplex virus can be transmitted during the prodromal period and for approximately 10 days after the lesions have healed. During these periods, sexual activity should be avoided. During the prodromal period, lesions are not present, but it is believed the virus is shed, making transmission possible. Condom use is beneficial in protection against the disease, but it is not 100% effective. Viral shedding is limited after the lesions have healed, but this is not the only period of potential transmission. Patient should wait at least 10 days before engaging in sexual relations.
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