You’re right to be fuming he didn’t tell you. And it has to be HSV-2 based on how he describes it. It’s not informed consent.
Even as a doctor, his relaxed attitude is sadly a reflection of HOW sexist the approach can be within medicine to treating genital herpes in the UK (will explain based on my personal experience). It’s treated as not a big deal - because it isn’t for men - whereas it can be life changing for women as they experience outbreaks more frequently and with worse symptoms. It isn’t even tested for as part of a standard NHS STD test because it’s considered so prevalent there’s no point trying to limit transmission m and it is not a public health issue (?!).
My personal experience: my (now) husband and I got tested for STDs before we had unprotected sex (not realising HSV 2 isn’t included on a standard NHS test) and then after our “all clear” we had unprotected sex once. A few days later he had a first outbreak of herpes with viral symptoms etc. I was horrified thinking I had given it to him without knowing I had it myself.
I went to the NHS GP who was useless and then went to see a private sexual health specialist. This specialist advised that we both get a private blood test for long term antibodies. If you’ve had HSV 2 for more than 3 months then long term antibodies show up in your blood. And she had seen it before where it can lie dormant until having sex with a new, uninfected partner which can trigger an immune system reaction and the first outbreak. That is exactly what had happened in our case: my husband had long term antibodies and I didn’t. The first time having sex with me unprotected triggered his first outbreak.
What happened next nearly cost us our relationship. The private specialist - a woman - told me that it wasn’t something I needed to worry about provided he took daily antivirals and we used condoms. The antivirals alone are 97% effective at preventing transmission and those statistics include people who have very frequent outbreaks (and therefore shed more infected cells/higher transmission rate). My husband had only ever had one outbreak so he likely didn’t fall into the high transmission / shedder category. And to just abstain for one week after any future outbreak he may have.
My husband in the meantime spoke to one of his best (male) friends who is an NHS infectious diseases specialist. This friend told him he didn’t need to “bother” taking the antivirals as the risks outweigh the benefits especially as so many people have herpes. I went mad when he repeated this to me. My husband went back to his friend, who then referred him to a private sexual health consultant who specialises in this to discuss it further.
I was frantic when I looked up the name of this sexual health consultant - this man was a footnote in an academic article, saying it used to be the leading view (due to the work of this man) that the risks of antivirals aren’t worth the benefits but that is now considered outdated and antivirals are prescribed.
My husband was very reluctant to take antivirals and I assumed our relationship would end. It was a red line for me. A friend of mine has HSV 2 with monthly outbreaks and she hasn’t had a relationship since catching it.
Anyway as luck would have it, that particular consultant (dinosaur!) had retired and my husband instead saw a female consultant at the same clinic. She told him in no uncertain terms that if he is sexually active he must take daily antivirals.
If I can reassure you at all in relation to your own exposure: in six years I have never caught HSV 2 from him, and this includes the last two years where we’ve had unprotected sex trying to conceive (we used condoms before). The antivirals are very effective. He has a flare about once a year to every 18 months, and we abstain during that time.
If I were in your position:
- I would feel horrendously violated and say that in no uncertain terms to him
- in all likelihood you will be fine, but go to your GP or local sexual health clinic (the workers in sexual health clinics are always so lovely), tell them what happened and ask for them to pre emptively prescribe you antivirals just in case you get an outbreak. At the first sign of any sort of symptoms, you take the antivirals and the faster your take them, the more it curtails both the strength of the first outbreak and any future outbreaks you may get so it is important to have them handy.
- wait at least 3 months and then get the blood antibodies test. That can reassure you (hopefully) that you didn’t catch it from this man
- don’t blame yourself for not using a condom. It never occurred to me either about the herpes risk
I’m so sorry but I’m really hopeful you will be ok at least physically, and I’m so sorry you were treated in this way xxxx