I had an initial herpes outbreak nine months ago. I was prescribed acyclovir. I have not had an active outbreak since then. I wonder whether or not I should be taking the suppression medicine. I am with a partner who does not have the virus. Would taking the suppression meds lessen the chances of transmitting the disease to him? --Melissa

The use of suppressive medications in herpes is usually reserved for people who have six or more outbreaks a year, so you are not a candidate for suppressive therapy. For those who are, suppressive therapy (usually with 200-400 mg of acyclovir daily for 6-12 months) will LOWER the incidence of outbreaks and viral shedding, but it will NOT necessarily eliminate it completely.

In order to best protect you and your partner, you should always use condoms. If you are in a very long-term relationship or if you are trying to get pregnant, you may forgo the condoms as long as he is aware he could contract herpes and you are very in tune with your body and know when an outbreak is coming on. When you feel the approach of an outbreak, you can use a condom -- or even better, avoid sex until the outbreak is completely healed. Always check with your doctor before starting any medications.