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Is it safe for me to have sex with a friend who has HSV-1?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My friend has HSV-1 on his penis. Is it safe for me to perform anal sex on him as a gay man? I would be topping.

Please advise

Hi,

Welcome to icliniq.com

I am very sorry about your medical condition, and I am glad that you are paying attention to changes in your body system. But do not worry, I am here to take care of you.

Regarding your concern, I understand how you feel concerning the safety of your body, especially your sexual lifestyle, but you are not alone on this.

Let us take a look at this professionally. Since your partner has herpes simplex virus (HSV-1) and you want to continue with anal sex with him, I do not think it will be safe to do so because HSV is a major cause of anorectal cancer. So if you go on to have sex with him via anal, you are putting yourself at a greater health risk.

So the only possible way anal sex could be possible is for him to wear a double condom and let him treat himself and be free from the HSV before he can resume unprotected anal sex.

I hope this answers your query.

Thank you for using icliniq, and have a nice day.

Medically reviewed byiCliniq medical review team

Published At November 10, 2025
Reviewed AtNovember 10, 2025

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