August 24, 2021

Cold Sores and Dating: What You Need to Know

Find out when you run the greatest risk of passing cold sores to others and how to talk to your partner about it

A close-up of cold sores on someone's mouth.

Dating is stressful enough without having to worry about an outbreak of cold sores on your mouth. Besides being painful and unsightly, the blisters commonly caused by the herpes simplex virus 1 (HSV-1) are contagious, too.


Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

So what does that mean for your dating life? Is kissing canceled? What about other types of intimacy? Should you tell your partner you have HSV-1?

We talked with dermatologist John Anthony, MD, to get the scoop on cold sores, from when making out is riskiest to talking about it with someone you’re dating.

What are cold sores?

These small blisters usually appear on or near your lips but can sometimes be inside your mouth as well. They’re often filled with fluid. The blisters usually break, leaving you with a scab that can last a few days. Cold sores heal on their own in a few weeks.

How are cold sores transmitted?

Cold sores are typically spread through kissing and oral sex. HSV-1 is transmitted through touching affected skin that contains the virus or secretions, like saliva. HSV-1 can penetrate closed, healthy skin on your lips and genitals since the skin in those areas is very delicate, says Dr. Anthony.

Previously, people thought HSV-1 was limited to the mouth area, and the related strain, HSV-2, was the one to worry about on the genitals. And it’s true that HSV-1 is usually oral while HSV-2 is typically on genitals. But doctors now know that both types of herpes can infect either location, reports Dr. Anthony.

The bottom line: HSV-1 can make its home in both the oral or genital areas. You can get cold sores from coming into contact with the virus in various ways:

  • Mouth-to-mouth.
  • Mouth-to-genitals.
  • Genitals-to-mouth.
  • Genitals-to-genitals.

When are cold sores contagious?

You’re most likely to spread the virus when you have symptoms. These include blister-like sores in and around your mouth. For many people, a tingling sensation or itch precedes a visible outbreak.


Cold sores usually heal within seven to 10 days. But, says Dr. Anthony, that doesn’t mean contact is entirely safe afterward. “You can shed the virus even when you don’t have any lesions. It’s less likely, but there’s still a risk.”

Are canker sores a form of herpes?

Canker sores are different than cold sores. They usually produce a little white spot and a small ulcer in your mouth that heals within a couple of days. In nearly all cases, canker sores aren’t contagious like herpes-caused cold sores.

“Rarely, a subset of canker sores is associated with the herpes virus,” Dr. Anthony says. “The occasional, one-off canker sore isn’t anything to be concerned about. But for severe and frequent canker sores, your doctor may recommend testing for the herpes virus.”

Should I tell my partner that I have HSV-1?

Discussing health issues isn’t sexy, but it may be necessary. There are a few things to keep in mind when deciding how to talk about HSV-1.

Nearly half of Americans have been exposed to HSV-1 by their 20s. The person you’re kissing may have already been in contact with the virus. If you don’t have any symptoms, the chance you’ll spread it by kissing is relatively low, notes Dr. Anthony — which is why he wouldn’t start off talking about it with someone new.

As intimacy progresses, especially to oral-genital contact, you can give your partner a heads up by saying something like: “I had cold sores in the past. I don’t have any now.” Together, you can make decisions about what you feel comfortable doing based on risk.

Having an active outbreak makes talking about it doubly important since you’re much more likely to spread it. Also, having open sores makes you more susceptible to acquiring a sexually transmitted disease (STD) like HIV from your partner.


Open and honest communication can help protect you and your partner from catching an illness, says Dr. Anthony.

How to reduce the risk of spreading herpes

There are ways to lower the risk of spreading HSV-1 to your partner. If you have an active outbreak, avoid letting the affected area touch your partner’s skin. Concerned about transmitting the virus when no symptoms are present? Using a protective barrier like a condom or dental dam can reduce the risk.

HSV-1 test

If you have a cold sore, a swab test can tell you if it’s caused by HSV-1. No sores? A blood test can indicate if you’ve ever been exposed to HSV-1. (But since so many people have been exposed to the virus in the past, getting a blood test is not necessary for most situations.)

“Testing is most useful if one partner has a history of lots of cold sores and the other doesn’t,” says Dr. Anthony. “If the person without cold sores hasn’t had exposure to the virus, it may be beneficial if their partner takes a preventive medication. The medication suppresses the virus so it won’t pass to the unexposed partner.”

The good news is that although HSV-1 can be troublesome for your dating life, flare-ups are temporary and can be treated — often in the early stages to lessen the severity and healing time. If you have recurring outbreaks, talk to your doctor about preventive treatments.

Related Articles

Baby receiving a shot in their leg by healthcare worker in pink
December 7, 2023
COVID-19 Vaccines for Kids: What To Know and Why It’s Important

Children as young as 6 months should get vaccinated

Pregnant person with yellow glow emanating from them.
December 6, 2023
Is Pregnancy Glow a Real Thing?

More radiant skin may appear due to physiological responses to pregnancy

Natural antibiotics, pills and herbs, displayed on bamboo spoons on wooden table.
December 5, 2023
Why You Shouldn’t Self-Treat With ‘Natural Antibiotics’

Natural doesn’t mean they’re safe or effective

Female swimmer in the water at edge of a pool
December 1, 2023
Can Exercise Reduce Your Risk of Breast Cancer?

Physical activity and weight management can minimize your chances of getting the disease

Two people standing in the cold.
November 29, 2023
10 Colds Not To Catch This Winter

The flu, RSV, COVID-19, pneumonia and more typically circulate during cold weather months

Parent breastfeeding baby on bed, against the headboard.
November 27, 2023
Looking for Foods To Increase Your Milk Supply? Think Big Picture

No single food will increase your milk, but an overall healthy diet will help

Parent uses manual baby aspirator to open up nasal passages of baby.
November 22, 2023
Prevent Phlegm in Your Baby’s Throat With a Nasal Aspirator

Keeping your baby’s airways clear of mucus helps with breathing and feeding

Two different vaccines and needles displayed in foreground.
November 22, 2023
Which Vaccines Can You Get at the Same Time?

Getting routine vaccinations together can save you time and may be more effective

Trending Topics

group of hands holding different beverages
November 14, 2023
10 Myths About Drinking Alcohol You Should Stop Repeating

Coffee won’t cure a hangover and you definitely shouldn’t mix your cocktail with an energy drink

Person applies moisturizer as part of their skin care routine after a shower.
November 10, 2023
Korean Skin Care Routines: What You Need To Know

Focus on the philosophy — replenishing and respecting your skin — not necessarily the steps

glass of cherry juice with cherries on table
November 8, 2023
Sleepy Girl Mocktail: What’s in It and Does It Really Make You Sleep Better?

This social media sleep hack with tart cherry juice and magnesium could be worth a try