Should Couples Test for EBV and CMV Before Kissing?

EBV and CMV Infections in Couples

Hello, EBV may accelerate the progression of nasopharyngeal carcinoma and cause conditions such as mononucleosis, while the high prevalence of CMV among the population can also lead to gastrointestinal diseases and fetal complications.
Should I disrupt the mood before kissing by suggesting that we both get tested for these two viruses due to the extremely low risk of contracting an illness? Would this be an overreaction or unnecessary worry?

Mr. Zhang, 20~29 year old female. Ask Date: 2022/02/07

Dr. Ye Qianyu reply Family Medicine

Hello! Based on your description, it seems you have done your homework and your analysis is quite reasonable.
The virus tends to target infants and others with weaker immune systems, making them more susceptible to infection.
Although there are currently no preventive measures, fortunately, the illness can resolve on its own, leading to the development of immunity.
If your partner is not immunocompromised, there should be no need to worry too much.

Reply Date: 2022/02/07

More Info

When considering whether couples should test for Epstein-Barr Virus (EBV) and Cytomegalovirus (CMV) before engaging in intimate activities such as kissing, it’s essential to weigh the risks and benefits based on current medical understanding.

EBV is a member of the herpesvirus family and is primarily known for causing infectious mononucleosis. While it has been associated with certain cancers, including nasopharyngeal carcinoma, the overall risk of developing such conditions from casual contact, like kissing, is relatively low for healthy individuals. Most adults have been exposed to EBV by the time they reach adulthood, and it is estimated that about 90% of the population carries the virus in a dormant state without any symptoms.

On the other hand, CMV is also a common virus that can lead to various health issues, particularly in immunocompromised individuals and newborns. While CMV can cause gastrointestinal diseases and other complications, the risk of transmission through kissing is considered low, especially if both partners are healthy.

Testing for these viruses before kissing may seem prudent, but it is essential to consider the practicality and emotional implications of such actions. The likelihood of contracting a significant illness from kissing, particularly from a partner who appears healthy, is minimal. Moreover, the act of requiring testing before engaging in affectionate behavior could create unnecessary tension or anxiety in the relationship.

In terms of medical advice, if both partners are generally healthy and do not have any known immunocompromising conditions, it is not typically necessary to test for EBV and CMV before kissing. The potential for anxiety and disruption in the relationship may outweigh the benefits of knowing one's viral status.
However, if one partner has a known history of immunocompromised conditions or if there are specific concerns about health risks (such as pregnancy or other vulnerabilities), it may be worth discussing testing with a healthcare provider. They can provide personalized advice based on individual health histories and risks.

In conclusion, while it is always good to be informed about potential health risks, the likelihood of serious illness from kissing due to EBV or CMV is low for most couples. Open communication about health and comfort levels is crucial in any relationship, and it’s essential to balance health concerns with the emotional aspects of intimacy. If there are specific worries or health conditions involved, consulting with a healthcare professional can provide clarity and guidance tailored to the situation.

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