Genital Herpes

Genital Herpes is a sexually transmitted infection (STI) passed on through vaginal, anal and oral sex. Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.

To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.


Transmale (Born a female)
Transfemale (Born a male)

Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Planning on Becoming Pregnant
Neither Pregnant nor Breastfeeding

Once or twice
At most four times
At most six times
More than seven times