How To Treat Herpes Simplex 2

How To Get Rid Of Herpes The Conventional Way

For most people with herpes, the virus typically represents nothing more than an inconvenience however, the real risk is for immuno-compromised patients who cant easily manage infections. In these patients, such as those with HIV/AIDS, herpes simplex infection is associated with increased morbidity and mortality.

As of 2017, there is not currently a herpes vaccine available to prevent HSV-1 or HSV-2.

Doctors sometimes prescribe medications to help keep the herpes virus suppressed or to speed up healing of cold sores by reducing bacteria that can cause infections. Some medications that are now used to control herpes include:

• Nucleoside analogues and antiviral medications
• Creams/ointment to help lower pain and inflammation near the site of sores
• Over-the-counter painkillers to reduce aches, tenderness or fever

However, its important to understand that even with early detection and prescription medications, either form of the herpes virus cannot be totally cured so transmission is always still possible. Medications for viruses dont always work long term and are not a cure-all.

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What Are The Symptoms Of Genital Herpes

If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a recurrent outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

How do genital herpes first appear?

When symptoms occur, theyre usually worse during the first outbreak or flare-up . Symptoms typically appear within two to 20 days after infection. Active symptoms may last up to four weeks.

You may experience:

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What Questions Should I Ask My Doctor

You may want to ask your healthcare provider:

• What is the best treatment for me?
• What happens if I dont treat a cold sore?
• What are the side effects of antiviral medications?
• How can I reduce the risk of future outbreaks?
• Whats the best way to prevent getting another STI?
• How can I protect my partner from getting genital herpes?
• Should I lookout for signs of complications?

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How Is Genital Herpes Diagnosed

The best way to find out if you have genital herpes is to have a sexual health check-up. This may involve a physical examination and a swab from the affected area to test for HSV. To confirm genital herpes the lab needs to find herpes simplex virus types 1 or 2 on a swab.

Diagnosis is easier if early ulcers or blisters are present.

Because it is possible to have another STI at the same time, a full sexual health check-up should be done.

Sexual contacts should be informed of the diagnosis and it may be advisable for them to have a sexual health check-up.

Education Is An Integral Part Of Herpes Treatment

If you have genital herpes, its important for you to get educated about herpes and have the opportunity to ask questions in a supportive environment.

Becoming informed will help you learn to cope with the illness. It will also help you prevent sexual transmission of the illness, or transmission to an infant during a pregnancy.

Herpes has a tremendous psychosocial overlay. But knowledge about it and understanding about how well it can be managed can reduce that, says Handsfield.

Your doctor may be able to provide you with all the information you need, or you may choose to seek counseling from a mental health professional or at a clinic that specializes in sexual health, such as Planned Parenthood.

If you have a regular sexual partner, that person should also have the chance to learn about herpes and ask any questions they may have about it.

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What Is The Long

People who contract HSV will have the virus for the rest of their lives. Even if it does not manifest symptoms, the virus will continue to live in nerve cells.

Some people may experience regular outbreaks. Others will only experience one outbreak after they contract the virus, and then the virus may become dormant. Even if a virus is dormant, certain stimuli can trigger an outbreak. These include:

• fever or illness
• sun exposure or sunburn

Its believed that outbreaks may become less intense over time because the body starts creating antibodies. If a generally healthy person contracts the virus, there are usually no complications.

Although there is no cure for herpes, you can take measures to avoid contracting the virus, or to prevent transmitting HSV to another person.

If youre experiencing an outbreak of HSV-1, consider taking a few preventive steps:

• Try to avoid direct physical contact with other people.
• Dont share any items that can pass the virus around, such as cups, towels, silverware, clothing, makeup, or lip balm.
• Dont participate in oral sex, kissing, or any other type of sexual activity during an outbreak.
• Wash your hands thoroughly and apply medication with cotton swabs to reduce contact with sores.

Women who are pregnant and have an infection may have to take medication to prevent the virus from infecting their unborn babies.

What Are The Signs Of Herpes In Children

The herpes virus can be spread to babies and children if they are kissed by someone that is infected and has active cold sores. Although rare, it is also possible to spread herpes to a child or infant by touch if a person touches their cold sore and then touches the baby or child.

Precautions can be taken to protect infants and other children from getting the virus. Avoid kissing children if you have a cold sore and ask other people not to as well. Wash your hands frequently if you have a cold sore and you are around children.

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How Painful Is Herpes Simplex

Some people experience very mild genital herpes symptoms or no symptoms at all. Frequently, people infected with the virus don’t even know they have it. However, when it causes symptoms, it can be described as extremely painful. This is especially true for the first outbreak, which is often the worst. Outbreaks are described as aches or pains in or around the genital area or burning, pain, or difficulty urinating. Some people experience discharge from the or .

Oral herpes lesions usually cause tingling and burning just prior to the breakout of the blisters. The blisters themselves can also be painful.

How Effective Is Hsv

In general, genital herpes medications are good at reducing the severity of outbreaks and reducing the amount of time that outbreaks last for. They are also effective at increasing the amount of time between outbreaks. However, it is important to note that they are not effective at curing anybody of the disease. There is no cure for genital herpes, so the best thing these medications can do is lessen the unpleasant symptoms of the disease.

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Keep The Area Clean And Dry

Its important to keep dry any areas affected by genital herpes sores. Moisture triggers irritation and can make outbreaks even worse. Try drying outbreaks with a hairdryer on low heat settings instead of a towel. It also helps to wear cotton underwear, since cotton is gentle and absorbs moisture much better than synthetic fabrics.

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Suppressive Therapy For Recurrences

To suppress outbreaks, treatment requires taking pills daily on a long-term basis. Acyclovir and famciclovir are taken twice a day for suppression. Valacyclovir is taken once a day. The doses for these antiviral drugs are reduced in people with impaired renal function.

Suppressive treatment can reduce the frequency of outbreak recurrences by 70% to 80%. It is generally recommended for people who have frequent recurrences . Because herpes recurrences often diminish over time, you should discuss annually with your provider whether you should stay with drug therapy or discontinue it.

There is some evidence that valacyclovir may help prevent herpes transmission, particularly in situations where one heterosexual partner has HSV-2 and the other partner does not. However, this drug does not completely prevent transmission. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences.

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The Virus And Pathogenesis

HSV is a double-stranded DNA virus that may enter the host through abraded skin or intact mucous membranes.1 Epithelial cells are the initial targets. Once infected, these cells die, releasing clear fluid intradermally to form vesicles and merging with other cells to create multinucleated giant cells.

Retrograde transport through adjacent neural tissue to sensory ganglia leads to lifelong latent infection.1 Reactivation of the virus is triggered by local or systemic stimuli such as immunodeficiency, trauma, fever, menstruation, ultraviolet light and sexual intercourse.13 Although emotional stress is assumed to trigger HSV recurrence, recent research fails to show a definite causative role.4 Once reactivated, the virus is transported by the neuron back to the epithelium, where more replication occurs, and another outbreak ensues.

HSV exists as two separate types, labeled 1 and 2, which have affinities for different body sites.2 Ninety percent of infections caused by HSV-2 are genital, and 90 percent of those caused by HSV-1 are oral the reason for this division is unknown.5 In addition, oral HSV-1 infection recurs more frequently than oral HSV-2, and genital HSV-2 recurs more often than genital HSV-1.

Is Herpes Simplex Related To Herpes Zoster

Herpes simplex and the varicella-zoster virus are related, but they arent the same. VZV causes chickenpox and shingles.

Like HSV-1 and HSV-2, shingles can cause a painful, blistering rash. The shingles rash usually shows up on the back, side, abdomen , neck and face. It is often only on half of your body, following the pattern of your nerves. See your healthcare provider if you have a new rash and suspect you may have shingles.

A note from Cleveland Clinic

Herpes simplex is a virus. Once you have herpes, its a lifelong condition. A herpes infection can lead to outbreaks , but youll also have times when you have no symptoms. The main sign of herpes is sores that appear on the infected skin. Some people choose not to treat herpes, especially if symptoms are mild. Others take antiviral medications to reduce the severity and frequency of outbreaks.

Last reviewed by a Cleveland Clinic medical professional on 05/17/2022.

References

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Herpes Simplex Virus Infection

Herpes simplex virus is a very common and easily transmitted virus. In fact, 80% or more of people have been infected with herpes simplex virus-1. Most of us acquire the virus early in childhood from our parents, relatives, or childhood contacts through normal kissing, etc. Most of the time, the first infection is associated with few or no symptoms, but sometimes primary herpes simplex virus infection can produce mild to severe pain and difficulty in swallowing. Lesions resolve and pain decreases usually after 8 to 16 days.

After initial infection, the virus remains dormant deep inside the nerves. Many individuals go their entire life without realizing they carry HSV. However, around 20% of those with HSV will have a recurrent infection. Outside the mouth these are known as cold sores and are most commonly seen on the lips. It is also possible to have recurrent HSV infections around the nose, eyes, and inside the mouth. In the mouth, these infections appear as small painful ulcers on the hard palate, gums, and the top of the tongue.

QUESTIONS AND ANSWERS ABOUT COLD SORES

When To Talk With A Doctor

Herpes isnt curable, but it can be treated with antiviral medications. These medications can reduce the severity of an outbreak.

If you suspect you have herpes, make an appointment with a doctor. Its also a good idea to talk with your doctor about a herpes screening if:

• your current or previous sexual partner has herpes
• youre planning to have sex with a new partner
• you had a risky sexual encounter

If youve already been diagnosed with herpes and youre currently experiencing an outbreak, the outbreak might go away without causing complications and without treatment.

However, its wise to make an appointment with your doctor if:

• the outbreak is particularly painful or unbearable
• youre experiencing symptoms of other STIs
• youre experiencing frequent, severe outbreaks

If youre sexually active, its a good idea to have regular STI screenings. You can book appointments for STI screenings with your doctors office. You could also try a local clinic, certain pharmacies, or Planned Parenthood.

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When To See A Healthcare Provider

The early recognition of genital herpes, ideally during the prodromal stage, allows you to access treatments that can shorten the duration and severity of an outbreak.

Clearly, this can be difficult during your first outbreak, given that you probably won’t be expecting it. But, over time, you will be better able to recognize the tell-tale signs and know when it’s time to act.

Ways To Get Rid Of Herpes Fast And Naturally

Herpes is one of the most common infections that are caused in humans. The worst thing about these herpes is that it can even occur at the inner parts of your mouth neck and even in some sensitive areas. It is also called cold sores and it mainly appears in the mouth, near the eyes, lips and even in genitals.

It can be really painful and irritating for you so you have to make sure that you are taking proper measures to cure it. Some of the essential oils for herpes are great. There are also many more natural ways to cure your herpes and these are:

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Who Is At Risk For Developing Herpes Simplex Infections

Anyone can contract HSV, regardless of age. If youre exposed to HSV, youre likely to contract the virus.

Remember, HSV is very common. But because its often asymptomatic, plenty of people living with the virus never have an episode or realize theyve contracted HSV.

You may have a higher chance of contracting the virus if you:

• have a sexual partner who lives with HSV
• were assigned female at birth . suggests more AFAB folks than people assigned male at birth develop HSV, but this could also mean AFAB folks are more likely to experience symptoms.
• are immunocompromised

Some older research suggests HSV-1 antibodies may offer AFAB folks some protection against contracting HSV-2. Still, many people living with one type of the virus do contract the other type later on. You wont contract the same type of the virus again, though, since it remains dormant in your body once you acquire it.

You may have a slightly higher chance of contracting genital HSV if you have sex without using condoms or other barrier methods. Keep in mind, though, that condoms and other barrier methods wont always cover the infection site, since sores can appear on the buttocks or inner thighs.

How Can I Protect Myself From Herpes

To prevent getting genital herpes:

• Do not have sex with someone who has an open sore on their sex organs.
• Always use a condom during sex.
• Limit your number of sex partners.

Taking antiviral medications can reduce the risk of a person with genital herpes from spreading the disease, but that doesnt eliminate the risk. Be sure to practice the measures listed above to decrease risk.

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Treatment For Genital Herpes

There is no medication to cure your body of the herpes virus. Treatment is aimed at easing symptoms, reducing the frequency of recurrences and reducing transmission.

Symptoms can be improved by:

• ice packs to the affected area
• pain-relieving medication such as paracetamol
• antiviral medication such as acyclovir, famciclovir and valaciclovir. These can reduce the severity of an episode if taken early enough . Topical antivirals usually used for cold sores on the lips or face are not suitable for use on the genitals.

What Are The Symptoms Of Herpes Simplex

Many people with the infection never experience any herpes symptoms. If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a repeat outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

People who do have herpes symptoms may experience:

• Cold sores around their lips, mouth or tongue. They may look crusty or like fluid-filled blisters.
• Tingling, itching or burning.
• Pain while urinating.

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Can I Still Have Sex If I Have Herpes

If you have herpes, you should talk to your sex partner about their risk. Using condoms may help lower this risk but it will not get rid of the risk completely. Having sores or other symptoms of herpes can increase your risk of spreading the disease. Even if you do not have any symptoms, you can still infect your sex partners.

You may have concerns about how genital herpes will impact your health, sex life, and relationships. While herpes is not curable, it is important to know that it is manageable with medicine. Daily suppressive therapy can lower your risk of spreading the virus to others. Talk to a healthcare provider about your concerns and treatment options.

A genital herpes diagnosis may affect how you will feel about current or future sexual relationships. Knowing how to talk to sexual partners about STDs is important.