Can Genital Herpes Come Back
Yes. Genital herpes symptoms can come and go, but the virus stays inside your body even after all signs of the infection have gone away. The virus becomes “active” from time to time, leading to an outbreak. Some people have outbreaks only once or twice. Other people may have four or five outbreaks within a year. Over time, the outbreaks usually happen less often and are less severe.
Experts do not know what causes the virus to become active. Some women say the virus comes back when they are sick, under stress, out in the sun, or during their period.
Risk For Genital Herpes
According to the US Centers for Disease Control and Prevention , about 1 in 6 Americans ages 14 to 49 years have genital herpes. While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. Except for people in monogamous relationships with uninfected partners, everyone who is sexually active is at risk for genital herpes.
Risk factors for genital herpes include:
- History of an STD
- First sexual intercourse at an early age
- High number of sexual partners
- Low socioeconomic status
Women are more susceptible to HSV-2 infection because herpes is more easily transmitted from men to women than from women to men. About 1 in 5 women, compared to 1 in 9 men, have genital herpes. African-American women are at particularly high risk.
People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. These people are also at risk for more severe complications from herpes. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes.
Is There A Cure For Herpes Simplex
There is no cure for herpes simplex. Once you have the virus, its a lifelong infection.
What is the outlook for people with herpes simplex?
For many people, the first herpes outbreak is the most severe. Many outbreaks are less frequent and milder after the first year of infection. Some people may have only one outbreak and never have another again.
Herpes infection doesnt usually pose a serious health risk. The risk of a health complication due to herpes is higher in infants and if you have HIV/AIDS, cancer or an organ transplant.
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What Abnormal Results Mean
A positive test means you have been infected with HSV recently or at some point in the past.
Tests can be done to help determine if you have a recent infection.
About 70% of adults have been infected by HSV-1 and have antibodies against the virus. About 20 to 50% of adults will have antibodies against the HSV-2 virus, which causes genital herpes.
HSV stays in your system once you have been infected. It may be asleep , and cause no symptoms, or it may flare up and cause symptoms. This test cannot tell whether you are having a flare-up.
Will The Warts Go Away
Although HPV isnt curable in all cases, genital warts are treatable. You can also go extended periods of time without an outbreak, but it may not be possible to get rid of the warts forever.
Thats because genital warts are only a symptom of HPV, which may become a chronic, lifelong infection for some.
For those who clear the HPV infection, there is a chance of contracting an infection from the same strain or a different one. You could even contract an infection of multiple strains at the same time, though this is less common.
So even with treatment, genital warts may come back in the future. This depends on whether youve been vaccinated, how well your immune system is functioning, the strain of HPV you have, and the amount of virus you have .
Some strains are high risk and associated with later formation of squamous cell carcinoma , and you may not even know if you have a high-risk HPV strain until precancerous or cancerous lesions form.
90 percent of HPV infections clear within two years.
However, certain factors increase the risk of the infection not going away. These include having sex without protection, contracting other sexually transmitted infections , alcohol use, smoking tobacco, and having a suppressed immune system.
A recent study published in December 2017 noted that over 200 genetically distinct strains of HPV exist. The study looked at HPV infection in unvaccinated men between the ages of 18 and 70. Researchers tracked over 4,100 subjects over five years.
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Can I Be Treated To Prevent Genital Herpes Transmission To My Partner
Yes. A large study showed that if one partner has herpes and the other partner is uninfected, treating the infected partner with suppressive therapy can prevent transmission of symptomatic herpes in over 90% of cases. This is an option for couples who are interested in having unprotected sex or who are planning to become pregnant.
If you are entering into a new relationship and are aware that you have herpes simplex infection, you owe it to your partner to notify them before having sex.
How Are Cold Sores Treated
Cold sores usually go away in about 1 to 2 weeks. No medicines can make the virus go away. But some treatments can help make cold sores less painful and not last as long:
- Cold compresses can help with discomfort.
- Prescription or over-the-counter treatments are sometimes recommended by the doctor.
- Cool foods and drinks can help make eating more comfortable.
- Taking acetaminophen or ibuprofen may ease pain. Dont take aspirin, as its linked to a rare but serious illness called Reye syndrome.
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Tips For Managing Herpes Symptoms
The symptoms of herpes can be painful and uncomfortable. Fortunately, there are a few things you can easily do at home to help ease these symptoms, including:
- Apply an ice pack or warm compress to the affected area.
- Take over-the-counter pain relievers, such as acetaminophen.
- Keep the affected area clean and dry to reduce the risk of infection.
- Avoid tight clothing that may irritate genital sores.
- Dont pop blisters or pick at scabs that form over the sores.
- Ask your healthcare provider to recommend a painkilling cream.
Taking proper care of your skin and overall health while experiencing an outbreak can help to prevent complications like infection and assist in faster healing for your sores. Keep in mind that you are especially contagious during an outbreak, so its best to avoid intimate contact, such as kissing or sex, until the sores heal.
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Can Dermatitis Herpetiformis Come And Go
Yes. The symptoms of dermatitis herpetiformis can come and go. There are periods of remission and periods of flare. Remission is spontaneous, and only about 12% of people experience it. Even if youre in remission it is still recommended that you eat a gluten-free diet.
The bumps and blisters will sometimes go away spontaneously. They may leave behind brown or pale marks on your skin.
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When To Call The Doctor
Even though HSV sores can hurt and be unsightly, most cases of herpes do not cause serious illness. The sores go away in a few days. Contact the health provider if:
- Sores are present and you think it might be a first herpes infection. The diagnosis is usually made by examining the sores. If the sores have not healed, sometimes a laboratory test is done.
- Sores do not heal by themselves or show signs of infection such as pus, spreading redness or fever.
- Sores are near the eyes.
- You have another health condition with a weakened immune system.
What Are The Symptoms Of Monkeypox
Symptoms of monkeypox in humans are similar to smallpox, which the WHO declared eliminated in 1980.
A monkeypox infection typically begins with flulike symptoms, including fatigue, intense headache, fever and swollen lymph nodes. Within one to three days of a fever developing, according to the CDC, a rash or sores develop and can be located pretty much anywhere on the body, including the hands, genitals, face, chest and inside of the mouth.
But wherever they develop, the rash or monkeypox lesions can be flat or raised, full of clear or yellowish fluid and will eventually dry up and fall off.
You can spread monkeypox until the sores heal and a new layer of skin forms, according to the CDC. Illness typically lasts for two to four weeks. The incubation period ranges from five to 21 days, according to the CDC.
Notably, some people never experience flulike symptoms, the CDC says, and you may experience all or only few of the typical monkeypox symptoms. For safer sex and social gatherings where you may be in close contact with other peoples bodies, the CDC has a fact sheet for practices to consider.
Importantly, Adalja said, Monkeypox is not contagious during the incubation period, so it doesnt have that ability to spread the way certain viruses like flu or SARS-CoV-2 can. Experts are currently studying whether this is still the case in this outbreak.
Monkeypox lesions progress through a series of stages before scabbing, according to the CDC.
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Can You Pop Herpes Blisters
Like pimples, you may be tempted to pop a cold sore or a herpes blister, but by popping, you are only doing more harm. Popping a cold sore, a genital herpes blister, or a pimple increases the risk that you will worsen the existing infection, introduce a secondary infection, or irritate your skin further. Popping can also make it more likely to form a scar.
It is best to leave the pimples or blisters alone to heal on their own, but if they are too uncomfortable or painful, talk to your doctor.
Dont Risk It!
Although you can likely tell herpes sores and pimples apart just by looking at them, a medical diagnosis will let you know for sure.
Im Pregnant What Do I Need To Know
To get the best care, tell your doctor you have genital herpes, because it could make you more likely to have a miscarriage or give birth too soon.
Its possible to pass along the virus to your baby. For infants, it can be life-threatening. Your doctor can talk to you about how to lower the chances that this will happen.
If you have an outbreak while youre pregnant, your doctor can give you medicine to treat your symptoms and stop them sooner.
Your doctor may give you a drug to prevent an outbreak as your due date gets closer. This is because your baby could get herpes by passing through your birth canal if youre having an outbreak when you go into labor. If thats a possibility, your doctor will most likely want to do a C-section, which is surgery to deliver the baby.
Continued
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How Is Genital Herpes Treated
Herpes has no cure. But antiviral medicines can prevent or shorten outbreaks during the time you take the medicine. Also, daily suppressive therapy for herpes can lower your chance of spreading the infection to your partner.
Your doctor will either give you antiviral medicine to take right after getting outbreak symptoms or to take regularly to try to stop outbreaks from happening. Talk to your doctor about treatment options.
During outbreaks, you can take the following steps to speed healing and prevent spreading herpes to other parts of your body or to other people:
- Keep sores clean and dry.
- Try not to touch the sores.
- Wash your hands after any contact with the sores.
- Avoid all sexual contact from the time you first notice symptoms until the sores have healed.
What Happens If You Leave Herpes Untreated
Many people who contract herpes dont realize it. This comes down to the fact that herpes doesnt always show obvious signs and symptoms, and when herpes symptoms do show – they can sometimes be quite mild.
Without regular sexual health testing, its possible to have the virus, not know, and, ultimately leave it untreated. Unfortunately, there are some notable complications associated with untreated herpes, particularly untreated genital herpes, these include:
- Increased risk of contracting other sexually transmitted infections
- Babies can be exposed to the virus during birth
- Inflammation in the bladder or the lining of the rectum
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How Can I Protect My Sex Partners
You can take steps to protect others from herpes. Keep in mind that you can spread it even when you dont have symptoms.
Avoid sex during outbreaks: Youre more likely to give your partner herpes while you have an outbreak. Avoid sexual contact from the time you notice the first signs, such as tingling or pain, until the scabs fall off and your skin is back to normal.
Try not to touch your sores: If you do, wash your hands right away. A good cleaning may stop the spread to another part of your body or to your partner.
Use condoms: They wont totally protect your partner, but they can lower the chances of spreading the virus.
Talk to your doctor: They might prescribe a drug to make it less likely youll give herpes to someone else. As with condoms, the medicine wont 100% protect your partner.
Should You Get Tested
Its a good idea for the partners of people with genital herpes to have a blood test for herpes antibodies. This can help them to decide whether to use antiviral medication as protection, for example. Both partners may already have the same virus type. Then theres no reason to take medication to protect each other.
If one of the partners has HSV-1 or cold sores and the other one has HSV-2 or genital herpes, they could infect one another with the other virus. If one partner has herpes viruses in their body and the other doesnt, condoms are one way to prevent infection.
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How Does Genital Herpes Affect Pregnancy
- If you get genital herpes during pregnancy, you can spread genital herpes to your baby during delivery.
- If you had genital herpes before pregnancy, your baby is still at risk of getting herpes, but the risk is lower.
Most women with genital herpes have healthy babies. But babies who get herpes from their mother have neonatal herpes. Neonatal herpes is a serious condition that can cause problems in a newborn baby such as brain damage, eye problems, or even death.
What Can A Person Or Community Do To Prevent The Spread Of Herpes Ii
Avoidance of sexual contact with symptomatic individuals is an immediate, but only partial answer because herpes virus may be shed while the infected individual remains asymptomatic. Cesarean section is often recommended when primary or recurrent herpes II lesions occur in late pregnancy.
Sexual relations should be approached responsibly.
- Limit the number of your sex partners.
- Use a male or female condom.
- If you think you are infected, avoid any sexual contact and visit the local STD clinic, a hospital or your doctor.
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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.
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 Pregnancy And Newborn Infants
Herpes can pose serious risks for a pregnant woman and her baby. The risk is greatest for mothers with a first-time infection because the virus can be transmitted to the infant during childbirth. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission. Babies born to mothers infected with genital herpes are often treated with the antiviral drug acyclovir, which can help suppress the virus.
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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