Valacyclovir Tablets Are Used In Adults:
- to treat cold sores
- to treat shingles
- to treat or control genital herpes outbreaks in adults with normal immune systems
- to control genital herpes outbreaks in adults infected with the human immunodeficiency virus with CD4 + cell count greater than 100 cells/mm3
- with safer sex practices to lower the chances of spreading genital herpes to uninfected partners. Even with safer sex practices, it is still possible to spread genital herpes. Valacyclovir tablets used daily with the following safer sex practices can lower the chances of passing genital herpes to your partner.
- Do not have sexual contact with your partner when you have any symptom or outbreak of genital herpes.
- Use a condom made of latex or polyurethane whenever you have sexual contact.
How Is It Spread
The herpes virus is spread by skin-to-skin contact with a person who has the herpes virus:
- Most often, from herpes sores or blisters
- Less often, from normal looking skin where the virusfirst entered the body
- The herpes virus enters the body through the:
- Lining of the mouth
- Regular skin that has small cracks or cuts
People with a weak immune system can get a herpesinfection more easily. A weak immune system is causedby some diseases and by somemedicines used to treat serious diseases.
People who don’t know they have herpes can still spread the virus to others.
Discussing Genital Herpes With Your Partner
Many people do not feel comfortable talking about sexuality and sexual health issues. This information will explore ways of feeling more confident in discussing herpes in the context of a sexual relationship.
Cold sores on the mouth and genital herpes are medically the same conditions. The significant difference arises from the stigma that tends to accompany a herpes infection that is sexually transmitted.
Most people find that their partners are both supportive and understanding. It is a common assumption to initially think that a person may base their judgement of you on the fact you have genital herpes. However, for most this is a minor skin infection. People fear the possibility of rejection but the reality of this is that it rarely happens.
Because fear of rejection is a concern, it leads some to question why they should risk talking about herpes. Accordingly, some people choose not to tell. Instead, they abstain during herpes outbreaks, practice safe sex at other times, and hope for the best.
This strategy may have more disadvantages than advantages. First of all, you spend a lot of time and energy worrying that your partner is going to get herpes. Its much harder to tell someone if they just found out theyre infected with herpes. For most people, the anxiety over not telling your partner you have herpes is worse than the telling itself.
If you are able to discuss the situation openly and honestly, you can find imaginative ways to be safely sexually intimate.
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Most People Get Hsv1 As A Child
Oral HSV-1 is often the most easily acquired herpes infection. Usually the first herpes simplex virus that people encounter, oral HSV-1, is typically spread simply by the kind of social kiss that a relative gives a child. Because children have no prior infection with any HSV type, they have no immune defense against the virus.
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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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What Other Sexual Activities Can Transmit An Sti
To be very clear, STIs arent weeds: They dont simply sprout up out of nowhere.
For an STI to be transmitted, someone must be doing the transmitting. And for someone to do the transmitting, they must be STI-positive.
According to Gersh, depending on what the STI is and where its located, an STI could be transmitted during any sexual activity that involves the following:
- the mouth, lips, throat, or saliva
- blood or breast milk
That means that, in theory, an STI can be transmitted during any of the following sex acts:
However, most of the fearmongering around nonsexual STI transmissions for instance, that you can get an STI from a toilet seat, hot tub, or public pool is *not* based in science under most conditions.
STIs generally cannot exist outside the homeyness of the bodys mucosal membranes for very long. And all the chemicals in pools and hot tubs kill off any infectious agents.
How Genital Herpes Can Affect Your Pregnancy
If you have genital herpes, its possible to spread the virus to your baby. A woman can spread it to her baby while she is:
-
Taking care of her newborn
If the baby gets the virus while in the womb, the mother may have a miscarriage or deliver the baby too early, causing the baby to be premature.
When the baby catches the virus during birth or shortly thereafter, this can be deadly for the baby. Be sure your OB/GYN knows that you have genital herpes so that precautions can be taken.
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Treatment If The Blisters Come Back
Go to a GP or sexual health clinic if you have been diagnosed with genital herpes and need treatment for an outbreak.
Antiviral medicine may help shorten an outbreak by 1 or 2 days if you start taking it as soon as symptoms appear.
But outbreaks usually settle by themselves, so you may not need treatment.
Recurrent outbreaks are usually milder than the first episode of genital herpes.
Over time, outbreaks tend to happen less often and be less severe. Some people never have outbreaks.
Some people who have more than 6 outbreaks in a year may benefit from taking antiviral medicine for 6 to 12 months.
If you still have outbreaks of genital herpes during this time, you may be referred to a specialist.
How Is Herpes Transmitted
The herpes virus is usually spread from person to person by direct skin-to-skin contact. If someone has blisters and sores the virus is usually living on their infected skin. You could catch the virus by touching someones infected skin or by them touching you.
The virus can also be found in peoples bodily fluids, like their saliva, semen or vaginal mucus, so you can also catch a herpes infection by coming into contact with these.
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How Can I Best Learn To Cope With Herpes Simplex
Some people feel distressed or embarrassed about their herpes simplex infection. Its important to understand that the herpes virus is common. For most people, herpes doesnt significantly interfere with daily life.
To cope with negative feelings, you may consider:
- Connecting with others through support groups or online forums.
- Sharing your feelings with a trusted friend or loved one.
- Speaking with a therapist.
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.
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How Will My Healthcare Provider Know If I Have Genital Herpes
Your healthcare provider may diagnose genital herpes by simply looking at any sores that are present. Providers can also take a sample from the sore and test it. If sores are not present, a blood test may be used to look for HSV antibodies.
Have an honest and open talk with your healthcare provider about herpes testing and other STDs.
Please note: A herpes blood test can help determine if you have herpes infection. It cannot tell you who gave you the infection or when you got the infection.
How To Reduce Shame And Stigma When You Have An Std
Its important to recognize and deal with feelings, worries, and fears you may have. Talking to your doctor or another healthcare provider can help you normalize your experience and move forward. If you are in a committed relationship, it may be helpful for you to make an appointment to see a healthcare provider with your partner.
Engaging in open conversations with your provider and any sexual partners may help to put your mind at ease. You will find out about the right precautions to take in light of your own personal situation.
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How Big Is The Risk Of Infection
The likelihood of being infected with genital herpes during sex depends on many factors, including how often you have sex, whether and how frequently you use condoms, and how long your partner has already been infected. Someone who has had the virus for a long time is less contagious than someone who has just been infected. In general, women have a higher risk of becoming infected than men. Having other sexually transmitted diseases such as HIV also increases the risk of transmission.
In studies with couples where one partner had genital herpes, the other partner became infected within one year in 5 to 10% of the couples. The people in these studies only rarely used condoms, though and if they did, it was mostly during an outbreak. One of these studies showed that infection occurred in an estimated 1 out of 1,000 sexual acts.
Causes And Risk Factors Of Genital Herpes
Two types of viruses cause genital herpes herpes simplex type 1 and herpes simplex type 2 .
Usually, HSV-1 causes oral herpes, which becomes visible in the form of cold sores, or fever blisters, on the face, close to the mouth. Most people contract an oral herpes infection during their childhood or young adult years from nonsexual contact with the saliva of an infected person.
HSV-1 mainly spreads through direct contact with cold sores or saliva. Having oral herpes, or cold sores, does not mean that you have genital herpes. But if you have oral herpes, you can spread it from your mouth to another persons genitals if you perform oral sex on them.
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How Effective Is Medication At Preventing Infection
If you have genital herpes, you will probably be somewhat less likely to infect your partner if you use antiviral medication for prevention. The medications used for this purpose include aciclovir, famciclovir and valaciclovir. They must be taken every day over a long period of time, though. One study showed that over a period of eight months,
- 4 out of 100 people became infected when the partner with the virus took a placebo, and
- 2 out of 100 people became infected when the partner with the virus took antiviral medication every day.
These couples were also advised to use condoms as well but many didn’t use them consistently. So its not clear whether taking antiviral medication can lower the risk of infection even further if you always use condoms anyway, or whether using condoms is just as effective on its own.
Whether or not you would like to use preventive medication is ultimately an individual decision. Many factors can play a role, such as how long you or your partner have had the infection, how frequent and severe the outbreaks are, whether you are male or female, the frequency of sexual contact and whether you use condoms.
How Long Do Sores From Herpes Simplex Last
If youre infected with HSV-1, commonly known as oral herpes, you may notice tingling or burning around your mouth in the days before a cold sore appears. These blisters break open and ooze fluid before forming a crust. Usually, sores last for seven to 10 days.
If youre infected with HSV-2, commonly known as genital herpes, your first outbreak may last between two to four weeks. Recurrent outbreaks usually last between three to seven days.
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What Are The Symptoms Of Herpes
Alright, so you think you have an ingrown hair or maybe a rogue pimple. While many people wonât notice symptoms for a long time , there are a few common signs that could indicate you have herpes.
In the case of genital herpes, the most common symptoms include:
â Burning when you pee
â Difficulty urinating due to sores and swelling blocking your urethra
â Itching and general pain near your genitals
For those with genital herpes caused by HSV-2 , you might also encounter flu-like symptoms as well, which include:
â Swelling in your pelvis, throat and underarms
â Fever
â Headaches
â Aches, pains and fatigue
The first time you encounter these blisters is known as your first episode and symptoms can last for around two to four weeks. But even once the blisters ease, further outbreaks are incredibly common.
In the days or weeks leading up to an âoutbreakâ you might notice common symptoms such as itching, burning or tingling around your genitals. The good news? Subsequent outbreaks tend to be shorter and less painful than the first episode.
Will Suppressive Therapy Make It Easier To Live With Genital Herpes
Suppressive herpes therapy may give marked improvement to your emotional well-being. Many people find the fact that they can control the infection gives a boost to their sense of well-being and self-confidence. Even if only taken for a few months, suppressive therapy can help you to come to terms with emotions caused by recurrent genital herpes, including depression and anxiety.
However, suppressive therapy is only part of it. There are benefits gained from expert counselling from your doctor or nurse, or by speaking to a counsellor on the tollfree Herpes Helpline 0508 11 12 13. Make sure that you continue to talk to a health professional you are comfortable with, at least until you feel completely at ease with having genital herpes and in command of the infection.
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Is It Possible To Have Unprotected Sex And Not Catch Herpes
If you have unprotected sex with someone who has genital herpes then youre not guaranteed to catch it, but you are playing with fire. Herpes infections are highly contagious and very easy to catch, so although you arent guaranteed to catch it you have a high chance.
OK. Lets get down to it and look at some specifics about how you can catch herpes infections:
How To Talk About Herpes With Your Partner
Herpes is shrouded in stereotypes and stigma, but it shouldnât be. Itâs one of the most common STIs and often doesnât present with symptoms which has aided its rapid spread. While there isnât a cure yet, the condition is manageable and doesnât need to spell disaster for your dating life.
But what does need to change is the way we talk about herpes. Contrary to popular misconceptions, itâs got nothing to do with sleeping around. In many cases, symptoms wonât present for months or even years after contracting the virus. But the longer we avoid talking about herpes, the longer sufferers will be forced to navigate the shame of this misunderstood condition.
So, what are the best ways to let your partners know you have herpes?
â Communicate early and donât wait until you get into bed to have the conversation
â Be open and honest about the situation and explain the risks involved
â Educate them about the diagnosis means and how you can both navigate sex safely
â Explain your options and chat about what you both feel comfortable doing
The key to navigating this conversation successfully is to be upfront and honest. When it comes to safe sex, making sure youâre both aware of the risks means everyone is on the same page. Avoiding the subject or lying about the condition is only going to do more harm than good in the long run.
The longer we avoid talking about herpes, the longer sufferers will be forced to navigate the shame of this misunderstood condition.
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How Can I Prevent Genital Herpes
If you are sexually active, you can do the following things to lower your chances of getting genital herpes:
- Being in a long-term mutually monogamous relationship with a partner who does not have herpes.
- Using condoms the right way every time you have sex.
Be aware that not all herpes sores occur in areas that a condom can cover. Also, the skin can release the virus from areas that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes.
If your sex partner has/have genital herpes, you can lower your risk of getting it if:
- Your partner takes an anti-herpes medicine every day. This is something your partner should discuss with his or her healthcare provider.