How Is Herpes Treated
Herpes cannot be cured, but it can be managed. Medications are available that can prevent or shorten the duration of herpes outbreaks. There is a medicine that you can take on a daily basis that can help prevent outbreaks and also lower your risk of spreading the virus to others. Talk to your healthcare provider about your options. Antiviral medications such as acyclovir, famciclovir and valacyclovir can suppress outbreaks and shorten the duration of symptoms and active shedding of virus.
Transmissible Even When Dormant
It’s possible to transmit herpes to another person whether you experience an outbreak or not.
Transmission with no symptoms is due to asymptomatic viral shedding. For example, research has found that in people with HSV-1, the virus can be reactivated in the body and allow for transmission to others without any lesions present. HSV-2 also can be transmitted without symptoms present.
Signs And Symptoms Of Herpes
Oral herpes is an infection in the mouth, caused by HSV-1 . Symptoms often include cold sores or fever blisters, but you can have oral herpes without any symptoms.
The herpes simplex virus can be dormant until an active outbreak occurs. The initial infection typically has the worst symptoms, ranging from flu-like symptoms and swollen lymph nodes to headaches. Sores may occur in and around the lips and mouth. Recurring infections are usually milder, and may include redness, itching, or swelling. Painful, fluid-filled blisters can occur and are highly contagious. These blisters often turn into sores , which will then scab over and typically heal in a few days.
Symptoms of genital herpes range from none to more severe manifestations . The majority of genital HSV infections are mild, with little to no symptoms following the initial outbreak. For people who do experience symptoms, the usual course begins with genital inflammation, where the skin may itch or burn. Blister-like sores may appear. The sores may open, scab over, and heal.
Other indirect symptoms that can occur during an active herpes virus infection include fever, headaches, muscle aches, and a burning sensation during urination.
If you think you may have a herpes infection, home testing could be a convenient option for you. If youâre wondering how to get tested for herpes at home, thereâs good news: testing for HSV-2 is easy with the Everlywell female STD Test or male STD Test.
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Reactivation And Recurrent Outbreaks
- Extreme temperatures
- Menstrual periods
The virus then travels to the skin and can cause another, often milder, outbreak. However, reactivation may not cause any symptoms.
Before an outbreak, some people experience prodrome. This is characterized by tingling, itching, or pain in the affected areas before the lesions appear.
Myth #: You Can’t Get Herpes If You’re Not Sexually Active
Herpes can be passed from skin-to-skin contact that isn’t sexual in nature, Hawkins tells me. “If you look at the leotards that wrestlers wear, if you have upper thigh genital herpes in an area thats low enough that it shows under the leotard, someone can get it, too,” Hawkins tells me.
With that said, Hawkins tells me you don’t need to worry about getting it from trying on a swimsuit or sharing a towel, because the virus doesn’t live outside of the body for long. “Now if youre trying on bathing suits without any underwear underneath, there are plenty of wonderful infections that you can get even if herpes is not one of them,” she says. “People are still strongly advised to make sure theyre using proper hygienic options.”
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Can You Have A Healthy Pregnancy With Herpes
A person with herpes has a good chance of having a healthy pregnancy. Because herpes lies dormant for months or years at a time, some pregnant individuals may not experience an outbreak during their pregnancy.
Most people with herpes have mild symptoms, although first-time infections can be more severe.
Genital Herpes Without Any Blisters
I was wondering if anyone has ever heard of someone getting gential herpes and never getting an O.B? Reason for me asking is that I have had a continous tingling/ crawling sensation in my genital area for 4 years. They are always there and they worsen at night. I have never had a blister or ulcer down there and I am stumped and so are my doctors as to what it could be. It all began immediately after an unprotected sexual encounter. I have been tested for herpes and I came back hsv1 positive but I expected that as I have had coldsores since a young kid. Reasons for me thinking it is herpes is because it has not gone away after all these years and the only people who describe the same symptoms as me are people with genital herpes. Anyone with info on this would be of great help!!!!!
0 likes, 22 replies
7 years ago
I will defs try your suggestions. Its annoying because if this herpes, does it mean I am continuously contageous because these symtoms have been present for 4 years straight now, not one day have I never felt them.
Best of Luck!
Posted 7 years ago
I dont think I have hsv 2… I think I may have hsv 1 but I dont know how else I can get tested
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How Long Can Herpes Go Undetected
Once youve contracted HSV, there will be an incubation period the time it takes from contracting the virus until the first symptom appears.
The incubation period for HSV-1 and HSV-2 is the same: 2 to 12 days. For most people, the symptoms begin to show up in about 3 to 6 days.
However, according to the
How Can You Prevent Your Baby From Getting Herpes
While no method can guarantee the prevention of a fetus or baby from acquiring an infection, a person can lower the risk by:
- taking antiviral medications a doctor prescribes toward the end of pregnancy
- having a C-section birth if doctors think there is a high risk of a baby contracting an infection during natural childbirth
- stopping breastfeeding if they notice a sore on or around the nipple, until they can have an HSV test
- covering active cold sores and washing their hands regularly
- avoiding kissing a baby until a cold sore has completely healed
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Expect The First Outbreak To Be The Worst
Remember that although herpes lasts a lifetime, the first outbreak typically causes the most pain, while later outbreaks tend to be much milder.
You will always have herpes, and the sores will come and go, but you can decide not to treat the current outbreak. If its not that unpleasant or uncomfortable, some patients will do that, says Gade.
Are Test Results Accurate
Tests that identify evidence of HSV infections are routine and commonly used medical tests. The ability of a test to accurately diagnose or rule out HSV infection depends on the test used for analysis and the stage of a patients infection.
The Tzanck smear and viral culture are less able to accurately identify patients who have an HSV infection than other tests. PCR testing and antibody testing are more sensitive, which means that they miss fewer cases of infection.
Blood tests that detect antibodies to HSV can distinguish between HSV-1 and HSV-2 but not the site of infection. This means that blood tests cannot tell whether a patient has a genital or oral herpes infection.
Although these tests are valuable for identifying HSV infection, no test is perfect. When learning of test results, patients should talk to their doctor about the type of test conducted, the reliability of test results, and if additional tests are necessary to confirm or rule out a diagnosis.
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Myth #: Herpes Outbreaks Are Always Obvious
According to the CDC, “most people with genital herpes infection do not know they have it.” This isn’t just an issue with testing it’s because herpes can often be more subtle and complex than how it was presented in high school health class.
I have a friend who knew he had herpes immediately, because he had “hundreds” of sores. I have another friend who was shocked to be diagnosed off of one paper-cut like lesion she had suspected was yeast-related. These two anecdotes illustrate how differently herpes can present in each individual. “Everybody is unique and has a unique immune system,” says Hawkins. ” could be incredibly mild, where someone thinks its a blemish or ingrown hair, and it could be really apocalyptic, where someone feels the need to go in and see a medical provider and get access to medication.”
Genital Herpes And Pregnancy
Women with herpes before pregnancy can usually expect to have a healthy baby and a vaginal delivery.
If you have genital herpes during pregnancy, there’s a risk your baby could develop a serious illness called neonatal herpes.
This can be fatal, but most babies recover with antiviral treatment.
The risk of your baby getting neonatal herpes is low if you have had genital herpes before.
It’s higher if you get genital herpes for the first time in pregnancy.
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How Common Herpes Really Is
Enough people have herpes to make it a totally commonplace infection, even though we may not treat it as one.
Nearly 48 percent of people aged 14 to 49 in the United States were estimated to have HSV-1 between 2015 and 2016, according to the most recent data from the CDC. This high prevalence makes sense because many people actually get the virus from nonsexual contact as children, the CDC explains. This can happen when a parent greets a child with a kiss on the mouth or while a kid is playing with other little ones, since children arent exactly known for their respect of personal space. Remember: HSV-1 often presents as cold sores, but its possible that some people with HSV-1 actually have genital herpes.
So, about genital herpes. You may have heard that one in six people has this infection. Thats a little bit of an outdated figure, Christine Johnston, M.D., an associate professor and herpes researcher at the University of Washington School of Medicine, tells SELF. That number is related to national survey data released by the CDC in 2010 and based on the years 2005 through 2008. This nationally representative research, published in the CDCs 2010 National Health and Nutrition Examination Survey , tested peoples blood samples for antibodies of HSV-1 and HSV-2, estimating that 16.2 percent of Americans aged 14 to 49 had HSV-2 between the years 2005 and 2008. Thats around one in six.
Herpes Testing : What Are Your Options
Medically reviewed by Michele Emery, DNP
Are you worried you might have been exposed to the herpes virus?
First: don’t panic. The HSV viruses are a lot more common than you may think, and are very manageable in most cases.
Second: if you think youve been exposed to the herpes virus, testing is going to be your first plan of action.
Take a couple deep breaths and when you’re ready, read on.
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When Should You Get Tested
The best time to get tested for herpes varies, depending on what’s happening.
If you’re exhibiting symptoms of an initial outbreak which include pain, itching and redness of the affected location fatigue, fever and chills and, ultimately, painful sores or ulcers it’s best to see a healthcare professional about getting tested.
However, if you think you’ve been exposed to the virus and aren’t yet exhibiting symptoms, HSV may take some time before being able to show results on a test. While the exact time frame is unknown and varies from person to person, two weeks is usually enough time to yield accurate test results.
Most people become concerned about being infected with the herpes virus after contact with a potentially infected person. Often, simple things like kissing someone with a visible cold sore or facial acne around the lips can cause concern about HSV-1.
For genital herpes, most people become concerned about potentially being infected after sexual contact with a person that shows symptoms of herpes. This can include oral sex with someone that has cold sores, which can potentially spread to the genitals.
Since herpes is asymptomatic in many people, you could be infected with the virus even if you dont have any symptoms.
Can Herpes Be Transmitted During Its Incubation Period
The chances are low that a person can transmit HSV to someone else within the first few days following their initial contact with the virus. But because of HSV dormancy, among other reasons, not many people can pinpoint the moment they contracted the virus.
Transmission is common from contact with a partner who might not know they have HSV and isnt showing symptoms of infection.
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How To Diagnose Herpes
Genital herpes is typically diagnosed through examination by a medical professional and a blood test. If you suspect you have genital herpes , you can take an antibody test.
To test for 6 other common STIs like chlamydia, gonorrhea, hepatitis C, HIV, syphilis, and trichomoniasis, try the Everlywell home STD Test for women or the STD Test for men. After you collect your sample at home, it is received and analyzed at the lab, and the test results are sent to you quickly and discreetly via our secure, online platform.
What Is A Herpes Outbreak
A herpes outbreak happens when lesions called blisters or sores start to form on your genitals, bottom or mouth. If you have oral sex, you can also get oral herpes in the mouth. Your first outbreak of genital herpes will generally last longer with more severe symptoms, such as a fever or muscle aches.
Recurrent infections happen because the virus stays dormant in your body. Once triggered, the virus reactivates which leads to an outbreak. Triggers for recurrent infections can include being stressed, being on your period or feeling run down.
You might have an outbreak of herpes a long time after youve had unprotected sex. The virus can stay in your body and not cause symptoms straight away.
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How Long Does It Take For Symptoms Of Herpes To Appear
It generally takes anywhere from 4 to 7 days for herpes symptoms to appear. Both genital and oral herpes outbreaks have similar symptoms.
The primary symptom of a herpes outbreak is sores that resemble blisters, called herpes lesions, on the mouth or genitals.
In addition, people may also experience the following symptoms prior to the outbreak:
- pain and redness, especially around the area the outbreak will occur
- itching and tingling, primarily in the outbreak area
- flu-like symptoms, such as fatigue, fever, or swollen lymph nodes
Most of the symptoms that occur before an outbreak indicate that the virus is replicating. Symptoms are usually the worst during the first herpes outbreak.
According to the
Some people with the herpes virus are asymptomatic, which means that they dont experience any physical symptoms of the disease. This doesnt mean that they cant spread the disease, however.
Anyone who has the herpes virus, whether symptomatic or not, can spread the virus to others.
If you have the herpes virus and your body has produced antibodies, it can be detected on a blood test, even if you have no symptoms. The only time the virus might not be detected on a test is if youve been tested too early.
The Blood Tests Do Have A Lot Of Value But Here Are The Biggest Issues:
About 50% of the population has type 1 herpes. Type 1 can be genital or oral. If you have never had symptoms and obtain an IgG based type-specific blood test , and the test comes back positive for type 1, we have no way of knowing whether you are infected orally, genitally, or both. The only way we can know which location is infected is by symptoms.
About 30% of negative results for HSV 1 are false negatives. This means if you test negative, you might still have HSV 1.
If you are positive for type 2 and fall within a positive range of 1.1 – 3.5, theres a decent chance this is a false positive. About 50% of positives that fall in this range are in error, with the closer you get to 3.5 the more likely you are positive and the closer to 1.1 the less likely you are positive. There can be false positives above 3.5 as well but theyre less likely. If you do test positive within this low range, the CDC recommends confirmatory testing. The most accurate confirmatory blood test is the Western Blot. The Western Blot is more complicated to obtain and your insurance may not cover it. In addition, many doctors do not know about the high false positive rate within this range so they incorrectly diagnose their patients without getting confirmation. I have worked with a number of patients diagnosed within this range who I encouraged to follow up with the Western Blot and they discovered they were negative.
Blood tests given too early after possible exposure can be false negative.
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