Thursday, April 25, 2024

Can You Be Tested For Herpes

Can The Herpes Virus Spread If There Are No Symptoms

Understanding Herpes Testing

The herpes virus can occasionally be spread when there are no symptoms due to a phenomena known as Viral Shedding.

It is possible for a person to carry the herpes virus without knowing that they have it, in fact, up to 80% of people who are infected with HSV-2 show no signs of the infection. So it is possible for a person to unwittingly transmit the infection to their partner.

Can Herpes Be Treated

If your symptoms are already cleared, you may not need any medication. You will however need to learn more about how to manage your condition if an outbreak happens in the future.

There are several antiviral medications you can take to manage or prevent outbreaks. Antiviral medication can shorten outbreaks by several days. Some can also suppress the virus, reducing the risk of spread to partners.

Treatment options for herpes are:

You can also apply a pain relief or numbing cream to the affected area. Local anaesthetic creams like Lidocaine can be used for such relief.

Other ways to manage herpes outbreaks are to:

  • apply petroleum jelly as a barrier to skin contact
  • apply an ice pack wrapped in a towel to help numb and soothe painful sores
  • take a cool shower to soothe pain and irritation
  • avoid frequent washing and drying of the affected area
  • wear loose fitting clothes
  • take mild over the counter pain relievers if needed
  • drink plenty of water for better skin health

When talking to your doctor, you will be asked to tell any previous partners so they can get tested. Your doctor or nurse may help you tell them anonymously if you prefer.

What Are The Possible Complications Of Oral Herpes

âAutoinoculationâ from touching a cold sore on the lip can cause herpes of the finger . Autoinoculation occurs most commonly at the time of primary infection, when viral shedding is high and the immune system is still gearing up to contain it. The antibodies that are made after primary infection are usually â but not always â successful in preventing autoinoculation during recurrent attacks.

A more serious complication is infection of the eye, or ocular herpes . It may be a mild surface ulceration with little discomfort, or it may cause deeper, painful ulcers that threaten vision. Ocular herpes is also caused by autoinoculation. If not treated, ocular herpes may lead to serious damage or even blindness.

Rarely, herpes simplex may infect the brain, causing encephalitis. This infection requires hospitalization and intravenous antiviral medications. HSV-1 is among the commonest causes of fatal viral encephalitis worldwide.

In immunocompromised people, such as those with HIV infection or those receiving chemotherapy, severe outbreaks of herpes may occur. Colds sores may spread to large parts of the lower face or invade organs. Antiviral drugs are used to prevent or lessen such attacks.

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How Soon After Sex Can Std Symptoms Start

The answer is more complicated than you think

Youre not proud of it, but you had unprotected sex and now youre worried if the escapade may come with consequences. Youre not the first guy to wonder how soon symptoms might show up if your worst fears are realized and you picked up a sexually transmitted infection .

But first: Understand that just because you dont have symptomsimmediately or everdoesnt mean youre necessarily in the clear.

The most important thing to highlight is that the majority of STDsbe it gonorrhea, chlamydia, or herpestend to be asymptomatic, meaning they dont cause symptoms, says Khalil Ghanem, MD, PhD, an associate professor of medicine at Johns Hopkins University School of Medicine.

The most important thing to highlight is that the majority of STDs tend to be asymptomatic.

Ghanem says 90 percent of people with gonorrhea and chlamydia will not have symptoms, while the same is true of 70 percent of those with herpes.

But even if your STD is asymptomatic, you can still infect your partner. You could also be at greater risk for serious complicationseverything from arthritis to cancerif your STD goes untreated. The only way to be sure youre STD free after an unprotected sexual encounter is to be screened, Ghanem says.

Now that were clear on that, lets get back to your original question. How soon would symptoms show up? For most STDs, usually sometime between 3 days and 10 days after exposure, Ghanem says.

How Do I Know If I Have Genital Herpes

Herpes Swab Test

Most people who have genital herpes have no symptoms, or have very mild symptoms. You may not notice mild symptoms or you may mistake them for another skin condition, such as a pimple or ingrown hair. Because of this, most people who have herpes do not know it.

Herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. The blisters break and leave painful sores that may take a week or more to heal. These symptoms are sometimes called having an outbreak. The first time someone has an outbreak they may also have flu-like symptoms such as fever, body aches, or swollen glands.

People who experience an initial outbreak of herpes can have repeated outbreaks, especially if they are infected with HSV-2. Repeat outbreaks are usually shorter and less severe than the first outbreak. Although the infection stays in the body for the rest of your life, the number of outbreaks may decrease over time.

You should be examined by your doctor if you notice any of these symptoms or if your partner has an STD or symptoms of an STD. STD symptoms can include an unusual sore, a smelly genital discharge, burning when urinating, or bleeding between periods.

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What Are The Symptoms And Signs Of Herpes

Oral and genital Herpes infections often have no symptoms or mild symptoms that can either go unnoticed or be mistaken for other types of bacterial or fungal infections, in both men and women. Occasionally, the virus may be present with no visible signs and can still be passed on, by a process called asymptomatic viral shedding.

Did you know?

1 in 3 people with Herpes will have symptoms, whilst 2 in 3 will only have mild symptoms or none at all.

Is There A Herpes Treatment

Yes, there is herpes treatment to lessen the severity of symptoms. But it is only necessary when symptoms are present. There are both topical and oral options for herpes treatment, however, studies have shown that oral treatment works best.

There are three FDA-approved antiviral medications that can be used to treat genital herpes:

Oral herpes generally causes the common cold sore. Tried and true cold sore home-remedies include the following:

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Where Does The Herpes Virus Live In The Body

The herpes simplex viruses are latent, meaning they can live in the body without causing symptoms. After the initial infection, the virus gets into the nerve roots and spreads to the sensory nerve ganglia, the junctions where nerves from different parts of the body come together. For the genital area, the ganglia are adjacent to the spinal cord in the lower back. For orofacial herpes , the ganglia are located behind the cheek bone.

Best Convenient Herpes Test: Mylab Box

Benefits of Herpes Testing

People can order at-home herpes tests from MyLAB Box. These kits contain instructions, a specimen bag, and a prepaid return envelope. Users may find this test convenient because of its quick turnaround for results and the option to book a free consultation and get treatment.

Collection method
doctor may prescribe treatment if test results are positive
Con only tests for HSV-2

Once a person receives their collection kit, they can collect their sample using the instructions. They can then use the prepaid envelope to send it to the laboratory.

People should receive their results within 25 days. If the test is positive, they can book a free consultation with a doctor to discuss their results and treatment options. The doctor may then prescribe treatment.

This at-home test only works for people who wish to test for genital herpes. The company does not offer test kits for oral herpes.

The kit costs $89 as a stand-alone test, but the company also markets other kits that test for different infections. For example, if a person also wishes to test for other STIs, they can purchase the Total Box 14 Panel option or the Uber Box 8 Panel option.

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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.

  • 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.

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    How Can I Prevent Transmitting Herpes

    Although latex condoms can reduce the risk of transmitting most STIs by 98 percent, condoms dont prevent herpes transmission. This is because not all herpes sores occur in areas that are covered by a condom.

    If youre experiencing an active outbreak, you can

    • avoiding sexual activity until symptoms go away
    • washing your hands thoroughly and applying medication with cotton swabs to reduce contact with sores

    Taking a daily antiviral herpes medication can also help prevent transmission, shorten outbreaks, and manage symptoms.

    It’s Not Always Clear What To Do With Herpes Test Results

    Buy Herpes Test Kit Online

    Jeanne Marrazzo, MD, an STI specialist at the University of Washington Medical School, believes that the problem with herpes testing isn’t the tests themselves. “Its under debate whether herpes testing is cost-effective and really going to improve people’s psychosocial health,” Dr. Marrazzo tells Health. “If it’s positive, it may be difficult to figure out where you got it. If you’ve never had symptoms, there’s the question of whether or not you go on suppressive therapy.”

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    Who Might Get Herpes Simplex

    People of any age can contract herpes simplex. You are more likely to get the virus if you:

    • Were assigned female at birth.
    • Have had multiple sex partners.
    • Started having sex at a young age.
    • Have a history of any sexually transmitted infection .
    • Have a weakened immune system.
    • Dont use condoms for intercourse and dental dams for oral sex.

    Who gets HSV-1, commonly known as oral herpes?

    Anyone can get HSV-1. Most people contract HSV-1 during childhood. It spreads when an adult who has the virus has close contact with a child, such as when a family member kisses a child.

    Who gets HSV-2, commonly known as genital herpes?

    Genital herpes affects sexually active teens and adults of all genders and races. It can spread if you have multiple sexual partners and dont use condoms or dental dams.

    People assigned female at birth are more at risk. Delicate vaginal tissue can tear, making it easier for the infection to get in. Black people who were AFAB are especially vulnerable, with an estimated 1 in 2 people AFAB between the ages of 14 and 49 infected with HSV-2.

    Should You Test For Type 1 Or Type 2 Herpes

    Commonly known as oral herpes or genital herpes but medically known as HSV-1 and HSV-2, herpes can actually be located in either region regardless of its type. Additionally, its possible to have both strains of herpes. There are usually no symptoms at all, meaning someone can live their entire life without knowing that they have herpes, making it extremely easy to spread. We recommend testing for both HSV-1 and HSV-2.

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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.

    How Can I Reduce My Risk Of Herpes Simplex

    Diagnosis, treatment, and prevention of herpes | Infectious diseases | NCLEX-RN | Khan Academy

    Preventing HSV-1

    You can reduce your risk of contracting HSV-1 by avoiding physical contact with someone who has a cold sore. People can still spread HSV-1 when cold sores arent present, but its less likely.

    If someone has an active HSV-1 infection, avoid:

    • Sharing utensils, cups, lip balms or other personal care products.
    • Touching the skin near their mouth.

    Preventing HSV-2

    If youre sexually active, you can take these steps to protect yourself and others from the herpes virus and other STIs:

    • Be monogamous with one sexual partner or limit your number of partners.
    • Get tested for STIs and complete any prescribed treatment.
    • Tell your sexual partners if you have genital herpes so they can get tested.
    • Use condoms during intercourse and dental dams during oral sex.

    Wash your hands often if you have an outbreak or are around someone with symptoms.

    If your sexual partner has genital herpes, these actions can lower your risk of getting the virus:

    • Dont have sex when your partner has active symptoms. Condoms may not cover all sores, so you may still get the virus.
    • Make sure your partner takes antiviral medication as prescribed.
    • Wait to have sex until scabs fall off active lesions.

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    The Accuracy Of Various Herpes Tests

    This table summarizes the overall accuracy of different herpes tests. Please especially pay attention to the most common test, the IgG testâand most importantly to its false positive and false negative rates.

    The table has three columns:

    • Test accuracy: how accurate is the test in detecting the herpes virus
    • False positive: the test detects the presence of herpes, but the person doesnât actually have it
    • False negative: the test doesnât detect the presence of herpes, but the person does have it

    Please note: the numbers in the table are averages and may vary from case to case based on factors such as when the test is performed , the testing technique, and the herpes viral load.

    Test Type
    100% 0% Depends on the time of sample collection: usually 25% but may be up to 70%
    Blood test Commercially available IgG test: 94%Washington University test: > 99% Commercially available IgG test: up to 19%Washington University test*: 0% Commercially available IgG test: up to 38%Washington University test*: 0%

    * The Washington University test is considered the âgold standardâ blood test. The false-negative and false-positive rates for the commercially available IgG test are based on a comparison to the Western blot results of the Washington University test.

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