Recurrent Episodes Of Genital Herpes
Recurrences are usually less painful and shorter in duration than the first episode of genital herpes. Over time, episodes usually become less frequent and may eventually stop altogether. Infections caused by HSV1 are less likely to recur in the genital area than infections caused by HSV2.
Recurrences may be triggered by:
- no apparent reason noted.
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.
What Are The Differential Diagnoses
Other medical conditions could be confused with genital herpes or cold sores. The conditions are severe, and it is wise to consult with a medical expert. Herpes could be distinguished from these conditions with a lab test or medical exam.
- Medical reactions: Medication might lead to sensitive reactions and allergies that could appear as rashes. Although medication-induced rashes do not appear in the genital area, they are common around the patient’s mouth and lips.
- Concurrent HSV-2 or HSV-1: If the patient has either type of herpes, they could also be infected with the other. The viruses are different, and having one does not prevent or cause the other.
- Pre-cancer or Cancer: Lesions around and in your genital area could be symptoms of cancer. The appearance of precancerous or cancerous shouldn’t have blisters that come with HSV lesions. However, your doctor should be able to tell the difference.
- Syphilis: Syphilis is an STD that manifests in genital sores that could be confused with herpes. Your OBGYN should be capable of telling the difference through visual lesions inspection.
- Canker sores: Usually, canker sores are red, raw, painful, and whitish in the middle. They are due to oral trauma and can appear in the mouth. While the painful sensation of cold sores and canker sores is alike, a lesion looks different.
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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.
How Do I Know If I Have Genital Herpes
Most people with genital herpes have no symptoms or have very mild symptoms. Mild symptoms may go unnoticed or be mistaken for other skin conditions like a pimple or ingrown hair. Because of this, most people do not know they have a herpes infection.
Herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. This is known as having an outbreak. The blisters break and leave painful sores that may take a week or more to heal. Flu-like symptoms also may occur during the first outbreak.
People who experience an initial outbreak of herpes can have repeated outbreaks, especially if they have HSV-2. However, repeat outbreaks are usually shorter and less severe than the first outbreak. Although genital herpes is a lifelong infection, the number of outbreaks may decrease over time.
Ask a healthcare provider to examine you if:
- You notice any symptoms or
- Your partner has an STD or symptoms of an STD.
STD symptoms can include an unusual sore, a smelly genital discharge, burning when peeing, or bleeding between periods .
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Im Pregnant How Could Genital Herpes Affect My Baby
If you are pregnant and have genital herpes, prenatal care visits are very important. Some research suggest that a genital herpes infection may lead to miscarriage or make it more likely to deliver your baby too early. You can pass herpes to your unborn child before birth, but it more commonly passes during delivery. This can lead to a deadly infection in your baby . It is important that you avoid getting genital herpes during pregnancy. Tell your healthcare provider if you have ever had a genital herpes diagnosis or symptoms. Also tell them about any possible exposure to genital herpes.
If you have genital herpes, you may need to take anti-herpes medicine towards the end of your pregnancy. This medicine may reduce your risk of having signs or symptoms of genital herpes when you deliver. At the time of delivery, your healthcare provider should carefully examine you for herpes sores. If you have signs or symptoms of genital herpes at delivery, a C-section is likely to occur.
How Do I Test For Herpes
If you think you have symptoms of genital herpes or have been at risk of infection, you should speak to a healthcare professional.
There are different tests available. If you have symptoms, the most common test is to take a swab from a blister. The fluid can be tested for the herpes simplex virus. A herpes blood test exists but is not routinely available.
If you have genital herpes you should be tested for other STIs. Itâs important that you tell your recent sexual partner/s so they can also get tested and treated. Many people who have herpes do not notice anything wrong, and by telling them you can help to stop the virus being passed on.
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Do Condoms Help Prevent The Spread Of Genital Herpes
Yes. To prevent transmission of herpes, we recommend that condoms be used 100% of the time. Many patients will shed the virus and be contagious when they dont have symptoms. Studies have shown that asymptomatic shedding occurs between 1% and 3% of the time in patients with HSV II genital infections. Many new herpes infections occur from partners who are shedding the virus asymptomatically, so condoms are highly recommended.
Condoms may not be an attractive option for monogamous couples or for couples who desire to become pregnant. Couples may opt to have serological tests to determine if either partner has an asymptomatic infection. In close monogamous relationships, the risks of transmission can be weighed against other relationship issues, such as intimacy and pregnancy.
Can I Breastfeed If I Have Genital Herpes
Yes, you can breastfeed if you have genital herpes, but not if you have a herpes sore on one of your breasts. If you have genital herpes, it is possible to spread the infection to any part of your breast, including your nipple and areola.
If you have any genital herpes sores on one or both of your breasts:
- You can keep breastfeeding as long as your baby or pumping equipment does not touch a herpes sore.
- Do not breastfeed from the breast with sores. Herpes is spread through contact with sores and can be dangerous to a newborn baby.
- Pump or hand-express your milk from the breast with sores until the sores heal. Pumping will help keep up your milk supply and prevent your breast from getting overly full and painful. You can store your milk to give to your baby in a bottle for another feeding. But if parts of your pump also touch the sore while pumping, throw the milk away.
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Your Love Life Isn’t Over
In addition to creating a space and resources that helped me get my voice and reality into the world, datingwhich felt unimaginable right after my diagnosisalso helped me feel more like myself. I started dating again six months after my diagnosis, and in 2017, began a relationship with a partner .
Even though I’m no longer with that person, even the way it ended is significant to me. I once thought that my herpes status would be responsible for my relationships end, that I would eventually be rejected or left because of the virus held beneath my skinbut that wasn’t the case. We broke up for a completely different reason.
I believe that my exs acceptance of my diagnosis contributed to the revival of my confidence. I not only felt safe sharing my status, but my desires, hopes, and dreams. I now see that my disclosure created an opening to talk about more than just what I wanted or needed in bed. It provided a foundation for how I approached all relationships in my life going forward.
I Had Lesions When I Was Evaluated But My Culture Was Negative Does This Mean That I Dont Have Herpes
Not necessarily. Although lesions can be caused by something other than herpes, false negative herpes tests can occur if the samples are not taken appropriately, if there is a long transport time between the clinic and the laboratory, or if cultures were taken late in the course of the lesions. Lesions that occur early in the course of a herpes outbreak are much more likely to have positive cultures than cultures taken after the lesions crust over.
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Find An Experienced Ob
As previously mentioned, most people living with herpes don’t realize that they have the virus. The virus is classified into two: herpes simplex virus type 2 and herpes simplex virus type 1. It is transmitted by sexual contact, contact with infected saliva, or mouth-to-mouth contact. While the symptoms come and go, these types of herpes are incurable and contagious. Also, the virus does not always show symptoms, so getting tested is essential. The qualified gynecologists at All Women’s Care in Los Angeles can test you and assist you in managing the virus. To learn more about herpes and how we can help you, call us today at .
Signs And Symptoms Of Herpes
Both kinds of herpes cause outbreaks of painful sores on the skin. Symptoms of herpes include:
Oral herpes sores
Sometimes called cold sores, HSV-1 produces painful sores that look like blisters at first. They eventually burst and crust over. It usually takes a week to 10 days for the sores to clear up.
Genital herpes sores
The sores that appear in the genital area can come from HSV-1 or HSV-2. Like the sores on the mouth, they start as painful blisters, then dry up and heal over time.
Other sores
Although they usually show up around the mouth or genitals, herpes sores can appear anywhere on the body.
Flu-like symptoms
During a herpes outbreak, you might feel other symptoms such as fever, tiredness, or body aches.
Not all people who have herpes have frequent outbreaks. Some people might have a single outbreak then never show symptoms again. The virus may stay dormant in their body.
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What Are The Causes Of Genital Herpes
Genital herpes is spread by skin-to-skin contact with someone who has the HSV virus, usually during genital or oral sex. It can also be spread through kissing, foreplay or non-penetrative sex.
- HSV1 commonly causes cold sores on the lips or face.
- HSV2 causes most genital herpes.
The HSV virus is most easily spread when there are blisters or sores, but it can still be passed even if a person has no current blisters or sores or other symptoms.
You cannot get genital herpes from things like hugging, swimming pools or toilet seats.
Will Herpes Go Away Without Medication
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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.
Herpes Diagnosis In A Newborn Baby
Diagnosing herpes in children is complicated. Children aren’t screened for the infection. In other words, only symptoms should alert the parent that all is not okay. It should prompt a diagnosis that could be done with a swab sample. Nevertheless, a complicated herpes infection calls for specific tests like a lumbar puncture.
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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
What Is The Difference Between Genital Herpes And Genital Warts
Both genital herpes and genital warts are STIs, are spread through skin-to-skin contact, and are caused by a virus. But the viruses that cause genital herpes and genital warts are different:
- Herpes simplex virus is the virus that causes genital herpes.
- Human papillomavirus is the virus that causes genital warts.
There is no cure for either genital herpes or genital warts. But, different medicines can help manage the symptoms of herpes and treat the complications of HPV infections that can cause genital warts.
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Learn How To Manage Outbreaks
While there’s no cure for genital herpes, there is a lot that can be done to reduce the length and severity of outbreaks.
A number of proven medications speed up the healing process and reduce discomfort. Antiviral medications like acyclovir and valacyclovir offer a simple way to control and minimize herpes outbreaks.
Start taking acyclovir as soon as you notice the first signs of an emerging outbreak. This medication stops the herpes virus from growing and spreading during an outbreak, though it can’t remove the virus from your body completely. Most people experience relief within just a few days.
Improving lifestyle habits may also prevent future herpes outbreaks:
- Stay rested to support a strong immune system
- Eat nutritious foods to support your body’s innate healing response
- Use the Luminance RED
The Luminance RED nourishes the skin with red light, which is metabolized to accelerate the body’s healing process and to strengthen its defenses against future attacks. Regular use of the Luminance RED not only shortens the healing time of active outbreaks, but can also prevent future outbreaks altogether!
Testing For Genital Herpes
If you think you may have genital herpes you should make an appointment with your GP or local sexual health services.
If there are symptoms present such as blisters, sores and ulcers, your doctor or nurse may be able to make a diagnosis straight away.
If you have visible blisters, your doctor or nurse may take a swab for testing, to check if this is herpes and what type. This swab can also test for another STI which causes blisters called syphilis.
The genital herpes swab tests are very reliable, though if the ulcer is too dry then it may be less likely to find a positive result.
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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?
How To Live With Genital Herpes
When you find out that you have herpes, it can be a shock at first. But having an STD is fairly common, so you dont have to feel ashamed about getting medical help. It may not be much consolation, but herpes really could happen to anyone. Luckily, theres a lot of support and advice available online and through healthcare providers to help you deal with the diagnosis and manage the symptoms. But what are the symptoms?
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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.