Monday, September 19, 2022

Does Herpes Get Worse Over Time

What Can I Do If I Have Herpes

Herpes Simplex, Causes, Signs and Symptoms, Diagnosis and Treatment.

Many people who find out they have herpes feel depressed knowing they will always have the virus and can give it to others. But you arent alone. Herpes is one of the most common STIs, both in the U.S. and worldwide. If you have herpes, you should:

  • Learn all you can about it. Information will help you to manage your disease and feel better about yourself.
  • Talk about your illness with your doctor.

If you have herpes, you can still:

  • Have sex if you use a condom , and you tell your partner about your illness. Some couples, who have sexual relations only with each other, may choose not to use condoms even though one partner has herpes. Because each situation is different, you should ask your doctor if this is the right choice for you in your relationship.
  • Have children. People with herpes can still give birth to healthy babies. If you have herpes and plan to have children, discuss your illness with your healthcare provider.

If you have herpes, you should also get checked for HIV and other STIs .

Read Also: How To Tell If You Have Herpes

What Happens During An Outbreak

Genital herpes is an infection caused by the herpes simplex virus. You catch it by having intimate contact with someone who has the virus.

In between episodes, most people don’t know they have been infected by it. The virus remains in your nervous system and can be reactivated from time to time to give you symptoms. Outbreaks can occur in the genital area if the first infection was in the genitals. They cause crops of small painful blisters in the genital area and back passage . Herpes can also cause recurrent cold sores if the primary infection was around the mouth.

No one knows why outbreaks occur, although sunlight, physical illness, excess alcohol, and stress are all thought to be trigger factors. They often do become less frequent over time.

Recurrent episodes of genital herpes generally don’t last as long as the first outbreak. They are sometimes preceded by itching or tingling in the genital area. Recurrent outbreaks usually last about 7-10 days, shorter than the primary infection which can last up to two weeks. They are also often milder than a primary infection but as R35506 found, the shallow ulcers left when the blisters break can still be quite painful.

What Are The Complications Of Genital Herpes

Genital herpes may cause painful genital ulcers that can be severe and persistent in persons with suppressed immune systems, such as HIV-infected persons. 5 Both HSV-1 and HSV-2 can also cause rare but serious complications such as aseptic meningitis . 5 Development of extragenital lesions may occur during the course of infection. 5

There are also potential complications for a pregnant woman and her newborn child. See How does herpes infection affect a pregnant woman and her baby? below for information about this.

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Genital Herpes And Pregnancy

It is important to avoid contracting herpes during pregnancy. A first episode during pregnancy can create a greater risk of transmission to a newborn.

Fortunately, it is rare for women with genital herpes to infect their babies. If you know that you have genital herpes before becoming pregnant, your physician will monitor your condition throughout your pregnancy. If you have an active outbreak at the time of delivery, a C-section may be recommended. Depending on individual diagnosis, though, the American Congress of Obstetricians and Gynecologists endorses suppressive therapy to reduce the frequency of C-section.

What Should I Do If I Have Genital Herpes

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If you have genital herpes:

  • See a doctor or nurse as soon as possible for testing and treatment.
  • Take all of the medicine. Even if symptoms go away, you need to finish all of the antiviral medicine.
  • Tell your sex partner so they can be tested and treated if necessary.
  • Avoid any sexual contact while you are being treated for genital herpes or while you have an outbreak.
  • Remember that genital herpes is a lifelong disease. Even though you may not have a genital herpes outbreak for long periods of time, you can still pass the virus to another person at any time. Talk with your doctor or nurse about how to prevent passing the virus to another person.

Read Also: How Long Does It Take To Test Positive For Herpes

What Happens If You Let Herpes Go Untreated

Engaging in unprotected sex puts many people around the world at risk of contracting sexually transmitted diseases. According to a recent survey, at least 20 million people get infected every year. Without regular checkup, there is high likelihood of the diseases advancing to untreatable stages. Some diseases like Herpes are untreatable.

Herpes is caused by contacting with the herpes simplex virus that yields two types of the disease. The most common is the herpes simplex2 that claims one of every five people in the United States. It is also spread by skin contact.

If you do not get early diagnosis of Herpes, they continue to get worse. They are also embarrassing and may cause serious health concerns. You also put your partner at risk if you fail to treat Herpes early.

Frequent Outbreak and more Pain

Without treatment, your immune system is weakened. Just like other sexually transmitted infections, you are at risk of contracting other diseases. You will experience a rise in complications such as increased fever, swollen glands, and persistent headaches. Painful urination is common among patients with advanced Herpes. Blisters are also painful and very uncomfortable. Some people experience muscle aches with fever, which is accompanied by flu-like symptoms.

Passing it to Your Partner

Embarrassment during Frequent Outbreaks

The feeling of guilt and shame are common during the moments of realization. Knowing that there is no cure is perhaps the most disturbing thought.

How Do You Know If You Have Genital Herpes

The only way to know if you have genital herpes is by amedical exam. Your health care provider can examineyou and test for it. Lab samples are taken from a sore,blister, or blood. Your health care provider may ask totest you for other infections at the same time.

Tell current and most recent sex partners of your herpes infection.

Also Check: How Long Do Herpes Outbreaks Last Without Medication

What Is The Herpes Virus

Herpes is a virus that causes skin sores. The medical term for it is the Herpes Simplex Virus . It most commonly produces sores on the mouth or genitals.

Herpes is very common and doesnt usually cause severe health problems. However, it is very contagious and there is no cure.

There are two types of herpes: oral and genital. Oral herpes is called HSV-1, and genital herpes is called HSV-2.

Recommended Reading: Natural Medicine For Genital Herpes

How Long Do Herpes Symptoms Take To Show

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On average, it takes about 4 days after exposure to start showing the symptoms of herpes. The herpes incubation period ranges between 2 and 12 days. The most common early sign of herpes is sores around the genitals or mouth.

The first time you get the herpes virus, it may cause flu-like symptoms, such as a fever, headache, and body aches. Then, subsequent outbreaks may cause sores and less severe symptoms. Generally, the frequency of outbreaks lessens over time.

Also Check: What Are The Symptoms Of Herpes Virus

How Often Do Outbreaks Occur

The number of outbreaks someone has varies from person to person. The average number of outbreaks for a person with genital HSV-2 is four to five per year. The average for genital HSV-1 is less than one outbreak per year.

Usually, there are more outbreaks during the first year, and many people find that outbreaks become less severe and less frequent with time.

Herpes triggers are highly individual, but with time, many people learn to recognize, and sometimes avoid, factors that seem to reactivate HSV in their own bodies. Illness, poor diet, emotional or physical stress, friction in the genital area, prolonged exposure to ultraviolet light , surgical trauma, and steroidal medication may trigger a herpes outbreak.

The frequency of outbreaks can often be managed through effective stress management, and getting adequate rest, nutrition, and exercise. For people with frequent outbreaks, suppressive therapy with any one of the antiviral treatments can reduce outbreaks by as much as 80%.

Is Genital Herpes Infection Related To Hiv

Herpes and HIV are caused by different viruses. But patients infected with these viruses are more likely to transmit either disease to their sexual partners. Patients with herpes are more vulnerable to HIV infection. People newly diagnosed with herpes should be tested for HIV infection and other sexually transmitted infections.

Patients who are infected with both herpes and HIV also may have a higher concentration of HIV viruses in their body because of the interaction between the herpes virus and the HIV virus. When HIV damages a persons immune system, the person may be more likely to shed herpes simplex virus asymptomatically.

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Onset Of First Outbreak

The first outbreak of oral herpes usually develops within about one to three weeks after infection. This initial outbreak may last for up to three weeks.

With genital herpes, the first outbreak usually occurs within about two to 20 days. Similar to oral herpes, the initial outbreak may last as long as three weeks.

Treatment Can Help Patients And Their Partners

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There’s no cure for herpes, but it is a manageable condition. Antiviral drugs can reduce the intensity and duration of symptoms, andif taken dailythey can also reduce the frequency of outbreaks and reduce the likelihood of transmitting HSV to your partner. And for your emotional and mental health needs, you may want to seek out a support group where you can address your concerns about your relationships, talk about your feelings, share stories, and find help managing symptoms.

Read Also: How To Heal Genital Herpes

Type Of Tests Used To Diagnose Herpes

There are four main types of diagnostic tests that can be used to diagnose herpes. Your doctor will determine which type of test to use based on whether an outbreak is present or not.

If youre experiencing what you believe to be a herpes outbreak, your doctor can use a viral culture test or virus antigen detection test. If youre not experiencing symptoms, you can have an antibody test.

  • Viral culture test.This test is used to determine if a sore contains the herpes virus. This test can sometimes produce a false-negative, meaning that it may not detect the virus even though its present.
  • Virus antigen detection test. This test is used to determine if antigens to the herpes virus are present in a sore or lesion.
  • Antibody test. If youre not experiencing an outbreak yet but still believe you may have been exposed, you can opt to have an antibody test performed. This test will only show a positive result if the antibodies to the virus have been developed. Therefore, this test isnt necessarily recommended for recent exposure.
  • Polymerase chain reaction test. With this test, a healthcare provider can screen a sample of your blood or tissue from a sore. They can use this to determine if HSV is present and which type you have.

Where Do Symptoms Appear

When a person has genital herpes, the virus lies dormant in the bundle of nerves at the base of the spine. When the virus reactivates , it travels nerve paths to the surface of the skin, sometimes causing an outbreak.

Genital herpes, regardless of whether it is HSV-1 or HSV-2, does not cause symptoms on the mouth or face. For more on oral-facial herpes, see the oral herpes page.

Read Also: How Soon Can You Tell If You Have Herpes

Genital Herpes Treatment In Pregnancy

You may be offered antiviral treatment:

  • to treat outbreaks in pregnancy
  • from 36 weeks to reduce the chance of an outbreak during birth
  • from diagnosis until the birth if you first get herpes after 28 weeks of pregnancy

Many women with genital herpes have a vaginal delivery. You may be offered a caesarean, depending on your circumstances.

The Pain Of Herpes Can Be More Emotional Than Physical

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“I don’t know why genital herpes has this pariah, fearful component to it,” H. Hunter Handsfield, MD, professor emeritus of medicine at the University of Washington Center for AIDS and STD, told Health. “People are more afraid of herpes than they are of chlamydia, and in the long run chlamydia is more likely to cause serious damage to their reproductive and general health than herpes ever is.”

But getting a herpes diagnosis does come with emotional baggage. “If you are infected, you have a duty to warn partners and that is a big deal for lots of people,” said Dr. Handsfield. “You’re impairing the natural development of a relationship, which is a big psychological burden for people to carry.”

Also Check: Can Herpes Be Tested By Urine

What Do I Need To Know About Dating With Herpes

Some people feel like their love lives are over when they find out they have herpes, but its just not true. People with herpes have romantic and sexual relationships with each other, or with partners who dont have herpes.

Talking about STDs isnt the most fun conversation youll ever have. But its super important to always tell partners if you have herpes, so you can help prevent it from spreading.

Theres no one way to talk about having an STD, but here are some tips that may help:

  • Keep calm and carry on. Millions of people have herpes, and plenty of them are in relationships. For most couples, herpes isnt a huge deal. Try to go into the conversation with a calm, positive attitude. Having herpes is simply a health issue it doesnt say anything about you as a person.

  • Make it a two-way conversation. Remember that STDs are super common, so who knows? Your partner might have herpes too. So start by asking if theyve ever been tested or had an STD before.

  • Know your facts. Theres a lot of misinformation about herpes out there, so read up on the facts and be prepared to set the record straight. Let your partner know there are ways to treat herpes and avoid passing it on during sex.

  • Tell your past partners too, so they can get tested.

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    Herpes Encephalitis And Meningitis

    Herpes Encephalitis

    Herpes simplex encephalitis is inflammation of the brain caused by either HSV-1 or HSV-2. It is a rare but extremely serious brain disease. Untreated, herpes encephalitis is fatal most of the time. Respiratory arrest can occur within the first 24 to 72 hours. Fortunately, rapid diagnostic tests and treatment with acyclovir have significantly improved survival rates and reduced complication rates. Nearly all who recover have some impairment, ranging from very mild neurological changes to paralysis.

    Herpes Meningitis

    Herpes simplex meningitis is inflammation of the membranes that line the brain and spinal cord. It is mainly caused by HSV-2. Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur.

    Read Also: How Do Doctors Check For Herpes

    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.

    Is Herpes Simplex Related To Herpes Zoster

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    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

    Read Also: How To Deal With Herpes Type 2

    Herpes Myths To Stop Freaking Out About

    A surprising number of people you know probably have herpes.

    Shocked? You shouldnt be, since the virus is very common. According to the World Health Organization, 3.7 billion people under age 50 have herpes simplex virus type 1 thats 67 percent of the global population in that age bracket. Another 417 million people between ages 15 and 49 worldwide have herpes simplex virus type 2 .

    Many people consider HSV-1 more benign, but it turns out theres not much difference between the two types of virus. While its true that HSV-2 is a sexually transmitted disease and can cause genital sores or blisters, type 1 can do the same thing.

    One big misconception is that cold sores are caused by HSV-1 and genital herpes are always type 2, but thats not always the case, says Sarah Vensel, a physician assistant in San Francisco. Cold sores are so common theyve been normalized at this point. But genital herpes is sometimes the exact same virus just in a different location.

    Not only is herpes incredibly common its also totally manageable. Allow us to set your mind at ease and debunk three widespread herpes myths:

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