Does Herpes Show Up In The Same Spot Every Time
Since the same group of nerves goes to the genitals, thighs, lower abdomen, rectum and buttocks, it is possible to get a recurrent outbreak of genital herpes anywhere in these areas. Each outbreak may not be in the exact same place as the first outbreak. This does not mean that the herpes has spread.
Ingrown Hair Or Herpes
Razor burn is an uncomfortable skin irritation that happens after shaving causing bumps or blisters in the genital area. Sometimes the hair follicle is blocked, resulting ingrown hair confusing it with herpes.
Symptoms of genital herpes:
- A cluster of blister-like watery sores or lesions
- Bumps typically smaller than 2 millimeters
- Repeated outbreaks of these sores
- Yellow discharge if the sore ruptures
- Sores possibly tender to touch
The main difference between ingrown hair and genital herpes is that ingrown hair develops as isolated lesions or bumps. They dont grow in clusters or groups.
Symptoms of ingrown hair:
- White pus if the sore is squeezed or ruptures
How Does Genital Herpes Affect Pregnancy
Genital herpes doesnt affect fertility or your ability to conceive. Pregnant women with a diagnosis of herpes genitalis are recommended to start a daily antiviral at 36 weeks of pregnancy to prevent outbreaks during time of delivery. If you have an active infection at the time of childbirth, you can pass the herpes virus to your baby. Neonatal herpes puts a baby at risk for blindness, brain damage, skin infections and death. Your healthcare provider will perform a cesarean section to lower this risk.
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Is There Anything I Can Do To Prevent Recurrent Outbreaks
It is not well understood what reactivates the herpes virus symptoms to recur. The triggers may include:
- Friction or trauma in the genital area
- Exposure to ultraviolet light
- Drinking excessive amounts of alcohol
- Having a weakened immune system
A healthy lifestyle, such as a good diet, getting enough sleep and rest, exercise, and reducing stress may help limit the number of outbreaks. Using a water based lubricant during sexual intercourse can help to reduce friction and skin irriation that may trigger an outbreak in some people.
More Questions From Patients:
Many people with genital herpes have no symptoms, or have very mild symptoms that go unnoticed.
The first time genital herpes symptoms appear is called the first episode or initial herpes. Initial herpes symptoms are usually more noticeable than later outbreaks.
Symptoms of genital herpes in men may include
burning when you pee if you have sores
trouble peeing if you have sores covering your urethra
itching or pain around your genitals
During initial herpes, symptoms may also include
swollen, tender glands in the pelvic area, throat, or under the arms
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Do Genital Herpes Sores Break Out In The Same Place Everytime
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How Can Herpes Be Prevented
Correct and consistent use of latex condoms can reduce, but not eliminate, the risk of transmitting or acquiring genital herpes because herpes virus shedding can occur in areas that are not covered by a condom.25,26
The surest way to avoid transmission of STDs, including genital herpes, is to abstain from sexual contact, or to be in a long-term mutually monogamous relationship with a partner who has been tested for STDs and is known to be uninfected.
Persons with herpes should abstain from sexual activity with partners when herpes lesions or other symptoms of herpes are present. It is important to know that even if a person does not have any symptoms, he or she can still infect sex partners. Sex partners of infected persons should be advised that they may become infected and they should use condoms to reduce the risk. Sex partners can seek testing to determine if they are infected with HSV.
Daily treatment with valacyclovir decreases the rate of HSV-2 transmission in discordant, heterosexual couples in which the source partner has a history of genital HSV-2 infection. 27 Such couples should be encouraged to consider suppressive antiviral therapy as part of a strategy to prevent transmission, in addition to consistent condom use and avoidance of sexual activity during recurrences.
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Questions To Ask Your Doctor
- What is the best treatment for me?
- Are there any side effects to my treatment?
- Is it safe to have unprotected sex if I dont have any sores?
- Can I give myself genital herpes if I also have oral herpes?
- Can I give someone else herpes even if Im not having an outbreak?
- What is the best way to prevent herpes outbreaks?
- Can I live a normal life with herpes?
- Am I at risk of developing any other diseases?
- Are there any support groups in my area?
- If I give my baby herpes, what is the treatment?
Risk For Genital Herpes
According to the US Centers for Disease Control and Prevention , about 1 in 6 Americans ages 14 to 49 years have genital herpes. While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. Except for people in monogamous relationships with uninfected partners, everyone who is sexually active is at risk for genital herpes.
Risk factors for genital herpes include:
- History of an STD
- First sexual intercourse at an early age
- High number of sexual partners
- Low socioeconomic status
Women are more susceptible to HSV-2 infection because herpes is more easily transmitted from men to women than from women to men. About 1 in 5 women, compared to 1 in 9 men, have genital herpes. African-American women are at particularly high risk.
People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. These people are also at risk for more severe complications from herpes. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes.
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How Can I Tell If It’s Scabies Or Herpes
Scabies is caused by tiny eight-legged mites that burrow into the skin to live, feed, and lay their eggs. There are millions of cases of scabies worldwide each year.
Herpes may be confused with scabies because both conditions can cause a skin rash of small, itchy bumps and blisters that spread through person-to-person contact. As with herpes, the scabies skin rash is sometimes seen in the genital area. It can be transmitted through close physical or sexual contact because the mites can move from one body to another. If you’ve never had scabies before, it can take two to six weeks to develop symptoms after the mites move in.
Unlike herpes, you can also get scabies from bedding, clothes, or furniture that’s infested with mites, since the mites can live for about three to four days without being on a human.
Also unlike herpes, scabies is most commonly found on the hands, arms, and legs, and the most common symptom is severe itching that occurs mainly at night.
Your dermatologist can tell if you have scabies by examining your skin or looking at a small piece of skin under a microscope, notes the American Academy of Dermatology.
Scabies is easily treated with a medicated cream or lotion that kills the mites.
Genital Herpes Is Spread By Skin
The virus can be spread when someone with HSV has an episode or an outbreak characterised by having a sore, blister, ulcer or skin split . It can also be spread between episodes, when there is no sore, blister, ulcer or skin split present called asymptomatic viral shedding.
During viral shedding the virus is on the skin surface and can be spread through genital skin-to-skin contact, or from the mouth or face to genital skin during contact.
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How Can I Lower My Chance Of Passing Or Getting Herpes
Condoms offer good protection, but do not completely prevent the spread of herpes because they do not cover the whole genital area. Condoms can also be used on sex toys. Abstain from sex or avoid skin-to-skin contact in the area of the herpes sores if you are sexual during an outbreak. Dental dams can also be used as a barrier during oral sex. Talk to your health care provider about suppressive therapy to help prevent passing the virus to your partner. Wash your hands if you have touched the blisters to prevent transferring the virus to another person . Talk to your partner about herpes before you have sexual contact.
Can Herpes Come Back In The Same Area
Due to the nature and structure of the neural pathways, recurrences of herpes may not always appear in the same exact place. However, they will remain in the same general area in genital Herpes infections, perhaps migrating a few inches in the genital region, or showing up on the upper thigh, or the buttocks.
What do genital herpes outbreaks look like?
The pain or itchiness wont be as intense, the sores wont take quite as long to heal, and you probably wont experience the same flu-like symptoms that happened during the first outbreak. The symptoms of genital herpes look different at each stage of an outbreak. They may start mild, but become more noticeable and severe as the outbreak worsens.
What is genital herpes and how is it spread?
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When To Call The Doctor
Even though HSV sores can hurt and be unsightly, most cases of herpes do not cause serious illness. The sores go away in a few days. Contact the health provider if:
- Sores are present and you think it might be a first herpes infection. The diagnosis is usually made by examining the sores. If the sores have not healed, sometimes a laboratory test is done.
- Sores do not heal by themselves or show signs of infection such as pus, spreading redness or fever.
- Sores are near the eyes.
- You have another health condition with a weakened immune system.
Is There A Cure For Genital Herpes
Unfortunately, there is no cure for HSV-1 or HSV-2.
Because of this, its important to be aware of how to prevent, identify, and treat outbreaks. Prevention is key when it comes to avoiding the infection and the possible complications associated with the herpes simplex virus. Its important for anyone who is infected, or thinks that they may have been exposed to herpes, to take precautions. If there is a current outbreak , skin-to-skin contact should be avoided. This includes kissing and any unprotected sex, including oral sex. Anyone who is infected with herpes simplex, even without visible symptoms, can pass it to another person. Because of this, its important to take precautions during every sexual encounter.
Here are some of the ways that people can protect themselves from genital herpes.
- Using a condom during sex helps protect against herpes and other STIs.
- Make sure that both partners are tested for HSV and that the results of the tests are in before engaging in unprotected sex.
- Currently, vaccines are being developed.
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Why Do Some Get More Outbreaks Than Others
Research has founda gene which helps some people control the virus so they get no further episodes. So if you get a lot of outbreaks, you can blame a parent! However, good or bad genes, you can still help your body to prevent outbreaks see antiviral treatment, or you can try self-help treatments. There are two pages of suggestions on our Tips to prevent recurrences leaflet. It is available to members. Outbreaks normally decline in frequency and severity over time.
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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Whos Likely To Get Cold Sores
Pretty much everyone can catch cold soresand then experience recurring cold soresregardless of underlying conditions or medical history. 7 In fact, most adults are carriers of the herpes simplex virus, even if theyre never experienced an outbreak of symptoms. 8
When it comes to cold sore complications, however, those with a weakened immune system are at a higher risk. If you have HIV/AIDS, atopic dermatitis, have undergone cancer chemotherapy, or take anti-rejection drugs for an organ transplant, you may be part of this group. 9 Complications from cold sores can include eye infections, the herpes whitlow infection of the fingers, and widespread cold sore infections in other areas of the bodies. 10 If you have reason to believe that youre experiencing one of these complications due to cold sores and a weakened immune system, talk to your doctor right away.
Why Genital Herpes Comes Back
Genital herpes is caused by a virus called herpes simplex. Once you have the virus, it stays in your body.
It will not spread in your body to cause blisters elsewhere. It stays in a nearby nerve and causes blisters in the same area.
If you can, avoid things that trigger your symptoms.
Triggers can include:
- surgery on your genital area
- a weakened immune system for example, from having chemotherapy for cancer
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Understanding Herpes With H Hunter Handsfield Md
Herpes expert H. Hunter Handsfield, MD, explains the basics about genital herpes, including the difference between genital HSV-1 and HSV-2 infection, testing options and the importance of knowing virus type, and the three-prong strategy for prevention. See more herpes videos at sexualhealthTV.com.
Have a question about herpes youd like Dr. Handsfield or our other experts to answer? Visit our Ask the Experts page to learn how.
Is There A Cure For Herpes Simplex
There is no cure for herpes simplex. Once you have the virus, its a lifelong infection.
What is the outlook for people with herpes simplex?
For many people, the first herpes outbreak is the most severe. Many outbreaks are less frequent and milder after the first year of infection. Some people may have only one outbreak and never have another again.
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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.
Frequently Asked Questionsexpand All
People with HSV-2 infection have an increased risk of getting human immunodeficiency virus if they have sex with an HIV-infected partner. Taking suppressive therapy does not decrease this risk.
If a woman is pregnant and infected with HSV, it can be passed to the fetus during birth while passing through the womans infected birth canal. This is most likely to occur if a woman first becomes infected with HSV during pregnancy and in a woman who has her first outbreak late in pregnancy. But it also can occur during a recurrent outbreak in a woman who was infected before pregnancy, although the risk is much lower.
If you have sores or warning signs of an outbreak at the time of delivery, you may need to have a cesarean delivery to reduce chance of infection. The decision depends on many factors, including where the sores are on your body and whether the fetus would come into contact with them during delivery.
Yes, in most cases. The herpes virus cannot be passed to a baby through breast milk. However, the baby could get infected by touching a sore on your body. Make sure any sores that the baby could come into contact with are covered when you hold your baby or while breastfeeding. Wash your hands with soap and water before and after feeding your baby. If you have sores on your breast, you should not breastfeed your baby from that breast.
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What Are The Symptoms
Most people never have symptoms, or they are so mild that they do not know they have the virus. Sometimes, symptoms may not appear for months or years. Symptoms vary from person-to-person and many people who do get symptoms may not realize that its caused by HSV.
Herpes infections have three different outbreak types:
- Primary first outbreak
- Non-primary first outbreak
- Recurrent outbreak
A primary outbreak happens when someone first gets herpes symptoms usually beginning 2 to 21 days after contact.
Some people may experience warning signs, called prodrome symptoms such as itching, burning, and tingling of the skin at the site where the blisters or sores may appear, followed by painful herpes sores or tiny blisters. Other symptoms may include pain down either leg or in the buttocks, swollen or tender glands in the groin, fever, painful urination, body aches, feeling tired and unwell. This is more common with a primary outbreak. When the blisters break, painful shallow ulcers appear. These ulcers crust over and usually heal in 7 to 14 days. A primary outbreak is generally worse than future outbreaks.
A non-primary first outbreak is when someone who already has one type of herpes, gets the second type. It is often milder and is unlikely to cause full-body symptoms.
Outbreaks generally happen less over time, the symptoms are milder, and will often go unnoticed. Genital herpes caused by HSV-1 generally does not recur frequently.