What Can I Do If I Have Herpes Simplex 2
Many people who find out they have herpes feel depressed knowing they’ll 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 or dental dam , 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 .
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.
Does Herpes Make You Smell
Its most common to have discharge when youre having other symptoms like sores. This liquid also tends to happen along with a strong smell that many people with herpes describe as fishy. This smell usually gets stronger or more pungent after having sex. This discharge may have small amounts of blood in it.
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Why Does Genital Herpes Come Back
There are many different things that may trigger herpes recurrences. Sometimes, a person can learn to recognise why outbreaks appear but for other people there does not seem to be any particular reason for it.
Between recurrences the virus travels from the skin along the nerve to the nerve ganglion where it remains. Once you have been infected, the virus remains in the body, just as chickenpox and some other viruses do. Recurrent symptoms occur when the virus is reactivated or triggered. The symptoms normally appear in the same area as the first time. For some people they may move a short distance, e.g. from genitals to buttocks, but always within the same dermatome .
Do Tingles Always Result In A Recurrence
Some people feel aching, tingling, burning or sharp pains in the area affected preceding a recurrence. These are called prodromal symptoms or prodromes. They are a sign that the virus is trying to reactivate and there may be virus on the skin surface.
Tingles do not always turn into a recurrence. Sometimes they last for a few days then disappear without any symptoms appearing on the skin.
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What Are The Symptoms Of Genital Herpes
Most individuals infected with HSV are asymptomatic or have very mild symptoms that go unnoticed or are mistaken for another skin condition. 9 When symptoms do occur, herpes lesions typically appear as one or more vesicles, or small blisters, on or around the genitals, rectum or mouth. The average incubation period for an initial herpes infection is 4 days after exposure. 10 The vesicles break and leave painful ulcers that may take two to four weeks to heal after the initial herpes infection. 5,10 Experiencing these symptoms is referred to as having a first herpes outbreak or episode.
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?
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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.
Herpes Outbreak Frequency: What You Can Expect
Medically reviewed by Michele Emery, DNP
If you’re reading this, it’s likely that you or someone you care about may have herpes. Well, first, we want to remind you that HSV-1 and HSV-2 are exceptionally manageable viruses, and that the anxiety and fear you’re experiencing right now, while normal, may be unwarranted. Depending on the type of herpes virus youre infected with and your symptomatic status, your herpes outbreak frequency can become a common occurrence or be something youll rarely, if ever, have to deal with.
In this guide, well look at the statistics for herpes outbreaks. Well also look at how outbreaks can differ between HSV-1 and HSV-2, as well as whether or not people with an asymptomatic herpes infection need to worry about outbreaks at all.
Finally, well cover some of the treatments you can use to make treating and managing herpes outbreaks an easier process.
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What Are Signs Of Genital Herpes In Women
Women who have the herpes virus may have nooutbreaks or signs of infection. Many do not know theyhave the virus. Once you are infected, the virus staysin your nerve cells for life. When the virus is not active,there is no sign of infection. When the virus becomesactive, a herpes outbreak occurs. Some womenmay not have any outbreaks or may have only oneoutbreak, while others may have multiple outbreaks.
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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What Happens At A Sexual Health Clinic
The doctor or nurse at the sexual health clinic will:
- ask about your symptoms and your sexual partners
- use a small cotton bud to take some fluid from 1 of your blisters or sores for testing
The test cannot:
- be done if you do not have visible blisters or sores
- tell you how long you have had herpes or who you got it from
Symptoms might not appear for weeks or even years after youre infected with the herpes virus.
Can I Be Treated To Prevent Genital Herpes Transmission To My Partner
Yes. A large study showed that if one partner has herpes and the other partner is uninfected, treating the infected partner with suppressive therapy can prevent transmission of symptomatic herpes in over 90% of cases. This is an option for couples who are interested in having unprotected sex or who are planning to become pregnant.
If you are entering into a new relationship and are aware that you have herpes simplex infection, you owe it to your partner to notify them before having sex.
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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%.
What Are The Stages Of A Cold Sore
The herpes simplex virus type 1 emerges in five distinct phases that cause painful and unpleasant cold sore outbreaks.
These five stages transition through tingling, blistering, weeping, crusting, and healing:
Though theres no permanent cure for cold sores, its possible to expedite the recovery process and leave your skin looking smooth and attractive once again.
Rarely, leaving cold sores untreated, can lead to complications, especially in people with weak immune systems.
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How Many Genital Herpes Recurrences Will I Have
Researchers know the average number of outbreaks but you are not average! Does knowing how many children a woman has on average tell you how many you will have?
However, we know that outbreaks are about 6 times more frequent with a type 2 genital infection than when it is caused by type 1. So a person who is having a lot of genital herpes recurrences is more likely to have herpes simplex type 2.
Preventing The Spread Of Herpes
Even when you do not have sores, you can pass the virus to someone during sexual or other close contact. To protect others:
- Let any sexual partner know that you have herpes before having sex. Allow them to decide what to do.
- Use latex or polyurethane condoms, and avoid sex during symptomatic outbreaks.
- Do not kiss or have oral sex when you have a sore on the lips or inside the mouth.
- Do not share your towels, toothbrush, or lipstick. Make sure dishes and utensils you use are washed well with detergent before others use them.
- Wash your hands well with soap and water after touching a sore.
- Consider using daily antiviral medicine to limit viral shedding and reduce the risk of passing the virus to your partner.
- You may also want to consider getting your partner tested even if they have never had an outbreak. If you both have the herpes virus, there is no risk for transmission.
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Why Do Some Get More Outbreaks Than Others
Research has found a 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.
How Do You Get Herpes
Whether a person is experiencing an outbreak or not, they have the ability to spread herpes to others.
Hereâs the thing: once you contract herpes, the virus sticks around in your body for life.
Most of the time, it will lay dominant in your system, but it may occasionally cause flare ups or outbreaks .
In the case of oral herpes, the virus is spread by skin-to-skin contact from someone who already has the virus. Some of the most common methods of transmission include:
â Kissing
â Sharing cutlery or cups
â Sharing lip balm
â Performing oral sex
As for genital herpes, this is only spread by having sexual intercourse with an infected person . Genital herpes tends to be most infectious when sores are beginning to develop right through to when scabs go away, but you can still contract the virus even if your infected partner is asymptomatic.
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Recurrent Herpes Simplex Labialis
Recurrent herpes simplex labialis, also known as oral herpes, is a condition of the mouth area caused by the herpes simplex virus. Its a common and contagious condition that spreads easily.
According to the World Health Organization , an estimated two out of three adults in the world under age 50 carry this virus.
The condition causes blisters and sores on the lips, mouth, tongue, or gums. After an initial outbreak, the virus stays dormant inside the nerve cells of the face.
Later on in life, the virus can reactivate and result in more sores. These are commonly known as cold sores or fever blisters.
Recurrent herpes simplex labialis usually isnt serious, but relapses are common. Many people choose to treat the recurrent episodes with over-the-counter creams.
The symptoms will usually go away without treatment in a few weeks. A doctor may prescribe medications if relapses occur often.
If You Have Genital Herpes Already Can It Be Spread To Other Parts Of The Body Such As The Arms Or Legs
No. Genital herpes cannot be transmitted to another part of your body such as your arm, leg or hand after the first infection occurs. If you have genital HSV II, you will not get HSV II at another site in your body. The immune system produces antibodies that protect other parts of your body from infection. However, there are cases where a person has multiple site infections from the same virus. This is usually acquired at the time of the first infection. For example, if someone has never had herpes but then has oral and genital sex with an infected partner, they can acquire the infection at both sites.
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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
No Cure Better Treatment And Prevention Needed
There is no cure for herpes. At present, antiviral medications, such as acyclovir, famciclovir, and valacyclovir, can help to reduce the severity and frequency of symptoms but cannot cure the infection.
As well as increasing awareness about HSV infection and its symptoms, improved access to antiviral medications and heightened HIV prevention efforts for those with genital HSV symptoms are needed globally.
In addition, development of better treatment and prevention interventions is needed, particularly HSV vaccines. WHO and partners are working to accelerate research to develop new strategies for prevention and control of HSV infections. Such research includesthe development of HSV vaccines and topical microbicides. Several candidate vaccines and microbicides are currently being studied.
A vaccine against HSV infection would not only help to promote and protect the health and well-being of millions of people, particularly women, worldwide it could also potentially have an impact on slowing the spread of HIV, if developedand provided alongside other HIV prevention strategies says Dr Meg Doherty, Director of the WHO Department of Global HIV, Hepatitis, and STI Programmes.
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Talk To Your Doctor About Antiviral Medications
There are two brands of antiviral medications available to treat herpes. Either can be used to take daily as a suppressive therapy or episodically when there is an outbreak. Discuss with your doctor how often you are experiencing outbreaks and your symptoms. Together you can decide which, if any, medication is best for you.
- Stress that is long-term, or stress accompanied by poor coping habits, can cause outbreak recurrences.
- Sun can bring about cold sores, so sun protection can help.
- The friction of sex can exacerbate herpes. Be wary if prodrome signs are present.
- Menstruation correlates with slightly higher rates of prodrome symptoms, but not necessarily outbreaks with sores.
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