Can You Spread Herpes Without An Outbreak
Yes. It is possible for a person to spread herpes without an outbreak. As long as the person has a herpes infection, they can spread it even if an outbreak has never occurred.
Fortunately, many people who have a herpes infection never have an outbreak. If an outbreak does occur, visible symptoms such as sores and blisters will show up in the affected area. These symptoms may become visible about two and a half weeks after exposure.
When a person has an initial outbreak, they may experience symptoms such as painful urination and muscle and joint pain.
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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.
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.
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Whats The Difference Between Genital Herpes And Oral Herpes
Because there are 2 different kinds of herpes simplex viruses that can live on many body parts, lots of people are confused about what to call these infections. But its actually pretty simple:
When you get either HSV-1 or HSV-2 on or around your genitals , its called genital herpes.
When you get either HSV-1 or HSV-2 in or around your lips, mouth, and throat, its called oral herpes. Oral herpes sores are sometimes called cold sores or fever blisters.
HSV-1 usually causes oral herpes, and HSV-2 usually causes genital herpes each strain prefers to live on its favorite area. But its totally possible for both types of herpes simplex to infect either area. For example, you can get HSV-1 on your genitals if someone with a cold sore on their lips gives you oral sex. And you can get HSV-2 in your mouth if you give oral sex to someone with HSV-2 on their genitals.
Is It Safe To Breastfeed If I Have Genital Herpes
Yes as long as there isnt an open lesion on your chest or breast. If you have an active outbreak while breastfeeding, its possible to spread the infection to your nipples through touch. Careful hand-washing can prevent this spread. You shouldnt nurse from a breast that has herpes sores. You can pump breast milk until the sores heal. Dont give your baby expressed breast milk if the pump comes into contact with an open sore.
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Learn How To Manage Outbreaks
While thereâs 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 canât 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 bodyâs innate healing response
- Use the Luminance RED
The Luminance RED nourishes the skin with red light, which is metabolized to accelerate the bodyâs 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!
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Can Genital Herpes Cause Other Problems
For most women, genital herpes does not usually cause serious health problems.
Women with HIV can have severe herpes outbreaks that are long-lasting. Herpes also may play a role in the spread of HIV. Herpes sores can make it easier for HIV to get into your body. Also, herpes can make people who are HIV-positive more likely to spread the infection to someone else.
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How Is Herpes Simplex Treated
Some people have few to no herpes outbreaks and choose not to have treatment. But many people prefer to use medications that shorten outbreaks and reduce symptoms.
During an outbreak, you may use an antiviral ointment or cream to help lessen your symptoms and help them go away faster, but it only works if you start it soon after you start an outbreak. Many people with HSV-2 take daily oral medications to keep outbreaks at bay.
Your provider may prescribe a topical medication or oral medication such as:
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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Prevention Of Genital Herpes
The best protection against STIs is to always use barrier protection such as condoms, female condoms and dams . Because herpes is spread by skin-to-skin contact, condoms will reduce the risk of transmission, but it will not protect sexual partners completely as condoms do not cover the entire genitals.
Using lubricant with a condom during sex will also reduce the risk of trauma to the genital skin. This has been shown to reduce HSV transmission, especially in the first six months of a sexual relationship. Silicone-based lubricants are recommended.
Remember that herpes transmission can occur when symptoms are present , but may also occur even if there are no genital symptoms through asymptomatic viral shedding.
For people who have frequent episodes of genital herpes, antiviral medication, taken daily, helps to reduce transmission of herpes to a sexual partner.
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.
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Antiviral Tablets To Stop The Herpes Virus Multiplying
Antiviral medicines taken by mouth, such as valaciclovir or acyclovir, are the most effective in controlling symptoms, although they cant cure genital herpes. They stop the virus from multiplying in body cells where the virus is present. The medicine only works while you are taking it. The infection can come back when you stop taking it.
Antiviral tablets are used in the following two ways:
- To treat outbreaks as they happen : The aim is to shorten the time each outbreak lasts and to relieve symptoms. This works best when taken as soon as you get symptoms and before the blisters appear.
- To prevent or reduce recurrences : If you get frequent or severe recurrent outbreaks, your doctor may recommend you take antiviral tablets every day to help prevent recurrences. Suppressive therapy is taken continuously, every day, for months or years. Suppressive antiviral therapy may help reduce the risk of transmitting the virus to sexual partners.
Antiviral creams bought over the counter from the pharmacy are not recommended as a treatment for a first episode or recurrent genital herpes as they are of little benefit. Antiviral tablets are the preferred treatment.
Transmission Of Genital Herpes
Genital herpes is a sexually transmitted disease spread by skin-to-skin contact. The risk of infection is highest during outbreak periods when there are visible sores and lesions. However, genital herpes can also be transmitted when there are no visible symptoms. Most new cases of genital herpes infection do not cause symptoms, and many people infected with HSV-2 are unaware that they have genital herpes.
To help prevent genital herpes transmission:
- Use a condom for sexual intercourse.
- Use a dental dam for oral sex.
- Limit your number of sexual partners.
- Be aware that nonoxynol-9, the chemical spermicide used in gel and foam contraceptive products and some lubricated condoms, does not protect against STDs.
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Myth: You Always Get A Herpes Outbreak Soon After Becoming Infected
Herpes is a sneaky infection. It can exist in the body for months or even years without showing symptoms, but itâs still contagious nonetheless.
If you do develop an outbreak, it will most likely happen two to twelve days after initial exposure to the virus. After the blisters break, they can take up to four weeks to heal.
Fortunately, subsequent outbreaks tend to be less intense. Recurring outbreaks are common but donât last nearly as long. These sores tend to heal within three to seven days, and the number of outbreak periods may even decrease over time.
Is There A Cure Or Treatment For Herpes
There is no cure for herpes. Antiviral medications can, however, prevent or shorten outbreaks during the period of time the person takes the medication.11 In addition, daily suppressive therapy for herpes can reduce the likelihood of transmission to partners.11
There is currently no commercially available vaccine that is protective against genital herpes infection. Candidate vaccines are in clinical trials.
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But What If I Practice Safe Sex
If your partner has genital herpes practicing safe sex can reduce the chances of you catching herpes, but it wont reduce your chances to zero.
If youre with a partner who has an outbreak you shouldnt have sex at all, as a condom likely wont stop your skin coming into contact with their infected skin.
If your partner has genital herpes but doesnt have symptoms then remember you can still catch their virus. Protection, like condoms and dental dams, can minimize your chances, but wont be perfect prevention.
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Why You Should Go To A Sexual Health Clinic
You can see a GP, but they’ll probably refer you to a sexual health clinic if they think you might have genital herpes.
Sexual health clinics treat problems with the genitals and urine system.
Many sexual health clinics offer a walk-in service, where you do not need an appointment.
They’ll often get test results quicker than GP practices and you do not have to pay a prescription fee for treatment.
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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%.
Does Herpes Make You Smell
It’s most common to have discharge when you’re 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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There Are 2 Herpes Simplex Viruses That Can Cause Infection
- One causes most genital herpes.
- The other virus can also cause genital herpes but more often causes blisters of the mouth and lips.
The U.S. Centers for Disease Control and Prevention states that about 1 out of 6 people ages 14 to 49have genital herpes.
Women are more easily infected with herpes than men.
You Can Get Herpes From Oral Sex
When someone has a cold sore on their mouth or simply an oral infection with no sores present, and is the giver of oral sex to someone else, the virus can be spread from the mouth to the genitals. The receiver of the oral sex might then get genital herpes type 1. The virus type doesnt change ,but the cold sore virus will simply live, and possibly recur, in the area of the genitals.
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Can I Catch Herpes Again On Another Part Of My Body Can My Partner Catch Herpes Back Off Me On Another Place
It is rare for people to re-catch a virus that they already have for a second time even on a different part of the body. Their immune system defends them against this. The virus does not travel through the body. So a person with a genital infection can kiss or perform oral sex there is no risk of infecting a partner by doing this the virus will not travel inside the body from the genitals to the mouth.
How can I protect my new partner? What about my new partner? How likely am I to infect my new partner?
Already, you are a safer partner than many others because you have been diagnosed so you will avoid sex from the moment you notice the start of an outbreak, until the time when it has totally cleared up. A man with genital herpes can protect a partner easily if his outbreaks appear in the area covered by a condom.
A woman with genital herpes can tell a man that he is half as likely to catch genital herpes from a woman, compared to the chance of a woman catching it from a man. This information can be useful for diagnosed women when talking to a new partner.
Herpes simplex infections are common. Many new partners will have one or both types already but not know. See the governments statistics for new genital herpes infections diagnosed in clinics in 2019 and add a further 53,000 cases which how many are probably diagnosed by GPs.
What Is The Risk Of Transmission Between Recurrences
Studies have shown that virus may sometimes be found on an infected area, even when there are no visible symptoms. This is called asymptomatic shedding. If enough virus is present when direct skin contact takes place, a partner may become infected.
The fewer recurrences a person has, the less chance there is of asymptomatic shedding.
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What Are The Possible Side Effects Of Valacyclovir Tablets
Kidney failure and nervous system problems are not common, but can be serious in some patients taking valacyclovir tablets. Nervous system problems include aggressive behavior, unsteady movement, shaky movements, confusion, speech problems, hallucinations , seizures and coma.
Kidney failure and nervous system problems have happened in patients who already have kidney disease and in elderly patients whose kidneys do not work well due to age. Always tell your healthcare provider if you have kidney problems before taking valacyclovir tablets.
Common side effects of valacyclovir tablets in adults include headache, nausea, stomach pain, vomiting and dizziness. Side effects in HIV-infected adults include headache, tiredness and rash. These side effects usually are mild and do not cause patients to stop taking valacyclovir tablets.
Other less common side effects in adults include painful periods in women, joint pain, depression, low blood cell counts and changes in tests that measure how well the liver and kidneys work. The most common side effect seen in children < 18 years of age was headache.
Talk to your healthcare provider if you develop any side effects that concern you. These are not all the side effects of valacyclovir tablets. For more information ask your healthcare provider or pharmacist.
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Concerned About Catching Herpes
Herpes is extremely common, making it completely normal to have some level of concern about being exposed to the virus. The reality is that many people have some form of herpes, whether its the more common HSV-1 form of the virus or the less common HSV-2 form.
Are you interested in learning more about how herpes spreads from person to person, as well as what you can do to minimize your risks? Our guide to herpes types covers the process in more detail, with specific tips on how to reduce your herpes exposure risk. Looking for herpes treatment? We have you covered there, too.
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standardshere.
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