How Can You Have Herpes And Not Know It

What You Need To Know

How Contagious is Herpes?

Herpes simplex virus , also known as genital herpes, is most likely to be spread when an infected person is having an outbreak, but it can also be transmitted without any symptoms being present.
Medications can help reduce your symptoms, speed up the healing of an outbreak and make you less contagious.
If you know 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, cesarean section may be recommended.

Can A Guy Have Herpes And Not Know It

27 Apr 2022

Dr. Andrea Pinto Lopezon April 28, 2022

Herpes is, quite possibly, the most common STD in the world. According to the World Health Organization, it has been estimated that 3.7 billion people in the world have herpes simplex virus type 1 , while approximately 491 million people have herpes simplex virus type 2 .

HSV-1 is typically responsible for oral cold sores, while HSV-2 is associated with genital herpes. However, its also possible for HSV-1 to be transmitted during oral sex. With so many people infected, you may wonder whether a guy can have herpes and not know it. Keep reading to learn the answer.

How Do I Talk With People About Having Herpes

It might feel scary to admit you have herpes, but talking about things can really ease your mind. You could lean on a close, non-judgmental friend that you trust to keep the conversation private. Parents, brothers and sisters, aunts and uncles, and other family members can also be a source of comfort. Remember, herpes is really common, so its possible the person youre talking to has herpes, too.

There are a lot of online support groups for people who have herpes, and the American Sexual Health Association has a list of support groups that meet in person.

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Who Might Get Genital Herpes

Genital herpes affects sexually active teens and adults of all genders and races. It can spread if you have multiple sexual partners and dont use condoms, including dental dams.

Women are more at risk. Delicate vaginal tissue can tear, making it easier for the infection to get in. Black women are especially vulnerable. An estimated 1 in 2 Black women between the ages of 14 and 49 is infected with HSV-2, the virus that causes genital herpes.

There’s A Good Chance That You Have Herpes

If you catch chlamydia or gonorrhea, you can have it treated with antibiotics and it will go away. However, there is no cure for herpes. So once someone has it, she has it for life. Over an entire population, the cases just add up over time. This means that middle-aged adults have some shockingly high herpes rates. For example, 50 to 70 percent of single women aged 45 to 50 have herpes. , aka genital herpes. The other type is “oral herpes,” HSV-1, although both viruses can infect people in both, um, places.)

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The Right Person Wont Reject You

The truth is, some people will reject you when they find out you have herpes. To quote a herpes support forum poster, dating with herpes can be stressful. However, if you do these things, then being diagnosed with herpes is not the end of the world:

Talk about your diagnosis early
Have information handy so that you can talk honestly about the actual risks and concerns of the disease
Be willing to do what you can to reduce the chance you will spread herpes to your partner

Numerous people with genital and oral herpes are open about disclosing their condition. Most of them have active, happy dating and sexual lives. The truth is, its so hard to meet the right person that dating with herpes makes it only the tiniest bit harder. Life after herpes doesnt mean life without love.

What Are The Symptoms Of Herpes Simplex

Many people with the infection never experience any herpes symptoms. If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a repeat outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

People who do have herpes symptoms may experience:

Cold sores around their lips, mouth or tongue. They may look crusty or like fluid-filled blisters.
Tingling, itching or burning.
Pain while urinating.

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What Does A Herpes Outbreak Feel Like

Symptoms usually appear within 2 weeks of exposure.

The first outbreak is usually the worst. At first, you might develop some flu-like symptoms. Then you might feel itchy or have an uncomfortable feeling around your genitals or mouth before the lesions appear.

Future outbreaks are likely to be milder and resolve faster.

You may have heard that herpes is only contagious during an outbreak. However, it can be transmitted even though there are no visible signs. You can have herpes and not know it.

For those reasons, its important to try to talk with your sexual partners before assuming or blaming.

It can be a challenging situation to cope with. Learning you have herpes can stir a variety of emotions. Its normal to have mixed feelings and wonder what to expect.

Its important to make an appointment with your healthcare provider as quickly as possible. If you have herpes, your healthcare provider can provide important information about managing your condition.

Make a list of questions before you go, which can help you get the most out of your visit. Let your healthcare provider know if youre having trouble understanding the information.

The more you know and understand about herpes, the better prepared youll be to manage your symptoms and condition. Your healthcare provider will help you create a treatment plan that works best for your medical needs.

How Can I Reduce My Risk Of Getting Genital Herpes

How Common Is Herpes Really? | Report Card | RIOT

If you are sexually active, you can do the following things to lower your chances of getting genital herpes:

Be in a long-term mutually monogamous relationship with a partner who is not infected with an STD
Using latex condoms the right way every time you have sex.

Be aware that not all herpes sores occur in areas that are covered by a latex condom. Also, herpes virus can be released from areas of the skin that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes.

If you are in a relationship with a person known to have genital herpes, you can lower your risk of getting genital herpes if:

Your partner takes an anti-herpes medication every day. This is something your partner should discuss with his or her doctor.

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If You Get A Positive Result Dont Panic It Really Doesnt Mean Much

All of this is to say that unless you have symptoms consistent with the herpes virus, why put yourself through the emotional turmoil of getting a blood test that may or may not give you legit results? As Hutcherson notes, if you do get a blood test and it comes back positive but youre asymptomatic, what does that mean for you if you have nothing to treat? For many, due to the high rate of stigma still surrounding herpes, it can mean feelings of self-contempt, humiliation, and distress, all of which could be avoided if you arent experiencing any symptoms.

To recap, while there are some tests for herpes that can prove correct, none are 100 percent perfect, and blood tests are particularly problematic since they can produce false positives and negatives. We also know that the majority of the population has some form of herpes, so IMO its a mystery as to why were still making a big deal out of it. No one likes blisters or sores, but neither does anyone love having acne, a widespread condition without the same level of attached shame.

Tingling Or Pain Before Blisters Form

If you know youve been exposed to herpes, you might want to watch for prodromal symptoms. About 50% of people will have symptoms such as itching, tingling, or pain on genital skin before blisters or sores appear, says Dr. Shim. Usually youll experience an outbreak later, but its possible to have this tingling or itching and have no sores show up, she says.

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How Common Is Genital Herpes

Genital herpes infection is common in the United States. CDC estimated that there were 572,000 new genital herpes infections in the United States in a single year.1 Nationwide, 11.9 % of persons aged 14 to 49 years have HSV-2 infection .2 However, the prevalence of genital herpes infection is higher than that because an increasing number of genital herpes infections are caused by HSV-1. 3 Oral HSV-1 infection is typically acquired in childhood because the prevalence of oral HSV-1 infection has declined in recent decades, people may have become more susceptible to contracting a genital herpes infection from HSV-1. 4

HSV-2 infection is more common among women than among men the percentages of those infected during 2015-2016 were 15.9% versus 8.2% respectively, among 14 to 49 year olds. 2 This is possibly because genital infection is more easily transmitted from men to women than from women to men during penile-vaginal sex. 5 HSV-2 infection is more common among non-Hispanic blacks than among non-Hispanic whites . 2 A previous analysis found that these disparities, exist even among persons with similar numbers of lifetime sexual partners. Most infected persons may be unaware of their infection in the United States, an estimated 87.4% of 14 to 49 year olds infected with HSV-2 have never received a clinical diagnosis. 6

The age-adjusted percentage of persons in the United States infected with HSV-2 decreased from 18.0% in 19992000 to 12.1% in 2015-2016. 2

Could I Have Genital Herpes And Not Know

Unless no one has ever kissed you, and unless you’ve never had sex, it is possible that you’ve picked up a herpes virus.

Oral herpes, usually caused by the herpes simplex virus type 1 , shows up as cold sores or fever blisters on the mouth. Even a casual peck on the lips from someone with a cold sore can give you the virus. That’s why it’s so common: As many as 50% to 80% of adults in the U.S. have oral herpes.

Genital herpes, most often caused by the second type of herpes virus , is less common, but plenty of people still have it. Roughly one in five U.S. adults has genital herpes. But up to 90% of those who have it don’t know they are infected. You could be one of them.

Avoiding Passing Genital Herpes To A Partner

If you have herpes, you can follow some simple measures to avoid passing the virus on to your partner, and to continue to have a healthy and happy sex life. These include:

telling your partner if you have herpes
learning to recognise the warning signs that an episode is starting
not have sex during an episode of herpes
avoiding direct contact with your sores or blisters and another person
avoiding kissing and oral sex when you or your partner has cold sores around the mouth

If you have frequent episodes of herpes then it is worth talking to your GP or sexual health clinic about longer term treatment which may also reduce the chance of you passing on the virus to your partner.

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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.

How Common Is Herpes Without Symptoms

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Not everyone with herpes will experience the symptoms listed above. In fact, between 75% and 90% of people with genital herpes arent even aware that theyre infected with the virus, as they never develop visible herpes sores.

As well as genital herpes, its also possible to catch oral herpes without experiencing symptoms of the virus. Simply put, its more common not to experience any symptoms of herpes than it is to have a symptomatic infection.

This has led to a common misconception that its possible to be immune to herpesone that weve debunked thoroughly here.

While people with asymptomatic herpes infections may not experience any symptoms, they can still spread the virus to other people through oral-to-oral or sexual contact. While the risk of virus transmission is lower in asymptomatic people, shedding episodes can still occur. And for the record, there’s no “How to prevent viral shedding” guide here, because it doesn’t exist. There’s always a chance of viral shedding from herpes, even if you’re an asymptomatic carrier of the virus.

Our guide to how herpes is transmitted covers the herpes transmission risk in more detail, with scientific study data on how transmission rates differ between symptomatic and asymptomatic cases of the virus.

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How Do You Get Herpes

There are two different herpes viruses: Herpes Simplex Virus type 1 and Herpes Simplex Virus type 2 .

While rare, a mother can pass genital herpes to the baby during vaginal childbirth.

Herpes is most easily transmitted when sores are open and wet, because fluid from herpes blisters easily spreads the virus. But herpes can also shed and be passed to others when there are no sores and the skin looks totally normal. Most people get herpes from someone who does not have any sores. When used consistently and correctly, condoms help protect against herpes and many other STDs.

How Can I Protect My Sex Partners

You can take steps to protect others from herpes. Keep in mind that you can spread it even when you dont have symptoms.

Avoid sex during outbreaks: Youre more likely to give your partner herpes while you have an outbreak. Avoid sexual contact from the time you notice the first signs, such as tingling or pain, until the scabs fall off and your skin is back to normal.

Try not to touch your sores: If you do, wash your hands right away. A good cleaning may stop the spread to another part of your body or to your partner.

Use condoms: They wont totally protect your partner, but they can lower the chances of spreading the virus.

Talk to your doctor: They might prescribe a drug to make it less likely youll give herpes to someone else. As with condoms, the medicine wont 100% protect your partner.

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Doctors Dont Advise Getting A Blood Test For Herpes Without Any Symptoms

Hilda Hutcherson, assistant professor of obstetrics and gynecology at Columbia University Medical Center in New York, is one of those doctors. I usually dont do tests for herpes someone has a lesion or a sore, something I can see, I will do a swab and take it to a culture or check the DNA on the materials I removed, she says. If theres nothing there and I do a blood test and the blood test comes back positive, lets say its positive for type 1, what does that really mean? Most people are positive for type 1. She adds that someone could be HSV-1-positive and either have or not have genital herpes. The result doesnt mean much, and it makes people go crazy.

Hutchersons motto is pretty simple: Why stress yourself over something if you havent seen anything especially when its something as common as herpes? Lets say they have a blood test come in positive but theyve never had a lesion. Now what? You may never get a lesion, she says. Its for this reason that she recommends people do not get tested for herpes unless they have a visible lesion that can be cultured and sent to a lab. Lets say you get tested anyway and it comes back positive, despite the fact that you have no symptoms. What do you do?

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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Is There A Test For Genital Herpes

Yes. A doctor can take a sample from what appears to be a herpes sore and send it to a lab to be examined. You can also have a blood test. The blood test looks for antibodies to the virus that your immune system would have made when you were infected. HSV-2 almost always infects the genitals, so if antibodies to HSV-2 are detected in the blood, you probably have genital herpes.

A blood test that shows antibodies to HSV-1 means you could have genital or oral herpes. That’s because oral herpes, typically caused by HSV-1, can be spread to the genitals during oral sex.