What Happens Once You Have Hsv
Once a person becomes infected with a herpes virus, the virus never leaves the body. After the first outbreak, the virus moves from the skin cells to nerve cells. The virus stays in the nerve cells forever. But it usually just stays there. In this stage, the virus is said to be dormant, or asleep. But it can become active again.
Some things that can trigger the virus are:
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.
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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.
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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.
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Are Cold Sores Contagious
The question ‘how are cold sores spread?’ is one of the most frequently asked questions about these painful, fluid-filled blisters that appear around the mouth and lips. Knowing how cold sores are spread, why cold sores are so contagious and when they are serious can help reduce your risk of a cold sore outbreak and prevent spreading cold sores to others.
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How Is Herpes Simplex Diagnosed
Healthcare providers may diagnose herpes simplex based on how the sores look. Your provider may take a sample from the sore. Laboratory analysis of the sample can confirm or rule out the herpes virus.
If you dont have sores, your healthcare provider can use a blood test to check for HSV-1 and HSV-2 antibody, a marker showing youve been exposed to the virus. The blood test doesnt show an active infection . But it informs your provider whether youve been exposed to the herpes virus in the past. If this is your first infection, you may not test positive for herpes if there hasnt been enough time for your body to develop antibodies. The HSV-1and HSV-2 antibody test may be repeated in eight to 12 weeks.
How Is Genital Herpes Spread
- Saliva from a partner with an oral herpes infection
- Genital fluids from a partner with a genital herpes infection
- Skin in the oral area of a partner with oral herpes or
- Skin in the genital area of a partner with genital herpes.
You also can get genital herpes from a sex partner who does not have a visible sore or is unaware of their infection. It is also possible to get genital herpes if you receive oral sex from a partner with oral herpes.
You will not get herpes from toilet seats, bedding, or swimming pools. You also will not get it from touching objects, such as silverware, soap, or towels.
If you have more questions about herpes, consider discussing your concerns with a healthcare provider.
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Condoms Reduce Womens Risk Of Herpes Infection But Do Not Protect Men
Using condoms during sexual intercourse significantly decreases the likelihood that men infected with herpes simplex virus type 2 will transmit the infection to their female partners, according to the first study to examine the effectiveness of condoms in preventing this infection.1Women are almost six times as likely as men to acquire HSV-2. Increased frequency of sexual intercourse, younger age and having a partner who is infected with both herpes simplex virus type 1 and HSV-2 increase the likelihood of acquiring HSV-2. Although using condoms more than 25% of the time offers women a high degree of protection against acquiring HSV-2, men do not receive the same benefits.
Overall, 528 couples were included in the study. Of the susceptible partners, 267 were women and 261 were men, with a median age of 36 years. Ninety-two percent were white, and 98% were in a heterosexual relationship. Participants median frequency of intercourse was twice weekly half said that they had used condoms no more than 10% of the time since becoming sexually active. Of the source partners, 62% were seropositive for only HSV-2, while 38% were seropositive for both HSV-1 and HSV-2.
During the studys observation period, 31 of the 528 susceptible partners acquired HSV-2: 26 of the women and five of the men. Women acquired the virus at a rate of 8.9 per 10,000 sex actsalmost six times the rate of men .
Avoid Triggering Herpes Outbreaks
If you have oral or genital herpes, avoiding an outbreak in the first place is one of the best ways to reduce your risk of transmitting herpes to another person.
Cold sores have many well-known triggers. If you suffer from cold sores, try to avoid any foods that commonly cause outbreaks. Also protect your skin during prolonged exposure to harsh wind and sunlight. Be careful not bite your lip when you chew your food.
If you have genital herpes, refrain from sexual activity if your genitals begin to feel irritated or raw. Make sure that your clothing isn’t too tight, since tight clothing can trigger an outbreak. Women may also want to use menstrual products without harsh dyes and perfumes to avoid irritating the genital area and triggering an outbreak.
Managing your daily stress level is an important part of avoiding a herpes outbreak regardless of whether you have HSV-1 or HSV-2.
Try to restrict your alcohol and sugar intake to moderate levels. Nourish your body with plenty of fruits, vegetables, lean protein and water. Be aware that outbreaks are a possibility when your immune system is fighting off other types of infections.
Using phototherapy, like that used in the Luminance RED Mouth Sore Treatment Device and the Luminance RED Genital Sore Treatment Device, at the first sign of an outbreak can also decrease the pain, healing time and frequency of outbreaks.
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What Are The Types Of Herpes Viruses
Herpes is a group of contagious viruses. All of these viruses cause blisters and sores. Some of the more common herpes viruses include:
- Type 1: HSV-1, or oral herpes, causes cold sores to form on lips, gums, tongue and inside the mouth. It can cause genital herpes in some cases This type usually spreads through saliva when you kiss someone with open herpes sores. You can also get HSV-1 by sharing items like toothbrushes, lipsticks or eating utensils.
- Type 2: HSV-2 causes genital herpes.
- Herpes zoster: This virus causes chickenpox and shingles.
How Does Genital Herpes Affect A Pregnant Woman And Her Baby
Neonatal herpes is one of the most serious complications of genital herpes.5,16 Healthcare providers should ask all pregnant women if they have a history of genital herpes.11 Herpes infection can be passed from mother to child during pregnancy or childbirth, or babies may be infected shortly after birth, resulting in a potentially fatal neonatal herpes infection. 17 Infants born to women who acquire genital herpes close to the time of delivery and are shedding virus at delivery are at a much higher risk for developing neonatal herpes, compared with women who have recurrent genital herpes . 16,18-20 Thus, it is important that women avoid contracting herpes during pregnancy. Women should be counseled to abstain from intercourse during the third trimester with partners known to have or suspected of having genital herpes. 5,11
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What Is Herpes Infection
Herpes infection is a viral infection that causes sores around the mouth or lips or sores near the genitals or rectum region . It is caused by Herpesvirus . It spreads through oral secretions or sores via kissing or sharing common objects like toothbrushes, utensils or sexual intercourse, etc.
The sores or blisters in herpes infections can break and are painful. Treatments for herpes infections are aimed to reduce the pain and other symptoms and reduce the healing process duration. Medications are the main line of treatment.
How Can I Prevent Genital Herpes
If you are sexually active, you can do the following things to lower your chances of getting genital herpes:
- Being in a long-term mutually monogamous relationship with a partner who does not have herpes.
- Using condoms the right way every time you have sex.
Be aware that not all herpes sores occur in areas that a condom can cover. Also, the skin can release the virus from areas that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes.
If your sex partner has/have genital herpes, you can lower your risk of getting it if:
- Your partner takes an anti-herpes medicine every day. This is something your partner should discuss with his or her healthcare provider.
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Myth #: Herpes Can Affect Your Fertility
Herpes has no impact on fertility, says Hawkins however, people may be confused because there can be an issue with herpes when it comes to pregnancy. If someone is pregnant and gets an outbreak close to when shes going to deliver a baby, that could be problematic, she says. In very rare cases, the outbreak can be transmitted to the baby during birth this is called neonatal herpes and the condition is potentially deadly. In such a situation, doctors may recommend a cesarean to protect the baby from infection.
What Does Genital Herpes Look Like
While some people with genital herpes will never have any symptoms, other people can develop symptoms within a few weeks of being infected.
Often, before the lesions appear, patients describe a prodrome, characterized by a tingling or burning sensation in the area where the lesions will develop that can be noticed during urination, along with itching or discomfort in the genital area.
You can also have the following symptoms:
- Blisters on the mouth or lips
- Fever, headache or pain in the joints
- Trouble urinating
The symptoms of genital herpes often go away and come back as recurring outbreaks. For most people, the first outbreak is the worst, and can last from two to three weeks. Future flare-ups are often less severe and do not last as long. Still, some people shed the virus regularly. The following triggers can make outbreaks more likely to occur:
- Viral or bacterial infections
- Menstrual periods
Recurrent genital herpes is most common in the first year after the initial infection and decreases as time goes on.
In many cases, anti-herpes medicine can help patients. When a person experiences a prodrome and suspects a recurrence is going to happen, they begin taking anti-herpes medications that lessen symptoms and shorten the time of the outbreak.
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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.
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 .
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Talk To Your Doctor Before Using Herbal Methods Or Supplements
There are a few herbal methods and supplements that have shown some success in treating herpes outbreaks. For example, some studies have shown the amino acid lysine is helpful for some people with herpes, according to ASHA, but other studies have not been able to produce the same results. Also, some herbal treatments and supplements can have side effects or interfere with other medications. Talk with your doctor about whether these methods might work for you.
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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How Does Genital Herpes Spread
Herpes can be spread when an infected person has lesions blisters and open sores on their body or when you do not have any symptoms. Taking antiviral medicine can help you reduce the risk of spreading genital herpes to your sexual partners. You can also:
- Inform your sexual partner that you have genital herpes.
- Use a condom every time you have sex.
- Refrain from having sex when you have symptoms.
- Abstain from performing oral sex if you have blisters or open sores around your mouth.
How Will My Healthcare Provider Know If I Have Genital Herpes
Your healthcare provider may diagnose genital herpes by simply looking at any sores that are present. Providers can also take a sample from the sore and test it. If sores are not present, a blood test may be used to look for HSV antibodies.
Have an honest and open talk with your healthcare provider about herpes testing and other STDs.
Please note: A herpes blood test can help determine if you have herpes infection. It cannot tell you who gave you the infection or when you got the infection.
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How Can I Best Learn To Cope With Herpes Simplex
Some people feel distressed or embarrassed about their herpes simplex infection. Its important to understand that the herpes virus is common. For most people, herpes doesnt significantly interfere with daily life.
To cope with negative feelings, you may consider:
- Connecting with others through support groups or online forums.
- Sharing your feelings with a trusted friend or loved one.
- Speaking with a therapist.
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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When Is Herpes Most Contagious
Lets start by talking about when herpes is contagious. It might sound obvious, but the first fact to know is this: Herpes is most contagious during an outbreak. That goes for genital herpes and cold sores from oral herpes.
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For genital herpes, you should stop having sex at the first sign of any impending outbreak. According to the World Health Organization, an outbreak may be preceded by mild tingling or shooting pain in the hips, legs, and buttocks .
If your doctor has prescribed you medication, this is the best time to take it to stop the outbreak in its tracks. The CDCs 2015 sexually transmitted disease guidelines state that while Valtrex may be used to treat HSV-2, Acyclovir or Famciclovir can also be used .
You should generally wait until after a herpes outbreak heals and resolves to resume having sex. According to the Minnesota Department of Health, sexual contact should be avoided until the sores dry and the scabs fall off, which takes approximately 10-14 days .