Monday, September 19, 2022

How Do You Know If You Have Herpes

Can Genital Herpes Cause Other Problems

It Might Be Good to Have Herpes | Trained Immunity

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.

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.

Herpes infection doesnt usually pose a serious health risk. The risk of a health complication due to herpes is higher in infants and if you have HIV/AIDS, cancer or an organ transplant.

What Are The Different Types Of Herpes

There are two types of herpes simplex virus: HSV I and HSV II. HSV I commonly causes oral herpes, or cold sores. This virus can show up as an upper respiratory tract infection during early childhood. HSV II is the cause of most cases of genital herpes. However, it is possible for HSV I to cause genital herpes and HSV II to cause oral herpes.

Clinicians cannot tell the difference between the two types by physical examination alone, but there are differences between the two viruses. For example, genital herpes caused by HSV II is much more likely to recur. This diagnosis can be helpful in establishing a health care plan.

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How Herpes Is Diagnosed

Your first step is to make an appointment with your healthcare provider if you have a lesion on your genitals or believe you were exposed to herpes. “Google really can’t tell you if you have genital herpes or not,” said Dr. Shim. A diagnosis of herpes can be made with an exam, but your healthcare provider will also order a culture swab from the sore to confirm the virus.

Your healthcare provider can give you advice on easing symptoms, shortening their duration, and preventing outbreaks in the future. Taking a daily dose of the antiviral drug Valtrex can decrease transmission to a non-infected partner, said Dr. Shirazian. It can also prevent recurrent outbreaks for the person with the infection. Maintaining general healthful habitseating nutritious foods, staying active, and getting enough sleepgo a long way to keeping your immune system able to minimize outbreaks.

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What do I do now?

Once you successfully identify the nature of your sores, which should be an easy task now that you know what herpes looks like, the management is not that complex either. Since pimples are a hygiene issue, it only means a more thorough cleaning with effective products such as acne ointments, antibacterial soap and creams, oil ointments for inflammation, and patting with a warm, wet cloth a few times a day.

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On the contrary, if you have even a little doubt that your sores may be herpes, you should visit your primary care physician and get an anti-viral prescription. Herpes may be incurable but anti-viral is more than enough to stop it from affecting your quality of life at all. Early identification is the key to a better life.

I am Jeannette, the medical writing specialist here at Family Medicine Austin. I have over five years of experience working with a range of medical and healthcare across the U.S.

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Where Do Symptoms Appear

When a person has genital herpes, the virus lies dormant in the bundle of nerves at the base of the spine. When the virus reactivates , it travels nerve paths to the surface of the skin, sometimes causing an outbreak.

Genital herpes, regardless of whether it is HSV-1 or HSV-2, does not cause symptoms on the mouth or face. For more on oral-facial herpes, see the oral herpes page.

What Causes Genital Herpes How Does It Spread

The herpes viruses enter the skin or mucous membrane through tiny, even microscopic, breaks in the tissue when there is skin-to-skin contact with an infected person. Because an infected person may spread the disease even when he or she does not have signs or symptoms of herpes, avoiding sexual contact with someone with active blisters does not guarantee protection against the infection. Even normal appearing skin can spread the infection. Clothing that touches genital skin ulcers may transmit herpes simplex virus to others that wear the clothing.

The average incubation period after exposure is 4 days, but symptoms may develop anywhere from 2 to 12 days after you have been exposed to the virus.

Individual outbreaks of herpes vary among affected people in terms of their frequency and severity. Outbreaks can be related to the function of the immune system and are typically worse in cases in which the immune system is suppressed. For example, at times of physical or emotional stress, during illness, or when taking certain medications, genital herpes outbreaks may be more likely.

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Do Condoms Help Prevent The Spread Of Genital Herpes

Yes. To prevent transmission of herpes, we recommend that condoms be used 100% of the time. Many patients will shed the virus and be contagious when they dont have symptoms. Studies have shown that asymptomatic shedding occurs between 1% and 3% of the time in patients with HSV II genital infections. Many new herpes infections occur from partners who are shedding the virus asymptomatically, so condoms are highly recommended.

Condoms may not be an attractive option for monogamous couples or for couples who desire to become pregnant. Couples may opt to have serological tests to determine if either partner has an asymptomatic infection. In close monogamous relationships, the risks of transmission can be weighed against other relationship issues, such as intimacy and pregnancy.

So How Do I Know If I Have Herpes

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Regardless of what the common symptoms may be and whether you experience them, you cant tell if you have herpes based on the way you look or feel. The only way to know for sure if you have herpes is to get tested and get tested often. Always know your status, the status of your partners, and practice safer sex.

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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.

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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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.

What You Need To Know

Herpes simplex: Symptoms, pictures, types, treatment
  • Fifty percent to 80 percent of U.S. adults have oral herpes.
  • Oral herpes can be spread through intimate contact with someone who is infected.
  • Oral herpes can be difficult to diagnose. Often confused with many other infections, it can only be confirmed with a virus culture called PCR, blood test or biopsy. PCR is the preferred test for diagnosing herpes infections.
  • The best treatment for oral herpes is antiviral oral medication. Symptomatic treatment may include antiviral ointment, over-the-counter topical anesthetics or over-the-counter anti-inflammatory agents.

Whether you call it a cold sore or a fever blister, oral herpes is a common infection of the mouth area that is caused by herpes simplex virus type 1 . Fifty percent to 80 percent of U.S. adults have oral herpes. According to the National Institutes of Health, about 90 percent of adults have been exposed to the virus by age 50.

Once infected, a person will have herpes simplex virus for the rest of his or her life. When inactive, the virus lies dormant in a group of nerve cells. While some people never develop any symptoms from the virus, others will have periodic outbreaks of infections.

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Im Pregnant How Could Genital Herpes Affect My Baby

If you are pregnant and have genital herpes, prenatal care visits are very important. Some research suggest that a genital herpes infection may lead to miscarriage or make it more likely to deliver your baby too early. You can pass herpes to your unborn child before birth, but it more commonly passes during delivery. This can lead to a deadly infection in your baby . It is important that you avoid getting genital herpes during pregnancy. Tell your healthcare provider if you have ever had a genital herpes diagnosis or symptoms. Also tell them about any possible exposure to genital herpes.

If you have genital herpes, you may need to take anti-herpes medicine towards the end of your pregnancy. This medicine may reduce your risk of having signs or symptoms of genital herpes when you deliver. At the time of delivery, your healthcare provider should carefully examine you for herpes sores. If you have signs or symptoms of genital herpes at delivery, a C-section is likely to occur.

Support And Advice For Genital Herpes

If you have just found out you have genital herpes, you may feel shocked and may have a lot of questions. It may help you to gather as much information as you can about herpes. This can help you to make fully informed decisions about your treatment, safe sex and preventing further recurrences. Talking to a counsellor about your concerns may also help.

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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.

Genital Herpes Is Common Why Doesnt Cdc Recommend Testing Everyone For This Std

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CDC does not recommend herpes testing for people without symptoms. This is because diagnosing genital herpes in someone without symptoms has not shown any change in their sexual behavior nor has it stopped the virus from spreading. Also, false positive test results are possible. Even if you do not have symptoms, you should talk openly and honestly about your sexual history with your doctor to find out if you should be tested for any STDs, including herpes.

Although CDC does not recommend that everyone get tested for herpes, herpes testing may be useful in some situations. Herpes blood tests might be useful

  • If you have genital symptoms that could be related to herpes,
  • If you have a sex partner with genital herpes, or
  • If you want a complete STD exam, especially if you have multiple sex partners.

Please note that while a herpes blood test can help determine if you have herpes infection, it will not be able to tell you who gave you the infection.

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Pimples Vs Herpes Blisters Why Do They Happen

Before we delve into what herpes looks like, lets first take a look at why it happens. It is a sexually transmitted disease, caused by skin-to-skin contact with the infected area of someone who has the Herpes Simplex Virus .

HSV comes in two forms, of which HSV-1 presents itself as blisters on the mouth , including cold sores and fever blisters, and is thus associated with oral herpes. Meanwhile, HSV-2 affects the genital region and causes genital herpes. This does not mean that anyone with blisters on their mouth must have been infected with HSV-1, as they could very well have inherited HSV-2 from an infected partners genitalia via oral sex.

On the other hand, pimples are linked to hygiene issues. They arise when dirt or oil clogs up the pores on the skin, increasing the likelihood of bacterial infection and inflammation. The pores may also be clogged by other conditions such as folliculitis or contact dermatitis .

Treatment For Genital Herpes

There is no medication to cure your body of the herpes virus. Treatment is aimed at easing symptoms, reducing the frequency of recurrences and reducing transmission.

Symptoms can be improved by:

  • ice packs to the affected area
  • pain-relieving medication such as paracetamol
  • antiviral medication such as acyclovir, famciclovir and valaciclovir. These can reduce the severity of an episode if taken early enough . Topical antivirals usually used for cold sores on the lips or face are not suitable for use on the genitals.

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How To Know If You Have Herpes

This article was medically reviewed by Lacy Windham, MD. Dr. Windham is a board certified Obstetrician & Gynecologist in Tennessee. She attended medical school at the University of Tennessee Health Science Center in Memphis and completed her residency at the Eastern Virginia Medical School in 2010, where she was awarded the Most Outstanding Resident in Maternal Fetal Medicine, Most Outstanding Resident in Oncology, and Most Outstanding Resident Overall.There are 11 references cited in this article, which can be found at the bottom of the page. This article has been viewed 842,512 times.

Research shows that around 1 out of every 6 people has some form of herpes.XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source The herpes simplex viruses are the viruses responsible for oral and genital herpes infections, and they can cause sores, itching, painful urination, and vaginal discharge. Although doctors can treat symptoms, ease pain, and reduce the possibility of spreading the virus, herpes cannot be cured. Studies show that you can find out if you have herpes by examining high risk behaviors, recognizing the symptoms, and getting tested by a medical professional.XTrustworthy SourceFamilyDoctor.orgFamily-focused medical advice site run by the American Academy of Family DoctorsGo to source

How Is It Treated

Is this ever going to get better?!

Genital herpes can be treated, but it cannot be cured.Anti-viral medicines can make outbreaks:

Living with genital herpes causes some people to:

  • Feel embarrassed or ashamed
  • Worry about infecting a sexual partner
  • Worry that having herpes will affect relationships with sexual partners
  • Avoid dating or sexual relationships

Most people with herpes are able to live with the virusand manage their outbreaks. Talking to trusted healthcare providers and friends can help. Your health careprovider can talk to you about medicines that treatoutbreaks and about ways to reduce the chance ofpassing the virus on to a sexual partner.

Medicines can help lower the chance that you will pass the virus to others.

Medically reviewed by Kristin Hall, FNP

Herpes is one of the most common viral infections, with more than half of all people under 50 years of age infected with the HSV-1 type of herpes and an estimated 11% of people infected with the HSV-2 type of the virus, according to WHO data. One of the most common herpes-related questions is whether or not its possible to be infected with the herpes virus without ever experiencing any symptoms. Unfortunately, thats a thing, and its called asymptomatic herpes. In fact, its a major thing.

While most people associate herpes with cold sores on the lips and mouth or herpes lesions on the genitals, the reality is that most people infected with the herpes simplex virus wont get any symptoms.

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