Friday, November 25, 2022

How Do You Test For Genital Herpes

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

Understanding Herpes Testing

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?

Does My Healthcare Provider Include A Blood Test For Genital Herpes When They Test Me For Everything

Herpes blood tests may or may not be part of the tests your healthcare provider gives you. They may choose tests based on several factors .

They will also evaluate you for signs or symptoms of herpes to choose which tests to use. This is why its important to talk openly and honestly with your provider during your visit. Ask them which infections they are and are not testing you for and why.

Additional Resources

Can I Take The Test At Home

At-home tests are available to test for evidence of an HSV infection. At-home herpes testing typically detects HSV antibodies in a self-collected sample of blood and may require additional follow-up if preliminary results are positive. At-home herpes tests can be obtained online or at a local pharmacy.

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Blue Pills For Herpes

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How Can I Confirm Whether I Have Genital Herpes

Awaiting my test results, does this appear to be herpes?

Herpes doesnt always cause symptoms, so your best bet is to make an appointment with a healthcare provider. They might be able to diagnose you just by looking at your symptoms.

They may also take a fluid sample from a blister and test it or have you do a blood test.

Youll likely be asked some questions about your sexual history. Its very important that youre honest in your answers. This will help to determine whether you should be tested for any other STIs while youre there.

Remember, theres no cure for herpes. But antiviral medication can help to prevent the virus from reproducing and reduce the number of outbreaks you have. This can also reduce your risk of passing the virus to others.

Common antiviral medications used for herpes include:

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Can Genital Herpes Cause Recurrent Utis

Whats worse than a painful, burning urinary tract infection? Theres no doubt that suffering from recurring urinary tract infections is one thing!

Not only can the symptoms of a urinary tract infection interfere with your daily life, they can also create a stigma and cause ongoing anxiety that makes it difficult to function. In fact, some people with severe chronic UTIs dont even feel comfortable leaving the house.

One question that arises, though, is what causes recurring UTIs? Can they be related to sexually transmitted infections, such as genital herpes? Or is this a completely separate issue?

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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Treatment The First Time You Have Genital Herpes

You may be prescribed:

  • antiviral medicine to stop the symptoms getting worse you need to start taking this within 5 days of the symptoms appearing
  • cream for the pain

If you have had symptoms for more than 5 days before you go to a sexual health clinic, you can still get tested to find out the cause.

Taking A Genital Or Oral Herpes Test

What You Need to Know About Genital Herpes

Testing for genital and oral herpes may be performed with a blood sample or a sample of fluid swabbed or scraped from a sore. Both types of samples are collected by a health professional when conducted at a doctors offices, clinic, or community organization.

If a patient is experiencing an outbreak, a doctor can collect a sample for testing by swabbing or scraping a sore. Material from the sore can be used for a herpes viral culture, PCR testing,

A Tzanck smear or an antibody test.

If a patient is not currently experiencing an outbreak, a blood test may be used to identify HSV antibodies. If a doctor suspects a brain infection with HSV, a lumbar puncture may be performed to obtain a sample of cerebrospinal fluid for analysis.

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Best Subscription For Herpes Test: Letsgetchecked

The LetsGetChecked home kits can test for both HSV-1 and HSV-2. This test kit may be best for people who require regular testing as the companys subscription options can offer significant discounts.

Collection method
nurses available through LetsGetChecked to discuss positive results
Cost
tests for both HSV-1 and HSV-2
Con does not accept insurance

A person receives a collection kit with all the tools they need to collect their samples at home. This includes needles, a prepaid envelope, alcohol swabs, and a tube. The tests come in discreet packaging so that other people will not know what the person has received.

The person also has access to an instruction video on the company website that explains how they should take their test. LetsGetChecked suggests that people take a blood sample before 9 a.m. and return it to the laboratory on the same day.

The company states that it issues the results within 25 days.

Individuals who receive a positive result can contact a nurse through the company, and they may suggest a treatment plan.

LetsGetChecked offers a one-time purchase for $119. Anyone who requires regular testing can purchase a LetsGetChecked subscription and get discounts on its tests. For instance, a 3-monthly subscription will give a person a 30% saving on the cost of the kits.

What Are Genital Warts

Genital warts are one of the most common sexually transmitted infections, says Michael Cackovic, MD, a maternal fetal medicine physician at The Ohio State University Wexner Medical Center in Columbus.

The warts are caused by an infection from the human papillomavirus . Many HPV strains can be spread through sexual contact. If you have HPV, its possible to spread the infection even if you dont have active warts, Jeffy says.

Here are a few symptoms of genital warts:

  • Flesh-colored bumps that may or may not be visible. Warts usually appear in the genital area but can also be in the mouth or throat from oral sex with an infected person, the American Academy of Dermatology reports.
  • Mild pain or no pain at all
  • Itchiness in the genital area
  • Bleeding of warts during sex
  • Warts may feel sore if they rub against skin or clothing.

Left untreated, an outbreak of genital warts can last months or even years. Sometimes they will go away on their own, but usually they require treatment, says Cackovic. Treatments for genital warts include prescription topical medications such as imiquimod, freezing them with liquid nitrogen, or excision, i.e. surgical removal.

Although topical treatments may take a few weeks to work, they are the easiest to prescribe because you can use them at home every day, Cackovic says. The US National Library of Medicine advises avoiding sexual contact while using treatments such as imiquimod because it can weaken condoms and vaginal diaphragms.

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When To Talk With A Doctor

Talk with a doctor if you notice any sores on or around your genitals. Other STIs, like syphilis, can look like herpes but need different treatment. Treatment is needed to prevent complications and transmission.

Your doctor will let you know whether you should test for herpes or another STI, and they can help you get treatment if needed.

Why Is Testing For Genital Herpes Only Recommended For People Who Have Symptoms

Is this genital herpes??

CDC recommends herpes testing for people who have genital symptoms for herpes to confirm that they are infected. These events are called having an outbreak, and they appear as blisters on or around the genitals, rectum, or mouth. The blisters break and leave painful sores that may take weeks to heal. Testing allows a doctor to talk with you about what to expect in the future, which medications are available to help manage any symptoms, and how you can lower your risk of spreading the infection to your sex partner.

If you have a partner with genital herpes, testing can tell if you also have the virus. If you are not infected, your doctor can talk to you about ways to lower your risk of getting genital herpes. If you are a pregnant woman and have a partner with genital herpes, it is very important to get tested. If you get genital herpes during pregnancy your baby could also become infected. Herpes infections in babies can be life-threatening. If you are infected, your doctor will talk to you about your diagnosis and the possible symptoms of genital herpes. In addition, herpes blood testing may be useful if you are seeking a complete STD exam, especially if you have multiple sex partners.

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How Is Genital Herpes Diagnosed

If you have a herpes sore, your dermatologist can often diagnose you by looking at the sore and taking a swab from the sore. A lab test can tell whether the sore contains the herpes simplex virus , which is what causes genital herpes.

If you dont have a sore or any symptoms, the Centers for Disease Control doesnt recommend testing for most people. You can learn whether you should be tested if you dont have symptoms at:

Symptoms Of Utis And Herpes

In many cases, the symptoms experienced by a patient with genital herpes resemble those of a UTI at first, which can lead to the mistaken conclusion that herpes has caused the UTI. Rather, the initial symptoms that tend to occur one or two days before the sores of an outbreak appear may mimic those of a UTI. These include:

  • A burning sensation when urinating
  • Painful urination
  • Frequent and urgent need to urinate, as well as difficulty urinating

However, as the symptoms progress, patients with genital herpes also experience:

  • Numbness nad tingling or even burning in the genital area
  • Watery blisters in and around the genitals
  • Tenderness and sores near the rectum

These additional sores, once burst, can take up to four weeks to heal. Throughout this time, hygiene is of the utmost importance to assure that bacteria dont settle into these sores or transfer bacteria from them to the urethra.

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Herpes False Positive Test Results

There are many tests that can diagnose herpes, but some are more accurate than others. It is in fact possible to get a herpes false positive.

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Which test is best? First lets take a closer look at some of the tests and the overall effectiveness of each.

The Western Blot Test for Genital Herpes

This test is considered to be one of the most effective ways of diagnosing genital herpes, and it is thought that the test has great accuracy results. However, cost, time and availability are a major issue and this may make people turn to other types of herpes screening programs. Never the less, many physicians are willing to refer patients for a Western Blot test if they suspect an outbreak of genital herpes.

The HerpeSelect Test

This test comprises of two parts. Patients undergo the herpes immunoblot test and the genital herpes Elisa IgG test. The blood samples are analyzed at a laboratory, hence, the patient may have to wait for the test results. Both tests offer highly accurate results and as a rule, they will detect both variations of the herpes simplex virus . Recent studies show that herpes false positive results are unlikely when this type of test is used.

The SureVue HSV-2 Test

The Tzanck Smear

How Can People Test For Herpes

Benefits of Herpes Testing

A person can ask for a herpes test at any sexual health clinic or a doctors office. A healthcare professional will either swab a blister or draw a blood sample.

At-home herpes tests often require a blood sample through a finger prick.

Once a person receives their test results, they should contact a doctor to discuss treatment options, if necessary.

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Useful Methods Include Testing An Actual Lesion

Keep in mind that thereâs no such thing as âsafeâ sex, only safer sex, which means using protection and being open and honest with your partner. âIt can definitely happen,â Friedman says of the chances of transmitting the virus to a partner without a visible outbreak. âIts called asymptotic shedding there are studies showing that the rates of transmission of HSV-2 are the same for symptomatic and asymptomatic.â He adds that this is why using protection during sexual contact is so important, regardless of what blood tests say. Unfortunately, you can never ensure your risk of transmission will be zero, whether or not you know you have herpes, but using a condom or dental dam will get you closer to it.

Like Hutcherson, Friedman also doesnât recommend blood tests for herpes in the absence of symptoms. âThe tests that are useful involve sampling the actual blister or cold sore,â he says, which can involve smearing scrapes of skin cells from the sore onto a slide, targeting the infected cells. As with some of the blood tests, though, this sampling test still wonât tell you what type of herpes virus is present. A viral culture, on the other hand, will tell you which virus you have, though it takes some time to come back. âDirect fluorescent antibody is by far the best,â Friedman says, âas you can get a result in a matter of hours which can be as useful as a culture.â Not all hospitals have access to this method, however.

The Different Types Of Herpes

Herpes, or the herpes simplex virus, is a highly contagious and common virus that causes cold sores and genital herpes. You may become infected with herpes simplex virus type 1 or herpes simplex virus type 2 . Each type of virus causes unique symptoms, so its important to understand their differences.

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Treatment If The Blisters Come Back

Go to a GP or sexual health clinic if you have been diagnosed with genital herpes and need treatment for an outbreak.

Antiviral medicine may help shorten an outbreak by 1 or 2 days if you start taking it as soon as symptoms appear.

But outbreaks usually settle by themselves, so you may not need treatment.

Recurrent outbreaks are usually milder than the first episode of genital herpes.

Over time, outbreaks tend to happen less often and be less severe. Some people never have outbreaks.

Some people who have more than 6 outbreaks in a year may benefit from taking antiviral medicine for 6 to 12 months.

If you still have outbreaks of genital herpes during this time, you may be referred to a specialist.

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