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What Should I Do If My Test Results Are Positive
Many at-home services have independent physicians or nurses reach out to people with positive test results. Theyll discuss your results with you and suggest a plan of action, possibly including medication.
If your results are positive, its important to let any recent sexual partners know so they can also get tested.
What To Think About
- Normal test results do not mean you do not have a herpes infection.
- Herpes is often diagnosed by symptoms and by knowing whether the person has had contact with an infected person. Sometimes a test is not needed. A person who has genital herpes needs to learn how to avoid spreading the disease, because the disease is more likely to be spread when he or she has sores. If you have recurrent outbreaks, especially during times of stress or illness, you can also spread the disease.
- You may want to know whether a herpes infection is due to HSV-1 or HSV-2 so you can take steps to prevent or treat outbreaks.
- A genital herpes infection can be spread from a mother to her baby during vaginal delivery. In a newborn, herpes can cause organ failure, brain infection, and death. If active herpes is present near the time of delivery, a caesarean delivery may be done to prevent infecting the baby.
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Im Pregnant How Could Genital Herpes Affect My Baby
If you are pregnant and have genital herpes, it is very important for you to go to prenatal care visits. Tell your doctor if you have ever had symptoms of, or have been diagnosed with, genital herpes. Also tell your doctor if you have ever been exposed to genital herpes. There is some research that suggests that genital herpes infection may lead to miscarriage, or could make it more likely for you to deliver your baby too early.
Herpes infection can be passed from you to your unborn child before birth but is more commonly passed to your infant during delivery. This can lead to a potentially deadly infection in your baby . It is important that you avoid getting herpes during pregnancy. If you are pregnant and have genital herpes, you may be offered anti-herpes medicine towards the end of your pregnancy. This medicine may reduce your risk of having signs or symptoms of genital herpes at the time of delivery. At the time of delivery, your doctor should carefully examine you for herpes sores. If you have herpes symptoms at delivery, a C-section is usually performed.
How Do You Test For Herpes
Your local healthcare provider can test for herpes by swabbing a sore, if present, or by doing a blood test. Physicians dont routinely test for herpes unless a patient has a visible sore or other symptoms. If youre concerned that you may have this STI, a herpes test is the only way to know for certain.
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What Does The Test Result Mean
Direct detection of the virus
- A positive HSV DNA test or culture indicates that you have an active herpes infection, and the result may indicate if it is HSV-1 or HSV-2.
- A negative PCR test or culture indicates that the herpes simplex virus was not detected, but this does not definitely rule out an infection. False negatives can occur if there is not enough active virus in the sample. This may happen if the lesion is cultured more than 48 hours after the symptoms appear. If suspicion of herpes remains high, repeat testing may be done.
Antibody blood tests
- A positive HSV-1 or HSV-2 IgG antibody test means antibodies are present in your blood, which means you have had an infection in the past even if you havent noticed any symptoms. The type of antibody detected indicates the type of HSV infection.
- Negative HSV antibody results mean that it is unlikely that you have been exposed to HSV or it may mean that your body has not had time to begin producing HSV antibodies.
Type Of Tests Used To Diagnose Herpes
There are four main types of diagnostic tests that can be used to diagnose herpes. Your doctor will determine which type of test to use based on whether an outbreak is present or not.
If youre experiencing what you believe to be a herpes outbreak, your doctor can use a viral culture test or virus antigen detection test. If youre not experiencing symptoms, you can have an antibody test.
- Viral culture test.This test is used to determine if a sore contains the herpes virus. This test can sometimes produce a false-negative, meaning that it may not detect the virus even though its present.
- Virus antigen detection test. This test is used to determine if antigens to the herpes virus are present in a sore or lesion.
- Antibody test. If youre not experiencing an outbreak yet but still believe you may have been exposed, you can opt to have an antibody test performed. This test will only show a positive result if the antibodies to the virus have been developed. Therefore, this test isnt necessarily recommended for recent exposure.
- Polymerase chain reaction test. With this test, a healthcare provider can screen a sample of your blood or tissue from a sore. They can use this to determine if HSV is present and which type you have.
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Useful Methods Include Testing An Actual Lesion
Keep in mind that there’s no such thing as “safe” sex, only safer sex, which means using protection and being open and honest with your partner. “It can definitely happen,” Friedman says of the chances of transmitting the virus to a partner without a visible outbreak. “Its called asymptotic shedding there are studies showing that the rates of transmission of HSV-2 are the same for symptomatic and asymptomatic.” 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 doesn’t recommend blood tests for herpes in the absence of symptoms. “The tests that are useful involve sampling the actual blister or cold sore,” 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 won’t 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. “Direct fluorescent antibody is by far the best,” Friedman says, “as you can get a result in a matter of hours which can be as useful as a culture.” Not all hospitals have access to this method, however.
Why Doctors Dont Automatically Test You For Herpes
OK, clearly herpes is super common. So why dont doctors automatically test for it when you ask to get tested for everything? To answer that question, its important to understand the difference between STI testing and STI screening. Testing is done when you have symptoms, whereas screening is done in the absence of symptomsjust to check to see if youve been exposed.
Doctors will screen for STIs such as gonorrhea and chlamydia even in the absence of symptoms. This is key from a public health perspective because catching these infections in time can prevent serious complications such as pelvic inflammatory disease. This happens when an untreated STI like gonorrhea or chlamydia infects reproductive organs, possibly leading to infertility.
Experts dont screen for herpes for a few reasons.
The U.S. Preventative Task Force has recommended against screening asymptomatic adolescents and adults for HSV infections. The rationale is that there is no health benefit thats been proven and there a couple of risks, Dr. Johnston says. One is a false positive test, and the second is a risk of anxiety is not associated with serious health outcomes, yet its still feared.
Even pregnant people who could theoretically risk passing the virus during childbirth are not screened unless they have a history of herpes outbreaks or a current outbreak, Peter Leone, M.D., of UNCs Institute of Global Health and Infectious Diseases, tells SELF.
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How To Prevent The Spread Of Herpes
Although herpes is a lifelong virus that cant be cured, it goes through periods of dormancy between outbreaks. This means that while the virus is still present, its not actively replicating.
During this time, you may not experience any signs or symptoms of having the disease even if youve had a previous outbreak before.
However, you can still spread the herpes virus to your sexual partners at any time, even if no sores are present. In addition, although rare, its possible to spread oral herpes to the genital region and vice versa.
For this reason, its extremely important to be mindful of the following preventive measures:
- Tell your partners that you have genital or oral herpes. This allows them to make informed decisions about their own sexual health, and its the responsible thing to do.
- If youre experiencing the signs and symptoms of an upcoming outbreak, avoid all sexual contact. Youre most likely to spread the virus to others during an outbreak.
- Its possible to spread the herpes virus even without an outbreak. If youre worried about spreading the disease to a partner, research shows that antivirals are effective at reducing this possibility.
Having oral or genital herpes doesnt mean that you can no longer have sex. However, its your responsibility to prevent the spread of herpes to your sexual partner.
If you have herpes, you can still take care of your sexual health through open communication and safer sex.
You Got A Positive Herpes Test Now What
If you receive a positive herpes test, start by educating yourself about the herpes virus. There are many pervasive herpes myths that you shouldnt believe. The truth is that herpes is treatable and outbreaks can even be minimized or prevented with the right treatment measures.
Acyclovir, for example, is an antiviral medication that treats infections caused by the herpes simplex virus, including genital herpes. Its best to 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, although it cannot remove the virus from your body completely. Most people experience relief within just a few days of taking acyclovir.
If youre looking for a natural therapy to control herpes outbreaks, the Luminance RED is another option. The Luminance RED handheld devices shine red wavelengths of light over the skin of affected areas. The company has one device designed for oral herpes and one for genital herpes.
Medically-optimized red light is metabolized to accelerate the bodys healing process and strengthen its defenses against future attacks. Studies show that regular use of high-powered light treatment not only shortens the healing time of active outbreaks but can also prevent future outbreaks altogether.
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When To Get Tested
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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How Does The At
At-home herpes tests take advantage of the fact that blood tests for herpes are widely available through commercial lab-testing sites. The vast majority of at-home herpes tests use the same tests that would be ordered at the doctors office, provided by the same laboratories. However, instead of going to a doctor, the tests are ordered online. This can be a good option for people who are uncomfortable discussing sexual behavior with their doctor or whose doctor is not willing to test for herpes.
Why The Test Is Performed
The test is done to find out whether a person has ever been infected with oral or genital herpes. It looks for antibodies to herpes simplex virus 1 and herpes simplex virus 2 . An antibody is a substance made by the body’s immune system when it detects harmful substances such as the herpes virus. This test does not detect the virus itself.
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What Affects The Test
Reasons you may not be able to have the test or why the results may not be helpful include:
- If a culture sample is taken from a crusted, older sore.
- If a blood sample is taken before antibodies against HSV have formed. This period is called the window period or seroconversion period.
- If you are taking antiviral medicines, such as acyclovir, famciclovir, ganciclovir, or valacyclovir.
The Bottom Line: Tests For Herpes Are More Worry Than Theyre Worth
If you do have symptoms, dont fret: If you know your status, youre at an advantage in that you can talk with your doctor and find an antiviral drug that works for you. Medication can curtail the severity of your symptoms, as well as the number of outbreaks you get. Additionally, taking an antiviral daily will greatly reduce your chances of transmitting the virus to someone else. In case you missed it, theres also a very promising new drug for herpes on the horizon, which researchers say could be the most effective one yet.
Take it straight from the pros and dont put yourself through the stress of a herpes blood test if you dont need to. And, whether you have symptoms or not, know that youre not alone if you are herpes-positive.
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How To Get Rid Of Herpes Symptoms Naturally
Herpes is one of the most common sexually transmitted diseases , prompting many to wonder how to get rid of herpes naturally.
The herpes virus can live dormant inside a persons immune system for a lifetime, periodically causing blisters that burst and turn into open cold sores or ulcers before healing. When left alone, herpes cold sores usually last about 1014 days and are uncomfortable for a variety of reasons causing redness, pain, burning and often embarrassment.
Many people wonder if there is a natural cure for herpes or are looking for ways on how to get rid of herpes for good. While technically the virus that causes herpes is not curable, there are many natural herpes remedies that can put herpes into remission. In fact, many people with herpes dont experience any symptoms at all, especially long term, once they learn to manage triggers of outbreaks. So while theres no guide for how to get rid of herpes naturally, there is a method for how to get rid of herpes symptoms the natural way and keep breakouts at bay.
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