Friday, March 22, 2024

How Do You Treat Herpes Simplex

How Is Herpes Simplex Diagnosed

Herpes Simplex 1 & 2: Symptoms, Transmission and Treatment

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.

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.

Who Gets Herpes Simplex

Most people get HSV-1 as an infant or child. This virus can be spread by skin-to-skin contact with an adult who carries the virus. An adult does not have to have sores to spread the virus.

A person usually gets HSV-2 through sexual contact. About 20% of sexually active adults in the United States carry HSV-2. Some people are more likely to get HSV-2. These people:

  • Have had many sex partners

  • Had sex for the first time at a young age

  • Have another sexually transmitted infection

  • Have a weakened immune system due to a disease or medicine

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Are Test Results Accurate

Tests that identify evidence of HSV infections are routine and commonly used medical tests. The ability of a test to accurately diagnose or rule out HSV infection depends on the test used for analysis and the stage of a patients infection.

The Tzanck smear and viral culture are less able to accurately identify patients who have an HSV infection than other tests. PCR testing and antibody testing are more sensitive, which means that they miss fewer cases of infection.

Blood tests that detect antibodies to HSV can distinguish between HSV-1 and HSV-2 but not the site of infection. This means that blood tests cannot tell whether a patient has a genital or oral herpes infection.

Although these tests are valuable for identifying HSV infection, no test is perfect. When learning of test results, patients should talk to their doctor about the type of test conducted, the reliability of test results, and if additional tests are necessary to confirm or rule out a diagnosis.

It Will Still Take A Long Time Before These Experiments Lead To The First Human Trials Of Gene Therapy To Cure Herpes Jerome Estimates That Will Be At Least Three Years Away

Pin on Herpes cure

The team attained its first promising results years ago using a single type of meganuclease that proved effective in cutting the herpes virus DNA, but the results were short-lived. The virus could rely on the infected cellsâ own DNA-repair programs â which donât distinguish between viral genes from their own â to fix the break most of the time.

But over time, the researchers found that they could eliminate up to 90% of the latent virus by using a mix of two or three different meganucleases. It is simply harder to repair two breaks than one. With more tinkering, the results continued to improve.

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When To Talk With A Doctor

Herpes isnt curable, but it can be treated with antiviral medications. These medications can reduce the severity of an outbreak.

If you suspect you have herpes, make an appointment with a doctor. Its also a good idea to talk with your doctor about a herpes screening if:

  • your current or previous sexual partner has herpes
  • youre planning to have sex with a new partner
  • you had a risky sexual encounter

If youve already been diagnosed with herpes and youre currently experiencing an outbreak, the outbreak might go away without causing complications and without treatment.

However, its wise to make an appointment with your doctor if:

  • the outbreak is particularly painful or unbearable
  • youre experiencing symptoms of other STIs
  • youre experiencing frequent, severe outbreaks

If youre sexually active, its a good idea to have regular STI screenings. You can book appointments for STI screenings with your doctors office. You could also try a local clinic, certain pharmacies, or Planned Parenthood.

Episodic Therapy For Recurrences

For a recurrent episode, treatment takes 1 to 5 days, depending on the type of medication and dosage. You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions.

In order for episodic therapy to be effective, it must be taken no later than 1 day after a lesion appears. If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity. If taken at the first sign of a lesion, it can help speed healing.

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Ruling Out Conditions That Resemble Oral Herpes

Canker Sores

Simple canker sores are often confused with the cold sores of HSV-1. Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue. Their cause is unknown, and they are common in perfectly healthy people. They are usually white or grayish crater-like ulcers with a sharp edge and a red rim. They usually heal within 2 weeks without treatment.

This aphthous ulcer is located in front of and just below the bottom teeth.

Thrush

Oral candidiasis is a yeast infection that causes a whitish overgrowth in the mouth. It is most common in infants, but can appear in people of all ages, particularly people taking antibiotics or those with impaired immune systems.

Other conditions that may be confused with oral herpes include herpangina , sore throat caused by strep or other bacteria, and infectious mononucleosis.

Can Genital Herpes Be Prevented

Herpes Simplex

Practising safe sex is the best way to help prevent genital herpes infection.

It is safest to:

  • always use condoms and dental dams, even when there are no sores or blisters present
  • avoid sex when there are sores or blisters present you are most infectious at this time
  • avoid sex with someone who has any blisters, sores or other symptoms of genital herpes
  • avoid oral sex when there is any sign of a cold sore

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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.

How To Get Rid Of Herpes The Conventional Way

For most people with herpes, the virus typically represents nothing more than an inconvenience however, the real risk is for immuno-compromised patients who cant easily manage infections. In these patients, such as those with HIV/AIDS, herpes simplex infection is associated with increased morbidity and mortality.

As of 2017, there is not currently a herpes vaccine available to prevent HSV-1 or HSV-2.

Doctors sometimes prescribe medications to help keep the herpes virus suppressed or to speed up healing of cold sores by reducing bacteria that can cause infections. Some medications that are now used to control herpes include:

  • Nucleoside analogues and antiviral medications
  • Creams/ointment to help lower pain and inflammation near the site of sores
  • Over-the-counter painkillers to reduce aches, tenderness or fever

However, its important to understand that even with early detection and prescription medications, either form of the herpes virus cannot be totally cured so transmission is always still possible. Medications for viruses dont always work long term and are not a cure-all.

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Questions To Ask Your Doctor

  • What is the best treatment for me?
  • Are there any side effects to my treatment?
  • Is it safe to have unprotected sex if I dont have any sores?
  • Can I give myself genital herpes if I also have oral herpes?
  • Can I give someone else herpes even if Im not having an outbreak?
  • What is the best way to prevent herpes outbreaks?
  • Can I live a normal life with herpes?
  • Am I at risk of developing any other diseases?
  • Are there any support groups in my area?
  • If I give my baby herpes, what is the treatment?

Best For Online Consultations: Lemonaid

Herpes (Herpes Simplex)
  • Price: $25 for consultation and prescription, cost of medication varies
  • Pros: convenient online appointments and medication delivery
  • Cons: does not accept insurance for consultations

This telehealth company provides prescription medications for herpes.

People must fill in an online health questionnaire and provide a photo ID. Depending on the state a person resides in, Lemonaid may require a video or telephone consultation with a healthcare professional.

The company offers preventive treatment with a prescription that lasts for 1 year or immediate treatment for current herpes flare-ups.

People can choose home delivery or pick up their medication at a local pharmacy.

However, Lemonaid does not offer genital herpes prescription medications for people using the service for the first time. In this case, users must go to a doctor or gynecologist for an initial diagnosis.

The majority of Lemonaid consultation fees cost a flat rate of $25. This fee does not cover the cost of medication.

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How Herpes Is Treated

There is no cure for herpes.

  • The health care provider may prescribe antiviral medicine to help speed up the healing process. It also shortens the time when the virus can spread from the herpes sores.
  • Pain may be treated with medicine such as Tylenol or Motrin or by applying an ice pack wrapped in a towel to the affected area.
  • If sores are in the mouth, avoid foods high in acid, like citrus fruits and juices.
  • The infected area should be kept clean and dry.
  • Wash hands often and avoid touching the sores to prevent spreading the virus.
  • It is important to stay healthy by getting enough rest, having proper nutrition and exercise and managing stress well.

Risk For Genital Herpes

According to the US Centers for Disease Control and Prevention , about 1 in 6 Americans ages 14 to 49 years have genital herpes. While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. Except for people in monogamous relationships with uninfected partners, everyone who is sexually active is at risk for genital herpes.

Risk factors for genital herpes include:

  • History of an STD
  • First sexual intercourse at an early age
  • High number of sexual partners
  • Low socioeconomic status

Women are more susceptible to HSV-2 infection because herpes is more easily transmitted from men to women than from women to men. About 1 in 5 women, compared to 1 in 9 men, have genital herpes. African-American women are at particularly high risk.

People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. These people are also at risk for more severe complications from herpes. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes.

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How Does Herpes Simplex Spread

Herpes spreads through close contact with a person who has the infection. The virus can be found in skin and saliva. If you have herpes simplex, you are most likely to pass the virus to another person when you have sores. But you can infect someone else even if you have no symptoms. Healthcare providers call this asymptomatic viral shedding.

People may get HSV-1 through

  • Touching a persons skin near the mouth.
  • Sharing food utensils, lip balm or razors.
  • If you receive oral sex from someone who has a cold sore, it may spread a herpes infection to your genitals.

People may get HSV-2 through

  • Oral sex with someone whos infected.
  • Touching open sores, including while breastfeeding.
  • Childbirth by a mother or gestational parent who has an active infection.

You cant get genital herpes from objects like toilet seats. But you could pass genital herpes through shared sex toys.

When Should I Talk With A Doctor

Herpes virus treatment

If you have a primary care doctor who you regularly visit, you can share your results with them to provide better insight into your next steps.

If you dont have a primary care doctor, you can consult with a physician or nurse from the testing site about treatment options.

If youve been treating your symptoms with medication and are still in pain or discomfort, reach out to a healthcare professional.

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When Treatments For Genital Herpes Are Given

  • Initial treatment. If you have symptoms such as sores when youre first diagnosed with genital herpes, your doctor will usually give you a brief course of antiviral therapy to relieve them or prevent them from getting worse. Your doctor may keep you on the drugs longer if the sores dont heal in that time.

After the first treatment, work with your doctor to come up with the best way to take antiviral therapies. There are two options:

  • Intermittent treatment. Your doctor may prescribe an antiviral drug for you to keep on hand in case you have another flare-up this is called intermittent therapy. You can take the pills for two to five days as soon as you notice sores or when you feel an outbreak coming on. Sores will heal and disappear on their own, but taking the drugs can make the symptoms less severe and make them go away faster.
  • Suppressive treatment. If you have outbreaks often, you may want to consider taking an antiviral drug every day. Doctors call this suppressive therapy. For someone who has more than six outbreaks a year, suppressive therapy can reduce the number of outbreaks by 70% to 80%. Many people who take the antiviral drugs daily have no outbreaks at all.

There is no set number of outbreaks per year that doctors use to decide when someone should start suppressive therapy. Rather, more important factors are how often the outbreaks happen and if they are severe enough to interfere with your life.

Continued

How Has My Partner Caught Genital Herpes

If your partner has only just been diagnosed with genital herpes, this does not necessarily mean that they have been unfaithful to you or sexually promiscuous in the past.

  • Your partner may have caught genital herpes from you. You can carry the virus without knowing you have it as some people have no symptoms.
  • It is also possible that your partner caught the virus from a cold sore on your mouth or face during oral sex. You can pass the virus on even if you don’t have a cold sore at the time of contact.
  • Your partner may have contracted the virus from a previous sexual partner, even several years ago. The virus can remain inactive in your body for long periods.

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Prevention Of Genital Herpes

The best protection against STIs is to always use barrier protection such as condoms, female condoms and dams . Because herpes is spread by skin-to-skin contact, condoms will reduce the risk of transmission, but it will not protect sexual partners completely as condoms do not cover the entire genitals.

Using lubricant with a condom during sex will also reduce the risk of trauma to the genital skin. This has been shown to reduce HSV transmission, especially in the first six months of a sexual relationship. Silicone-based lubricants are recommended.

Remember that herpes transmission can occur when symptoms are present , but may also occur even if there are no genital symptoms through asymptomatic viral shedding.

For people who have frequent episodes of genital herpes, antiviral medication, taken daily, helps to reduce transmission of herpes to a sexual partner.

How Far Away Is A Cure For Herpes

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Theres currently no cure for herpes, but that might change in the future.

According to 2020 research published in Nature, scientists from the Fred Hutchinson Cancer Research Center removed 90 percent of the HSV-1 virus from cells in mice using gene editing.

However, it takes time to transition potential treatments from animals to humans. In a 2020 news article, one of the researchers that authored the Nature paper estimated that it would be at least 3 years before human trials.

Scientists are also researching the possibility of creating a vaccine to prevent herpes. A 2022 study outlined a new approach to developing an mRNA vaccine for herpes. The vaccine mentioned in the study worked well in mice and guinea pigs.

The researchers say that theyre aiming to conduct human trials before the end of 2022, and the vaccine could be available within the next 10 years.

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Valacyclovir May Interact With Other Medications

An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. To help prevent interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs youre taking.

To find out how valacyclovir oral tablet might interact with something else youre taking, talk to your doctor or pharmacist.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that youre taking.

This drug comes with several warnings.

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