Do You Offer Treatment
We currently only offer treatment options for patients who test positive for chlamydia, gonorrhea, or trichomoniasis. If you receive a positive result, simply call and speak with a care counselor to schedule a phone consultation with a physicianno office visit is needed. We are partnered with physicians at PWNHealth so treatment can be prescribed if appropriate in all states. You must have a positive result before treatment can be authorized. The physician consult fee is $65.
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How Can I Reduce My Risk Of Herpes Simplex
Preventing HSV-1
You can reduce your risk of contracting HSV-1 by avoiding physical contact with someone who has a cold sore. People can still spread HSV-1 when cold sores arent present, but its less likely.
If someone has an active HSV-1 infection, avoid:
- Sharing utensils, cups, lip balms or other personal care products.
- Touching the skin near their mouth.
Preventing HSV-2
If youre sexually active, you can take these steps to protect yourself and others from the herpes virus and other STIs:
- Be monogamous with one sexual partner or limit your number of partners.
- Get tested for STIs and complete any prescribed treatment.
- Tell your sexual partners if you have genital herpes so they can get tested.
- Use condoms during intercourse and dental dams during oral sex.
Wash your hands often if you have an outbreak or are around someone with symptoms.
If your sexual partner has genital herpes, these actions can lower your risk of getting the virus:
- Dont have sex when your partner has active symptoms. Condoms may not cover all sores, so you may still get the virus.
- Make sure your partner takes antiviral medication as prescribed.
- Wait to have sex until scabs fall off active lesions.
Primary And Recurrent Infection
After the first infection, HSV, like other herpesviruses, remains inactive in the body for life. A latent infection may not cause symptoms again, or it may periodically reactivate and cause symptoms.
The primary HSV infection produces an eruption of tiny blisters. After the eruption of blisters subsides, the virus remains in a dormant state inside the collection of nerve cells near the spinal cord that supply the nerve fibers to the infected area. Periodically, the virus reactivates, begins multiplying again, and travels through the nerve fibers back to the skinâcausing eruptions of blisters in the same area of skin as the earlier infection. Sometimes the virus is present on the skin or mucous membranes even when no blisters can be seen.
The virus may reactivate many times. Reactivation of a latent oral or genital HSV infection may be triggered by the following:
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Emotional stress
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Suppression of the immune system
An episode of cold sores can develop after physical trauma, such as a dental procedure or overexposure of the lips to sunlight. Often, the trigger is unknown.
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Sexuality In Midlife And Beyond
The physical transformations the body undergoes with age have a major influence on sexuality. This Special Health Report, Sexuality in Midlife and Beyond, will take you through the stages of sexual response and explain how aging affects each. Youll also learn how chronic illnesses, common medications, and emotional issues can influence your sexual capabilities. Finally, youll find a detailed discussion of various medical treatments, counseling, and self-help techniques to address the most common types of sexual problems.
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Facts And Statistics About Herpes
- According to the World Health Organization, an estimated two-thirds of the global population under 50 years old are infected with herpes simplex virus type 1 .
- Estimates for HSV-1 prevalence in the U.S. among people aged 049 years are 178 million women and 142 million men .
- In total, about 75 percent or more of the American adult population has the HSV-1 virus that usually causes oral herpes , and about 20 percent to 30 percent have HSV-2 that usually causes genital herpes.
- Men and women are affected by HSV-1 about equally. Roughly 6 million women in the U.S. become infected with HSV-1 each year, along with 5 million men.
- Slightly more women than men are affected by genital herpes, whether from HSV-1 or HSV-2. Middle-aged women are most likely to acquire genital herpes.
- Transmission of HSV most often occurs without symptoms, so its estimated that 85 percent of people with genital herpes dont know it. Many dont have any symptoms at all after the initial infection, and only about 15 percent ever receive a HSV-2 infection diagnosis in their lifetimes.
- Most primary oral/facial HSV infections are caused by HSV-1 however, facial infection by HSV-2 is increasingly becoming common.
- Less children are becoming infected with HSV-1 than in the past in high-income countries, mostly due to better hygiene and living conditions.
- After someone comes into contact with an active herpes outbreak on another person, the incubation period takes about one week.
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What Home Remedies And Over
Home remedies
Home remedies include applying a cool wet compress to the lesion to decrease pain and keep the lesion from drying and cracking. Applying compresses too often will cause more drying, however, so a moisturizing balm should be applied after the lesion is first softened with a wet compress. Lemon balm and L-lysine are popularly used as home remedies. While there is there is very limited data suggesting that these substances have antiviral properties, and not enough data to support recommendations, these remedies seem generally well tolerated for those who wish to try them at their own risk.
Natural treatment options provide pain relief and treat cold sores
Lemon balm, L-lysine supplements, citrus bioflavonoids, Lactobacillus acidophilus and bulgaricus, vitamin C, vitamin E oil, and vitamin B12 have also been considered in the potential treatment of herpes simplex virus, but there is no good clinical evidence to support these treatments. Lemon balm may have some anti-herpes properties, but it is impossible to tell if it is effective in affected people from the few laboratory experiments that have been published. L-lysine similarly has limited laboratory data suggesting antiviral properties and has been touted for reducing recurrence of herpes. Unfortunately, results in patients with cold sores have been highly variable and there are no high quality studies suggesting benefit.
What Is Herpes Simplex
Herpes simplex is a virus that causes skin infections. The infection lasts your lifetime, and it causes painful or itchy sores and blisters that come and go. Herpes simplex virus typically doesnt cause severe problems. But it can be dangerous in infants and people with weakened immune systems. There are two types of herpes simplex:
- Herpes simplex 1 tends to affect your mouth or face. It causes cold sores. HSV-1 spreads through contact with saliva .
- Herpes simplex 2 is a sexually transmitted disease . It causes sores on skin that comes in contact with the genitals of an infected person.
Sometimes a herpes infection can affect other parts of your body, such as your eyes or other parts of your skin.
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Genital Herpes And Pregnancy
Women with herpes before pregnancy can usually expect to have a healthy baby and a vaginal delivery.
If you have genital herpes during pregnancy, theres a risk your baby could develop a serious illness called neonatal herpes.
This can be fatal, but most babies recover with antiviral treatment.
The risk of your baby getting neonatal herpes is low if you have had genital herpes before.
Its higher if you get genital herpes for the first time in pregnancy.
Herpes Causes And Risk Factors
Causes of herpes include acquiring the virus through sexual contact, coupled with immune system suppression and sometimes nutritional deficiencies.
HSV-1 is primarily transmitted by oral-oral contact. On the other hand, HSV-2 is considered a sexually transmitted disease and usually passed during oral or vaginal sex.
A scary finding is that more cases of genital herpes than ever before are now being caused by HSV-1 , and about 85 percent of people with genital herpes dont even know it. Studies show that about 50 percent of the new genital herpes infections in young adults are due to HSV-1 and about 40 percent in older adults. The fact that most people dont ever find out theyre infected is one of the reasons that transmission rates are steadily climbing.
Risk factors for acquiring herpes include:
- Kissing someone who has symptoms of an active herpes virus
- Engaging in any form of unprotected sex
- Having sex with multiple partners
- Spreading the virus through contact with cold sores on the eyes, secretions on the fingers, or ulcers/sores on buttocks and upper thighs
- Having certain other illnesses that lower immune function, such as HIV/AIDS, an autoimmune disorder or hepatitis
- Eating a poor diet that causes nutrient deficiencies and lowered immunity
- Smoking cigarettes, drinking high amounts of alcohol or abusing drugs
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What Are The Symptoms Of Hsv Infection
- Most people with HSV-1 can shed it in their saliva with no symptoms, or they may have a cold sore: a small fluid filled skin blister which breaks open, crusts over, and disappears in about 21 days.
- Infected newborns may have mild symptoms at first, such as low grade fever , poor feeding, or one or more small skin blisters. This can happen two to 12 days after HSV exposure. If any of these occur, notify your doctor immediately.
- Newborns can become very sick quickly with high fever and seizures, and may become lethargic .
- HSV infection in newborns can be very severe and can even cause death.
Best Sti Panel Test For Herpes: Everlywell
Everlywell offers STI test panels for males and females. This test may be most suitable for people who want to test for a wide range of STIs.
Collection method |
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Once a person has purchased a test, they must register it on Everlywells website. They then need to post the collected samples with prepaid shipping.
Everlywell states that people can receive their test results within 57 of posting the samples. However, several customer reviews on the companys website say they had to wait up to 2 weeks.
The person receives digital and printable results. If they test positive for any STIs, they can connect with Everlywells network of independent physicians for advice and treatment.
This test costs $149. However, people can subscribe for twice-yearly tests and save money per kit. They can also use their FSA or HSA to pay for this test.
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Myth #: People Cannot Spread Herpes To Others Unless They Have Sores Or Blisters
Fact: People can spread herpes to others at any time, including when they do not have any symptoms.
People with herpes may experience outbreaks and remissions. During an outbreak, a person has active sores or blisters, but in remission, they may have no symptoms at all.
The virus is usually more contagious when a person has an outbreak, but it can also spread when it is in remission.
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Treatment Of Primary Infection
Antiviral therapy is recommended for an initial genital herpes outbreak, especially if the patient has systemic symptoms or is immunocompromised.2 Oral acyclovir is effective in reducing symptoms1. Intravenous administration may be required in immunocompromised patients and those with severe disseminated infection.1 Topical acyclovir reduces the duration of viral shedding and the length of time before all lesions become crusted, but this treatment is much less effective than oral or intravenous acyclovir.1
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What Happens At A Sexual Health Clinic
The doctor or nurse at the sexual health clinic will:
- ask about your symptoms and your sexual partners
- use a small cotton bud to take some fluid from 1 of your blisters or sores for testing
The test cannot:
- be done if you do not have visible blisters or sores
- tell you how long you have had herpes or who you got it from
Symptoms might not appear for weeks or even years after you’re infected with the herpes virus.
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:
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Are You Sure Your Patient Has Herpes Simplex Type
Typical findings of herpes simplex virus-1 infection in children depend on the site of infection.
1. Primary orolabial infection : children present with oral lesions described as small vesicles on the tip of the tongue, gums, and around the lips. These lesions often are accompanied by fever, irritability and tender lymphadenopathy in the sub-mandibular region. The throat usually is spared, but a small number of children with primary HSV-1 infection will have some lesions in the esophagus. Dehydration resulting from refusal to drink and/or eat is the most common reason for admission to the hospital. Recurrences after primary infection can occur, but are generally less symptomatic than the primary infection.
2. Skin infections: in toddlers and small children, infection of the finger tip or nail bed is known as herpetic whitlow. This infection can be secondary to autoinoculation of the virus or inoculation by a different person who bites or sucks on the finger. The lesions are generally vesicular or pustular, and can be confused with bacterial infection due to erythema and swelling that usually accompany the infection. Another type of cutaneous herpes in active athletes involved in wrestling or other contact sports is called herpes gladiatorum. A similar process in children with atopic dermatitis is called eczema herpeticum.
Key Symptoms
1. Muco-cutaneous lesions : vesicular, pustular, and ulcerative are the most common types
2. Fever
How To Get Rid Of Herpes Naturally
Not every person with a herpes infection actually experiences breakouts of cold sores throughout his or her lifetime or even after initially becoming infected. How often someone has a herpes cold sore outbreak, how severe the outbreaks are, how contagious someone is after infection and how long the sores take to heal all depend on someones individual immune response.
1. Boost Nutrient Intake
If youre going to keep the herpes virus from frequently causing outbreaks, the first step in how to get rid of herpes is to improve immune function by boosting nutrient intake. Include these healing foods in your diet to keep the virus dormant as much as possible:
2. Avoid Inflammatory Foods
Certain foods can raise inflammation, weaken immune defenses and make skin irritation even worse. Avoid the following foods as much as possible to limit outbreak severity and duration.
3. Consider Supplements
- Antiviral herbs: These include elderberry, calendula, echinacea, garlic, astragalus and licorice root.
- L-lysine : Can help treat and prevent outbreaks.
- Lemon balm extract: Apply as a topical cream for healing.
- Vitamin C : Vitamin C boosts immune function improving herpes.
- Zinc : Zinc benefits include supporting immune function, keeping viruses dormant and rebuilding skin tissue to speed up healing.
- B-complex : B vitamins help your body deal with stress and can prevent outbreaks.
4. Try Essential Oils
5. Ease Cold Sore Pain Naturally
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How Can You Prevent Your Newborn From Getting Hsv
- If you are pregnant and have a history or signs and symptoms of genital HSV-2 infection, tell your doctor as soon as possible. A C-section delivery is recommended if a mother has an HSV-2 outbreak near the time of birth.
- Everyone should wash their hands before touching the newborn.
- Do not kiss your baby or let others kiss your baby if you or they have cold sores on the mouth or lips.
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.
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