Wouldnt Testing Everyone Stop The Spread Of Genital Herpes
We dont know. There is no evidence that diagnosing genital herpes with a blood test in someone without symptoms would change their sexual behavior and stop the virus from spreading. In addition, without knowing the benefits of testing, the risk of shaming and stigmatizing people outweighs the potential benefits. For these reasons, testing everyone for herpes is not recommended at this time.
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What About Mental Health
We also know that due to the stigma, learning that you are positive for herpes can impact your mental health. Research shows that people diagnosed with herpes are more likely to become depressed, withdraw socially, and experience reduced self-esteem. The shame associated with contracting herpes can make a big impact on a persons quality of life. This is despite the fact that its a common virus that affects people of all walks of life, all social circles, and all socioeconomic classes. It not only affects people who have casual sex partners but also people who limit their sexual behavior to monogamous relationships. It can even affect people who have only had one partner.
I can almost guarantee you know multiple people who have genital herpes even if no one has ever told you. Also, many cases of genital herpes occur as a result of oral sex from someone who has a history of cold sores .
Preparing For The Genital Herpes Test And Consultation
If you see your GP or visit a GUM clinic, they will ask a number of questions about your condition before providing a diagnosis. Your doctor will most likely ask you about your symptoms, recent sexual encounters, your STI history, whether you use condoms and whether you are taking any medication. You should use your consultation to ask any questions you may have with regards to your condition, your risk of STIs and how to avoid infecting future partners.
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When Is It Ordered
HSV PCR testing or herpes culture may be ordered when you have signs and symptoms of a herpes infection, such as a blister or blisters on or around your eye, mouth, genitals or rectum.
Herpes PCR testing may be ordered when you have signs and symptoms of encephalitis that a healthcare practitioner suspects may be caused by a virus. Examples of these signs and symptoms include:
Prenatal and newborn testing
- A pregnant woman who has been diagnosed with herpes may be monitored regularly prior to delivery to detect a reactivation of her infection.
- A baby born to a mother who has active lesions during delivery may be tested before symptoms appear to assess whether the baby was exposed to HSV during delivery.
- A mother and newborn may be tested for HSV soon after delivery when a baby shows signs of HSV infection, such as meningitis or skin lesions that could be caused by the herpes virus.
HSV antibody testing may be done when your healthcare practitioner wants to determine if you have been exposed to HSV in the past.
Getting Tested For Hiv:
What happens during the test?
Human Immunodeficiency Virus or HIV is tested using blood samples. If the test comes positive, it means the virus is present in white blood cells, and now they are losing their power to resist infections. There is no need to do any preparation for this test you can book your appointment with a trusted health professional and get tested on time. The facilities for HIV testing are incorporated in most medical centers these days. You can contact a trusted medical health expert to get tested. In case if the test result comes positive, it is important to follow guidelines for your doctor to ensure safety in future. However, experts always recommend that prevention is better than cure, so it is better to follow safe sex procedures to avoid STD.
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Can You Donate Blood With Hsv 2
According to the American Red Cross donor eligibility guidelines, people with HSV are allowed to donate blood , unless they have another prohibitive infection, like HIV or hepatitis. However: People having their first herpes outbreak are discouraged from donating, and are asked to wait about a month.
Symptoms Of Genital Herpes
Some people who have genital herpes do not have any signs or symptoms. These individuals can still pass the infection onto their sexual partners.
When symptoms do appear, they typically appear as small blisters that break open and produce painful, open sores that eventually scab over. Some people experience headaches, body aches fever, swollen lymph nodes and other flu-like symptoms during an outbreak. The blisters associated with an outbreak typically heal within a few weeks.
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Blood Tests For Asymptomatic Herpes
If you do not have an active outbreak of herpes blisters, your medical provider can still test to determine if you have previously been infected with either herpes simplex virus.
But, the incubation period for herpes is up to 12 days, so your doctor may recommend waiting to perform a blood test until it has been at least that long since you were exposed to the virus.
If you are tested too soon after exposure, you may get a false negative result because the immune system has not yet had time to produce antibodies
The results can indicate whether you have been exposed to one or both viruses.
It is not possible to know from a blood test whether you are currently contagious with herpes, only that you have previously been infected.
It is also possible to get at-home testing kits.
These use a lancet to prick your finger and take a small blood sample, which can identify whether you have been exposed to HSV-1 or HSV-2.
If you want an at-home kit, make sure you ask your medical provider for a recommendation, as some test kits do not check for both HSV-1 and HSV-2.
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.
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Genital Herpes Is Common Why Doesnt Cdc Recommend Testing Everyone For This Std
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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Signs And Symptoms Of Hsv
HSV-1 commonly causes painful cold sores around or in the mouth.
Less commonly, they may appear elsewhere on the face, such as the chin, cheeks, or eyes.
HSV-1 can also be transmitted via sexual contact, and may be the cause of genital sores.
Additionally, other signs of an HSV-1 infection include:
- Tingling, itching, or numbness 1-3 days before sores appear
You can also have HSV-2 and be able to pass the infection even without active blisters.
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What Are The Symptoms Of Herpes
Herpes symptoms only occur during periodic outbreaks. The first herpes outbreak usually happens within two weeks of catching the virus. The most noticeable symptom of herpes is the presence of sores which may look like blisters or pimples. These crust over, form a scab, and gradually heal over the course of two to four weeks. You might also experience flu-like symptoms such as headache, fever, and swollen glands during the first episode. Some people experience painful urination as well.
Recurrent outbreaks are milder than the first one. These lesions usually heal within two to 12 days. While sores typically appear on the genitals, they may also occur on the buttocks or thighs. Herpes sores can be mistaken for pimples, ingrown hairs, razor burn, hemorrhoids, or insect bites. Many people with herpes are unaware they have the virus.
Treatment For Genital Herpes
There is not a cure for genital herpes. Treatment is focused on relieving the symptoms associated with the condition.
Antiviral medicationsYour doctor may prescribe antiviral medications such as Zovirax or Valtrex that can help speed up the healing process and reduce symptoms. Your physician may recommend taking the medication only during outbreaks or may recommend taking it daily to prevent future outbreaks.
Home care therapyFor symptom relief, keep the infected site clean, wear loose clothing and use mild cleansers in warm water when showering.
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Why Have False Positive Tests Been Used As An Argument Against Routine Testing For Genital Herpes But Not For Other Stds Which Can Also Have False Positives
False positive test results are test results that say a person has a disease or condition when they do not actually have it. False positive results can occur with many diagnostic tests, including STD tests. The chances of false positive results increase as the likelihood of the infection decreases in the person being tested. False positive HSV-2 results can happen, especially in people who are at low risk for a herpes infection. Also, we do not know if people who test positive for herpes will change their sexual behavior as a result of a positive test. This tells us that the harm of a possible false positive test may be a greater concern than the benefits of an actual diagnosis. Unlike curable STDs, such as chlamydia, herpes infections are life-long, so it is especially important to avoid a false positive test.
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How Long Does It Take For Symptoms Of Herpes To Appear
The primary symptom of a herpes outbreak is sores that resemble blisters, called herpes lesions, on the mouth or genitals.
In addition, people may also experience the following symptoms prior to the outbreak:
- pain and redness, especially around the area the outbreak will occur
- itching and tingling, primarily in the outbreak area
- flu-like symptoms, such as fatigue, fever, or swollen lymph nodes
Most of the symptoms that occur before an outbreak indicate that the virus is replicating. Symptoms are usually the worst during the first herpes outbreak.
According to the
Some people with the herpes virus are asymptomatic, which means that they dont experience any physical symptoms of the disease. This doesnt mean that they cant spread the disease, however.
Anyone who has the herpes virus, whether symptomatic or not, can spread the virus to others.
If you have the herpes virus and your body has produced antibodies, it can be detected on a blood test, even if you have no symptoms. The only time the virus might not be detected on a test is if youve been tested too early.
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Testing With No Symptoms
Blood tests can be used when a person has no visible symptoms but has concerns about having herpes. Blood tests do not actually detect the virus instead, they look for antibodies in the blood.
IgM vs. IgG
When an individual contracts herpes, the immune system responds by developing antibodies to fight the virus: IgG and IgM. Blood tests can look for and detect these antibodiesnot the virus itself. IgG appears soon after infection and stays in the blood for life. IgM is actually the first antibody that appears after infection, but it may disappear thereafter.
IgM tests are not recommended because of three serious problems:
The accurate herpes blood tests detect IgG antibodies. Unlike IgM, IgG antibodies can be accurately broken down to either HSV-1 or HSV-2. The challenge here is that the time it takes for IgG antibodies to reach detectable levels can vary from person to person. For one person, it could take just a few weeks, while it could take a few months for another. So even with the accurate tests, a person could receive a false negative if the test is taken too soon after contracting the virus.
For the most accurate test result, it is recommended to wait 12 16 weeks from the last possible date of exposure before getting an accurate, type-specific blood test in order to allow enough time for antibodies to reach detectable levels.
Getting Tested For Chlamydia And Gonorrhea:
What happens during the test?
Whether you suffer some symptoms or not, doctors would prefer to take a urine sample or any other body fluid to test the condition. The target is to collect information about DNA of a specific type of STD. In case of gonorrhea, if doctors identify some blood infection, they may also take blood samples to know about the disease. Studies reveal that infection is not identified if the test is taken during the window period, so it is always recommended to get tested twice to ensure best results. The first test must be taken within one or two weeks of exposure, and next test is recommended within 90 days of exposure. Make sure you do not urinate for 2 hours prior to the test so that accurate samples can be taken.
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How Can I Reduce My Risk Of Getting Genital Herpes
If you are sexually active, you can do the following things to lower your chances of getting genital herpes:
- Be in a long-term mutually monogamous relationship with a partner who is not infected with an STD
- Using latex condoms the right way every time you have sex.
Be aware that not all herpes sores occur in areas that are covered by a latex condom. Also, herpes virus can be released from areas of the skin that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes.
If you are in a relationship with a person known to have genital herpes, you can lower your risk of getting genital herpes if:
- Your partner takes an anti-herpes medication every day. This is something your partner should discuss with his or her doctor.
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Who Decides Which Diseases Are Notifiable And Why
The Council of State and Territorial Epidemiologists works with CDC to determine if a particular disease should be nationally notifiable. To make this decision, they follow a number of public health principles, for example, whether or not it is treatable whether or not it is preventable how common it is whether or not a public health response is needed whether or not there is a good source of information on the number of cases and whether or not it represents a significant public health threat . Information on HSV-1 and HSV-2 infections already exists in NHANES, so herpes infections have not been classified as notifiable diseases.
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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 bodys immune system when it detects harmful substances such as the herpes virus. This test does not detect the virus itself.
What Are The Differences Between The Hiv Rna Test And The Hiv 4th Generation Antibodytest
The HIV RNA test can detect HIV sooner than any other HIV test as early as 9-11 days after exposure.TheHIV 4th Generation Antibody test can detect HIV 2-3 weeks after exposure. The HIV RNA test detects theHIVvirus in the blood by seeking out its genetic material , whereas the HIV 4th Generation Antibodytestdetects HIV antibodies and antigens. Antibodies are proteins created by the bodys immune system totry to destroy foreign substances like bacteria or viruses, in this case HIV. Antigens are the foreignsubstances that cause an immune response the HIV Antibody test detects HIV p24 antigens.
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