How Fast Can Herpes Spread

How Often Do Outbreaks Occur

The number of outbreaks someone has varies from person to person. The average number of outbreaks for a person with genital HSV-2 is four to five per year. The average for genital HSV-1 is less than one outbreak per year.

Usually, there are more outbreaks during the first year, and many people find that outbreaks become less severe and less frequent with time.

Herpes triggers are highly individual, but with time, many people learn to recognize, and sometimes avoid, factors that seem to reactivate HSV in their own bodies. Illness, poor diet, emotional or physical stress, friction in the genital area, prolonged exposure to ultraviolet light , surgical trauma, and steroidal medication may trigger a herpes outbreak.

The frequency of outbreaks can often be managed through effective stress management, and getting adequate rest, nutrition, and exercise. For people with frequent outbreaks, suppressive therapy with any one of the antiviral treatments can reduce outbreaks by as much as 80%.

How To Reduce Your Risk Of Contracting Herpes

Because herpes is so common, millions of new people are infected with the virus every year. Often, new infections are asymptomatic, meaning you might not know that you have been infected for months or years after contact with the person responsible.

If you do contract herpes, particularly HSV-1, its important to remember that its a very common virus. Its also easily treatable, with a wide range of highly effective medications available in the event you have an outbreak.

With this said, there are several ways to lower your risk of contracting herpes, particularly HSV-2 :

• Avoid risky sexual behavior, such as having sex with multiple partners without the use of protection.

• If you want to have unprotected sex with your partner, ask them about their HSV-2 status and, if required, consider asking them to see a physician about getting a herpes test.

• If youre not sure about your sexual partners HSV-2 status, use a condom to cover up the potentially infected area and reduce the risk of HSV-2 transmission.

• Avoid sexual activity with people that have visible sores on their mouth or genitals, such as lesions that resemble small bumps or pimples.

How To Get An Std Test

Getting tested for STDs is a simple process. Almost all mid-sized and large cities offer options for free or low-cost STD testing, with convenient online testing options also available for many common sexually transmitted diseases.

You can get tested by:

• Talking to your healthcare provider. Your primary care provider will be able to provide testing for most STDs. Many health insurance policies either provide free STD testing or offer tests at a significantly reduced price.

• Visiting your local urgent care center. Many urgent care centers offer testing for most STDs. You can search for free, fast and confidential testing locations in your area using the CDCs GetTested tool.

• Visiting your local pharmacy. Many pharmacies can schedule testing for some STDs, or provide an at-home test that you can return to the pharmacy or mail directly to the lab for analysis.

• Contacting Planned Parenthood. Many Planned Parenthood centers offer STD testing and treatment.

• Using an at-home/online test. Several companies provide at-home STD tests that you can order online. Some tests provide instant results, while others may need to be mailed to a lab for analysis.

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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.

Initial Outbreaks Of Hsv

If youve been infected with HSV-1 or HSV-2, youll usually go through an initial outbreak. Your first herpes outbreak is also referred to as the primary outbreak, which usually happens one to two weeks after your virus exposure, and tends to be the most severe physical experience from the virus.

Not everyone with HSV-1 or HSV-2 will have an initial outbreak. Some people are completely asymptomatic, which means they can be infected with the virus without experiencing any real herpes symptoms.

During a first herpes outbreak, most people experience the physical effects of herpes , plus additional flu-like symptoms, including fever, chills, sore throat and general body aches.

Herpes outbreaks usually start within several days of exposure. If youre worried that youre going through an initial outbreak of herpes, the best thing to do is check your symptoms and talk to your doctor about testing and treatment options.

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Is Genital Herpes Infection Related To Hiv

Herpes and HIV are caused by different viruses. But patients infected with these viruses are more likely to transmit either disease to their sexual partners. Patients with herpes are more vulnerable to HIV infection. People newly diagnosed with herpes should be tested for HIV infection and other sexually transmitted infections.

Patients who are infected with both herpes and HIV also may have a higher concentration of HIV viruses in their body because of the interaction between the herpes virus and the HIV virus. When HIV damages a persons immune system, the person may be more likely to shed herpes simplex virus asymptomatically.

Prognosis Of Hsv Infection In Newborns

If herpes infection of the newborn is not treated, it usually progresses to severe problems. About 85% of babies with untreated widespread herpes infection die. About 50% of newborns with untreated brain infection die. Death is not common among newborns whose infection is limited to the skin, eyes, or mouth. Without treatment, at least 65% of survivors of widespread disease or brain infection have severe neurologic problems.

Appropriate treatment with antiviral drugs decreases the death rate and significantly increases the likelihood of normal development.

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How Soon Do Symptoms Appear

Symptoms tend to come on suddenly anywhere from two days to two weeks after youve been exposed to the virus.

The appearance of symptoms is called an outbreak. After your initial outbreak is treated, you may have subsequent outbreaks during the next year and occasionally throughout the rest of your life.

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How Soon Can You Get Tested For Stds

If you have potentially been exposed to an STD, you may think that getting tested immediately is imperative. But in fact, getting tested too early may lead to inaccurate results. It takes time for your body to recognize and respond to the STD once you are exposed to it. If you get tested before your body has responded to the STD, it will be too early for the test to detect the STD in your system. How long does it take to get an STD? When should you get tested? Heres what you need to know:

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Herpes May Be More Common Than You Think

The World Health Organization estimates that globally, 3.7 billion people younger than 50 have oral herpes and 417 million people aged 15-49 have genital herpes.

Dr. Maya Benitez says there has always been a stigma surrounding sexually transmitted diseases, especially herpes.

Stigma aside, itâs stressful to be diagnosed with something with no cure and no direct definitive treatment. And anxiety and stress can trigger outbreaks, says Dr. Benitez.

âIt is important for people to learn about the disease and understand it, so that if diagnosed, people will know how to live with it,â she says.

âThe likelihood of contracting herpes from toilet seats, bedding, or swimming pools, or from sharing objects such as silverware, soap, or towels is low, but it is possibleâ

How Fast Can Herpes Show Up

Are there places in the body where SARS-CoV-2 can hide from the immune system?

As millions of people are recovering from Covid-19, an unanswered question is the extent to which the virus can âhide outâ in seemingly recovered individuals. If it does, could this explain some of the lingering symptoms of Covid-19 or pose a risk for transmission of infection to others even after recovery?

I am a physician-scientist of infectious diseases at the University of Virginia, where I care for patients with infections and conduct research on Covid-19. Here I will briefly review what is known today about chronic or persistent Covid-19.

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How Soon Should I Test For Stds After Exposure

Use the table below to determine when you should get tested following exposure to an STD. The first column lists some of the most common types of STDs. The second column has the earliest time that tests offered by myLAB Box could be positive after a potential exposure. Some of the times listed are estimates due to limited data in other cases the window period is simply unknown. The third column tells you how long it could take following initial exposure to test positive for an STD.

For example, say you have been potentially exposed to genital herpes. If you look at the second column, it says you should take your first test 2 weeks from the date of exposure. This is the earliest that genital herpes will be detectable in your system. But according to the third column, it could take as long as 4 months, or 16 weeks, for genital herpes to become detectable in your system. In other words, the incubation period for genital herpes could be anywhere from 2 to 16 weeks following exposure.

This means if your results are negative when you get tested two weeks following exposure, you should get retested after 16 weeks. This way, you can confirm that it was not a false negative caused by testing before the STD was detectable.

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When To See A Healthcare Provider

If youâve been diagnosed with herpes, there are some circumstances where you may benefit from medical care. These may include having:

• An outbreak that isnât helped by treatment and self-care strategies

Self-care strategies during outbreaks can help with pain and discomfort, including:

• Keeping the affected area clean and dry
• Using over-the-counter pain relievers
• Place cold compresses over affected areas

For at-home care for cold sores specifically:

• Apply non-prescription antiviral ointment
• Avoid eating spicy, acidic, or salty foods
• Use petroleum jelly to keep surrounding skin moisturized

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Most Outbreaks Occur Within Two Weeks Of Herpes Exposure

If youve been infected with herpes and are symptomatic, youll usually start to experience some effects of the virus within one to two weeks.

An initial herpes outbreak usually lasts for two to three weeks and involves a range of different symptoms. Many people with herpes note that the initial outbreak has the worst symptoms and that subsequent outbreaks are less severe, although this isnt always the case.

Most people start to become aware that they might have herpes after a tingling sensation starts to develop in the area affected by the virus. For oral herpes, this is the start of the development of oral cold sores for genital herpes, the sores develop on the genitals, thighs and buttocks.

For more information on spotting an outbreak, check out our guide on Herpes or Ingrown Hair? How to Tell The Difference.

Over the course of two to three weeks, this tingling/itching feeling leads to the development of blisters. The blisters eventually open into sores, then dry out and heal. Most herpes outbreaks do not leave any permanent scarring.

During your first herpes outbreak, you might also experience flu or cold-like symptoms. About 70% of women and 40% of men experience some level of flu-like symptoms, such as muscle pains, gland swelling, headaches and fever.

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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More Questions From Patients:

Many people with genital herpes have no symptoms, or have very mild symptoms that go unnoticed.

The first time genital herpes symptoms appear is called the “first episode” or “initial herpes.” Initial herpes symptoms are usually more noticeable than later outbreaks.

Symptoms of genital herpes in men may include

• burning when you pee if you have sores

• trouble peeing if you have sores covering your urethra

• itching or pain around your genitals

During initial herpes, symptoms may also include

• swollen, tender glands in the pelvic area, throat, or under the arms

How Do You Get Rid Of A Herpes Outbreak Fast

The most effective treatment method is prescription medication from a doctor. This can be in the form of topical cream or an oral medication.

If you suspect you have herpes and would like to speak to a physician and/or get tested and treated online, book an appointment with a PlushCare doctor now.

Read: How Do Online Doctor Visits Work?

We accept insurance and appointments are available every 15 minutes. Our doctors can order lab tests for a herpes test and diagnose you based on the results.

If you have already been diagnosed with herpes they can prescribe you a treatment plan, including any necessary medications.

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Herpes In Other Areas

• Finger: Swollen, red, painful fingertip Herpes simplex virus may cause an intense, painful… read more )

• Brain: Confusion, fever, and seizures from a serious brain infection

) usually get sick before they’re 4 weeks old. They may have sores all over their body. Sometimes the virus infects their brain, causing seizures, coma, and death. Herpes in newborns is dangerous and life-threatening. Even with treatment, many babies die.

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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How Will My Healthcare Provider Know If I Have Genital Herpes

Your healthcare provider may diagnose genital herpes by simply looking at any sores that are present. Providers can also take a sample from the sore and test it. If sores are not present, a blood test may be used to look for HSV antibodies.

Have an honest and open talk with your healthcare provider about herpes testing and other STDs.

Please note: A herpes blood test can help determine if you have herpes infection. It cannot tell you who gave you the infection or when you got the infection.

Is Herpes Simplex Related To Herpes Zoster

Herpes simplex and the varicella-zoster virus are related, but they arent the same. VZV causes chickenpox and shingles.

Like HSV-1 and HSV-2, shingles can cause a painful, blistering rash. The shingles rash usually shows up on the back, side, abdomen , neck and face. It is often only on half of your body, following the pattern of your nerves. See your healthcare provider if you have a new rash and suspect you may have shingles.

A note from Cleveland Clinic

Herpes simplex is a virus. Once you have herpes, its a lifelong condition. A herpes infection can lead to outbreaks , but youll also have times when you have no symptoms. The main sign of herpes is sores that appear on the infected skin. Some people choose not to treat herpes, especially if symptoms are mild. Others take antiviral medications to reduce the severity and frequency of outbreaks.

Last reviewed by a Cleveland Clinic medical professional on 05/17/2022.

References

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