How Long Do Genital Herpes Blisters Last

Genital Herpes And Pregnancy

Its really important to speak to a healthcare worker if you have herpes during pregnancy, especially if its your first outbreak. Theres a risk that your baby can develop neonatal herpes which can be very dangerous or even fatal for the baby. If you have herpes, your healthcare provider will be able to prescribe antiviral treatment to keep your baby safe and help you have a healthy pregnancy.

Speak to a healthcare worker for more information or if you have any concerns.

What To Expect On This Page

We summarize in this article how to recognize genital herpes and why itâs important to talk to your doctor if youâre worried you may have it.

The most common symptom of herpes is skin lesions. These lesions can be confused with similar-looking lesions caused by a number of other conditions.

Using photographs to help you see what weâre saying, we describe herpes lesions and compare and contrast them with the lesions caused by these diseases:

What Are The Symptoms Of Herpes

Many people with genital herpes wonât get any symptoms, or may get symptoms for the first time months or even years after they were infected.

For most people, the first blisters go away within a month. Although the outbreaks clear-up by themselves, the virus stays in the body. This means that people usually get blisters again â which is called having a ârecurrent outbreakâ. Outbreaks usually become shorter and less severe over time.

Other symptoms can include:

• tingling or burning around the genitals

• feeling unwell, with aches, pains and flu-like symptoms

• unusual vaginal discharge in women.

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What Are The Symptoms Of Herpes Simplex

Many people with the infection never experience any herpes symptoms. If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a repeat outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

People who do have herpes symptoms may experience:

• Cold sores around their lips, mouth or tongue. They may look crusty or like fluid-filled blisters.
• Tingling, itching or burning.
• Pain while urinating.

What Are The Types Of Herpes Viruses

Herpes is a group of contagious viruses that cause blisters and sores. Some of the more common herpes viruses include:

• Type 1: HSV-1, or oral herpes, causes cold sores to form on your lips, gums, tongue and inside of your mouth. It can cause genital herpes in some cases. This type usually spreads through saliva when you kiss someone with open herpes sores. You can also get HSV-1 by sharing items like toothbrushes, lipsticks or eating utensils.
• Type 2: HSV-2 causes genital herpes.
• Herpes zoster: This virus causes chickenpox and shingles.

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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

How To Get Treatment For Herpes Online

The quickest way to get rid of a herpes outbreak is to take a prescription-strength anti-viral medication, such as Valacyclovir. This medication is not sold over the counter, and you need a prescription from a doctor to get it.

Thankfully, our partners at PlushCare provide access to online doctors that can write you a prescription in as little as 15 minutes, if this medication is right for you. The board-certified physicians at PlushCare can diagnose and treat your condition all from the comfort of your home.

Click here to make an appointment with a PlushCare doctor.

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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.

How Can Herpes Be Prevented

Correct and consistent use of latex condoms can reduce, but not eliminate, the risk of transmitting or acquiring genital herpes because herpes virus shedding can occur in areas that are not covered by a condom.25,26

The surest way to avoid transmission of STDs, including genital herpes, is to abstain from sexual contact, or to be in a long-term mutually monogamous relationship with a partner who has been tested for STDs and is known to be uninfected.

Persons with herpes should abstain from sexual activity with partners when herpes lesions or other symptoms of herpes are present. It is important to know that even if a person does not have any symptoms, he or she can still infect sex partners. Sex partners of infected persons should be advised that they may become infected and they should use condoms to reduce the risk. Sex partners can seek testing to determine if they are infected with HSV.

Daily treatment with valacyclovir decreases the rate of HSV-2 transmission in discordant, heterosexual couples in which the source partner has a history of genital HSV-2 infection. 27 Such couples should be encouraged to consider suppressive antiviral therapy as part of a strategy to prevent transmission, in addition to consistent condom use and avoidance of sexual activity during recurrences.

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Syphilis: A Greater Health Threat Than Herpes

Syphilis and genital herpes are both STDs that can cause sores in the genital area. Like oral herpes, syphilis can also cause mouth sores, which often clear without treatment. But despite these similarities in symptoms, the two diseases differ in their causes syphilis is caused by a bacteria and herpes by a virus and the health risks they pose.

For most people the exceptions being infants and people who have weakened immune systems or who are chronically ill herpes is more of an annoyance than a dangerous disease. But untreated syphilis can lead to severe complications, including bone, joint, liver, heart, and brain damage.

There are four stages of syphilis, according to the CDC, each with different signs and symptoms. In the primary stage, a painless sore or sores develop where the bacteria first entered the skin or mucous membrane. In the secondary stage, you may develop a skin rash, swollen lymph nodes, fever, and other flu-like symptoms. In the latent stage of syphilis, there are no signs or symptoms, and in the tertiary stage, the bacterial infection can damage the heart, brain, and other organs of the body.

Stage : Telltale Tingling

The beginning of a cold sore is known as the prodrome stage and usually lasts from several hours to a couple of days. Youll feel a tingling, itching, or burning sensation on your lip, mouth, or nose where a cold sore is imminent.i This cold sore early stage is your bodys reaction to the herpes simplex virus , which is responsible for cold sores. Once youve caught the virus, it stays with you for life, but most of the time it lies dormant in a nerve sheath in your cheek until something sets it off. i Find out more about the most common cold sore triggers.

Apply Abreva® Cream at the first sign of a cold sore. It creates a barrier to protect healthy skin cells, blocking the spread of HSV-1. In clinical trials, Abreva® could heal a cold sore in just 2½ days * when applied at the earliest stage, compared with 810 days with no treatment.

For instant relief, put ice in a bag and wrap in a thin cloth before placing it on the area for no longer than 20 minutes. Ice slows blood flow to the affected skin, reducing the inflammation, swelling, and nerve activity that leads to discomfort.iv

Beginning of a Cold Sore

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Fever Blister On Nose

Herpes labialis, commonly known as cold sores, is a type of infection by the herpes simplex virus that affects primarily the lip. Symptoms typically include a burning pain followed by small blisters or sores. The first attack may also be accompanied by fever, sore throat, and enlarged lymph nodes. The rash usually heals within ten days, but the virus remains dormant in the trigeminal ganglion.

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How Long Does A Genital Herpes Outbreak Last

Since you clicked on an article with “herpes” in the title rather than “cold sore,” you’re probably looking for information on genital herpes. We’ll cover that information first!

The length of time a genital herpes outbreak lasts depends on many factors, but in general, the overall timeline is from one to four weeks.

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Herpes Might Not Have Any Symptoms

You or your partner may not have any herpes symptoms that you can see or feel, or the signs of herpes may be so mild you dont even notice them. Sometimes people confuse herpes symptoms with other things, like pimples, ingrown hairs, and the flu.

Herpes symptoms come and go, but that doesnt mean the infection goes away or that you cant spread it to other people. Once you have herpes, it stays in your body for life.

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Recognizing The Signs: The Prodrome

Early in the phase of reactivation , many people experience an itching, tingling, or painful feeling in the area where their recurrent lesions will develop. This sort of warning symptomcalled a prodromeoften comes a day or two before lesions appear. To be on the safe side, its best to assume virus is active during these times.

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How Is Herpes Treated

There is no cure for the herpes simplex virus. The blisters usually heal and go by themselves, so you may not always need treatment. If treatment is needed, there are antiviral medicines which can help. These can shorten outbreaks, relieve discomfort and stop symptoms from getting worse.

The antiviral treatment is most effective when you take it within the first five days of symptoms appearing. Avoid touching the blisters as this can spread the infection. If treatment requires you to apply cream to a sore, gently pat the cream on, being careful not to rub around the surrounding area.

You can ease your symptoms by:

• keeping the affected area clean using plain or salt water to prevent blisters or ulcers from becoming infected

• applying petroleum jelly, such as Vaseline, to any blisters or ulcers to reduce pain when passing urine

• asking a healthcare provider to recommend painkilling creams

• avoiding tight clothing because it may irritate the blisters and ulcers.

Donât have sex until you or your partner have finished your treatment, and the blisters or ulcers have gone. Recurrent outbreaks are usually milder than the first episode of genital herpes and over time they tend to occur less often.

How Does Genital Herpes Spread

The herpes virus that causes genital herpes spreads through saliva, semen and vaginal secretions. Its possible to get genital herpes from someone who doesnt have visible symptoms. You can have the infection, not know it and infect someone else.

Genital herpes can spread through:

• Oral sex with someone whos infected.
• Skin-to-skin contact without ejaculation.
• 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.

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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.

Who Might Get Herpes Simplex

People of any age can contract herpes simplex. You are more likely to get the virus if you:

• Were assigned female at birth.
• Have had multiple sex partners.
• Started having sex at a young age.
• Have a history of any sexually transmitted infection .
• Have a weakened immune system.
• Dont use condoms for intercourse and dental dams for oral sex.

Who gets HSV-1, commonly known as oral herpes?

Anyone can get HSV-1. Most people contract HSV-1 during childhood. It spreads when an adult who has the virus has close contact with a child, such as when a family member kisses a child.

Who gets HSV-2, commonly known as genital herpes?

Genital herpes affects sexually active teens and adults of all genders and races. It can spread if you have multiple sexual partners and dont use condoms or dental dams.

People assigned female at birth are more at risk. Delicate vaginal tissue can tear, making it easier for the infection to get in. Black people who were AFAB are especially vulnerable, with an estimated 1 in 2 people AFAB between the ages of 14 and 49 infected with HSV-2.

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What Are The Symptoms

Most people never have symptoms, or they are so mild that they do not know they have the virus. Sometimes, symptoms may not appear for months or years. Symptoms vary from person-to-person and many people who do get symptoms may not realize that its caused by HSV.

Herpes infections have three different outbreak types:

• Primary first outbreak
• Non-primary first outbreak
• Recurrent outbreak

A primary outbreak happens when someone first gets herpes symptoms usually beginning 2 to 21 days after contact.

Some people may experience warning signs, called prodrome symptoms such as itching, burning, and tingling of the skin at the site where the blisters or sores may appear, followed by painful herpes sores or tiny blisters. Other symptoms may include pain down either leg or in the buttocks, swollen or tender glands in the groin, fever, painful urination, body aches, feeling tired and unwell. This is more common with a primary outbreak. When the blisters break, painful shallow ulcers appear. These ulcers crust over and usually heal in 7 to 14 days. A primary outbreak is generally worse than future outbreaks.

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Genital Herpes Symptoms & Treatment

FAST FACTS

• Genital herpes is a sexually transmitted infection that causes infected sores or blisters.

• Its caused by the herpes simplex virus which can be passed on through close genital contact.

• You can reduce your chances of getting genital herpes by using condoms or dental dams during sex.

• If you think you have symptoms of genital herpes you should see a healthcare worker, they can take a swab from a blister and test to confirm if its caused by the herpes simplex virus.

• Treatment can help with herpes outbreaks, but the virus cannot be cured and will remain in the body. This means that blisters normally come back once in a while.

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Treatment For Genital Herpes

There is no medication to cure your body of the herpes virus. Treatment is aimed at easing symptoms, reducing the frequency of recurrences and reducing transmission.

Symptoms can be improved by:

• ice packs to the affected area
• pain-relieving medication such as paracetamol
• antiviral medication such as acyclovir, famciclovir and valaciclovir. These can reduce the severity of an episode if taken early enough . Topical antivirals usually used for cold sores on the lips or face are not suitable for use on the genitals.

Where Can I Get Tested For Herpes

To get a private herpes test, you can use a service that doesnt accept insurance so that no one else is notified that you were tested. This is up to you, since you can also have your doctor test you with a blood test or a swab. Be warned, though, that for swabs to be accurate they need to be done within 24-48 hours at most of a blister forming.

You can use this website for a 100% confidential STD test that you order online and then have done in a lab of your choice near you. The site says it will only take a few minutes to do so you can get peace of mind fast and privately.

References

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How Are Genital Herpes Diagnosed

Other STIs, like syphilis, cause similar symptoms. In addition to a physical exam, your healthcare provider will take a fluid sample from the blisters to test for the herpes virus. If your blisters are healed or you dont have blisters, a blood test can check for HSV-2 antibody, a marker that shows you have been exposed to the virus.