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How Long Do Genital Herpes Last

Treatment If The Blisters Come Back

How Contagious is Herpes?

Go to a GP or sexual health clinic if you have been diagnosed with genital herpes and need treatment for an outbreak.

Antiviral medicine may help shorten an outbreak by 1 or 2 days if you start taking it as soon as symptoms appear.

But outbreaks usually settle by themselves, so you may not need treatment.

Recurrent outbreaks are usually milder than the first episode of genital herpes.

Over time, outbreaks tend to happen less often and be less severe. Some people never have outbreaks.

Some people who have more than 6 outbreaks in a year may benefit from taking antiviral medicine for 6 to 12 months.

If you still have outbreaks of genital herpes during this time, you may be referred to a specialist.

What Are The Stages Of Genital Herpes

There are two phases, latent and prodrome.

  • Latent phase: Infection has occurred, but there are no symptoms.
  • Prodrome phase: At first, the symptoms of a genital herpes outbreak are typically mild. As the outbreak progresses, the symptoms become more severe. The sores will typically heal within 3 to 7 days.

Genital Herpes Treatment In Pregnancy

You may be offered antiviral treatment:

  • to treat outbreaks in pregnancy
  • from 36 weeks to reduce the chance of an outbreak during birth
  • from diagnosis until the birth if you first get herpes after 28 weeks of pregnancy

Many women with genital herpes have a vaginal delivery. You may be offered a caesarean, depending on your circumstances.

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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:

Meet Nearby People With Herpes

How Long Does It Take for Herpes to Show Up?

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Can Herpes Be Transmitted During Its Incubation Period

The chances are low that a person can transmit HSV to someone else within the first few days following their initial contact with the virus. But because of HSV dormancy, among other reasons, not many people can pinpoint the moment they contracted the virus.

Transmission is common from contact with a partner who might not know they have HSV and isnt showing symptoms of infection.

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What Are The Different Types Of Herpes

There are two types of herpes simplex virus: HSV I and HSV II. HSV I commonly causes oral herpes, or cold sores. This virus can show up as an upper respiratory tract infection during early childhood. HSV II is the cause of most cases of genital herpes. However, it is possible for HSV I to cause genital herpes and HSV II to cause oral herpes.

Clinicians cannot tell the difference between the two types by physical examination alone, but there are differences between the two viruses. For example, genital herpes caused by HSV II is much more likely to recur. This diagnosis can be helpful in establishing a health care plan.

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Can You Have Herpes And Not Know It

Yes, it is possible to have herpes and not know it.

Some people may have an asymptomatic infection, which means they do not experience any symptoms. Others have symptoms that are mild, go unnoticed, or mistaken for another skin issue. Because of this, they’re less likely to seek out a diagnosis to confirm herpes.

Most Outbreaks Occur Within Two Weeks Of Herpes Exposure

Promising New Herpes Zoster Vaccine

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.

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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.

What Can I Do If I Have Herpes

Many people who find out they have herpes feel depressed knowing they will always have the virus and can give it to others. But you are not alone. Herpes is one of the most common STIs, both in the US and worldwide. Exact numbers of people affected are not known. This is because many people dont realize they have it, especially if symptoms are minor and are not bothersome. If you have herpes, you should:

  • Learn all you can about it. Information will help you to manage your disease and feel better about yourself.
  • Talk about your illness with your doctor.

If you have herpes, you can still:

  • Have sex if you use a condom , and you tell your partner about your illness. Some couples, who have sexual relations only with each other, may choose not to use condoms even though one partner has herpes. Because each situation is different, you should talk to your doctor if this is a right choice for you in your relationship.
  • Have children. Women with herpes can still give birth to healthy babies. If you have herpes and plan to have children, discuss your illness with your health care provider.

If you have herpes, you should also get checked for HIV and other STIs .

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What To Look Out For

“Genital herpes outbreaks can differ in severity. While some people encounter multiple painful blisters, some only have one single sore.” – Dr Zenon Andreou

“Genital herpes outbreaks can differ in severity. While some people encounter multiple painful blisters, some only have one single sore.”

How Long Do Herpes Outbreaks Last

Cellular Immune Response in Genital Herpes Simplex Virus Infection

When you hear the word herpes, the image that comes to mind is probably one of a sore at the edge of your lip that crops up every time you have a cold or a fever. But herpes is a little more complicated that that. Believe it or not, most people who have herpes have absolutely no idea. Thats because, for the most part, the virus can be entirely asymptomatic. Usually the first infection when it comes to oral herpes happens sometime during childhood and not from sexual contact, and the symptoms are a lot more like a cold. In severe cases, the initial outbreak can involve a fever, swollen lymph nodes, swollen gums, and sores in your mouth, throat, or on your tongue. An initial herpes outbreak lasts around 14 days but can take up to six weeks for sores to fully heal .

While oral herpes is most commonly caused by herpes simplex virus 1 , genital herpes is more frequently cause by herpes simplex virus 2 .

Much like oral herpes, an initial genital herpes infection can last a lot longer than subsequent outbreaks and may be accompanied by fever and other whole-body symptoms and some symptoms may persist for weeks. Recurrent genital herpes outbreaks cause symptoms like itching, redness, and irritation in the genital area, but like oral herpes, genital herpes can also be asymptomatic . A genital herpes outbreak may begin with pain in the genitals and shooting pains or tingling in your legs, hips, or butt. These symptoms usually occur before you can see any blisters or lesions .

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How Do People Get Genital Herpes

Infections are transmitted through contact with HSV in herpes lesions, mucosal surfaces, genital secretions, or oral secretions. 5 HSV-1 and HSV-2 can be shed from normal-appearing oral or genital mucosa or skin. 7,8 Generally, a person can only get HSV-2 infection during genital contact with someone who has a genital HSV-2 infection. However, receiving oral sex from a person with an oral HSV-1 infection can result in getting a genital HSV-1 infection. 4 Transmission commonly occurs from contact with an infected partner who does not have visible lesions and who may not know that he or she is infected. 7 In persons with asymptomatic HSV-2 infections, genital HSV shedding occurs on 10.2% of days, compared to 20.1% of days among those with symptomatic infections. 8

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:

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Frequently Asked Questionsexpand All

People with HSV-2 infection have an increased risk of getting human immunodeficiency virus if they have sex with an HIV-infected partner. Taking suppressive therapy does not decrease this risk.

  • How can the herpes virus affect pregnancy?

    If a woman is pregnant and infected with HSV, it can be passed to the fetus during birth while passing through the womans infected birth canal. This is most likely to occur if a woman first becomes infected with HSV during pregnancy and in a woman who has her first outbreak late in pregnancy. But it also can occur during a recurrent outbreak in a woman who was infected before pregnancy, although the risk is much lower.

    If you have sores or warning signs of an outbreak at the time of delivery, you may need to have a cesarean delivery to reduce chance of infection. The decision depends on many factors, including where the sores are on your body and whether the fetus would come into contact with them during delivery.

  • Can I still breastfeed my baby if I have the herpes virus?

    Yes, in most cases. The herpes virus cannot be passed to a baby through breast milk. However, the baby could get infected by touching a sore on your body. Make sure any sores that the baby could come into contact with are covered when you hold your baby or while breastfeeding. Wash your hands with soap and water before and after feeding your baby. If you have sores on your breast, you should not breastfeed your baby from that breast.

  • Article continues below

    How Do You Get Rid Of A Herpes Outbreak Fast

    Herpes and Pregnancy

    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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    Which Genital Herpes Stage Is Safest For Sex

    Genital herpes spreads mainly through sexual contact, and it can be contagious even between outbreaks due to asymptomatic shedding.

    Theres no genital herpes stage that completely eliminates the possibility of infecting your partner with the virus, but herpes is more contagious in some stages than others. The primary infection stage and the blister stage are the two most highly contagious herpes phases. Its important to avoid all sexual and intimate contact during these times.

    The latent stage of genital herpes, however, is the safest. Its still possible to transmit herpes to your partner with asymptomatic shedding, so you will still need to take precautions. But this stage is far less risky than others.

    How Does Genital Herpes Affect A Pregnant Woman And Her Baby

    Neonatal herpes is one of the most serious complications of genital herpes.5,16 Healthcare providers should ask all pregnant women if they have a history of genital herpes.11 Herpes infection can be passed from mother to child during pregnancy or childbirth, or babies may be infected shortly after birth, resulting in a potentially fatal neonatal herpes infection. 17 Infants born to women who acquire genital herpes close to the time of delivery and are shedding virus at delivery are at a much higher risk for developing neonatal herpes, compared with women who have recurrent genital herpes . 16,18-20 Thus, it is important that women avoid contracting herpes during pregnancy. Women should be counseled to abstain from intercourse during the third trimester with partners known to have or suspected of having genital herpes. 5,11

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    In most cases, the herpes outbreak which is caused due to the herpes simplex virus type 1 virus lasts for about a minimum of 1 week to a maximum of 3 weeks on average.

    On the other hand, in most cases, the herpes outbreak which is caused due to the herpes simplex virus type 2 virus lasts for about a minimum of 2 weeks to a maximum of 4 weeks on average.

    Who Might Get Herpes Simplex

    Patient information leaflets for patients with genital herpes

    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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    Can I Treat Herpes Simplex At Home

    Avoiding known triggers, such as illness or stress, can help reduce how often you have herpes outbreaks.

    How can I ease my symptoms during an outbreak of HSV-1 ?

    • Over-the-counter creams such as L-lysine, benzocaine or docosanol .
    • Applying ice to blisters or sores.

    How can I ease my symptoms during an outbreak of HSV-2 ?

    • Apply an ice pack to your genitals. Wrap the ice pack in a washcloth or apply it over your underwear.
    • Keep your genitals dry. Wear cotton or other nonsynthetic underpants and avoid tight-fitting clothes. Moist sores take longer to heal.
    • Soak in a warm bath.
    • Take nonsteroidal anti-inflammatory drugs to relieve pain.
    • Topical 1% or 2% lidocaine may be used as a topical analgesic.

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