Who Should Get Tested For Herpes
The CDC generally recommends that only people that show symptoms of herpes should get tested. These symptoms include:
- Itching and tingling that develops into small, painful blisters that take approximately a week to heal
- Flu-like symptoms including fatigue, swollen lymph nodes, and fever
The reason why the CDC doesnt recommend herpes testing for everyone is that current stand-alone herpes tests are less accurate than those commonly found on a 10-panel STD test from Rapid STD Testing. Herpes tests have a higher probability of a false-positive result than most tests, meaning that they may indicate that you have herpes when you dont.
Episodic Therapy For Recurrences
For a recurrent episode, treatment takes 1 to 5 days, depending on the type of medication and dosage. You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions.
In order for episodic therapy to be effective, it must be taken no later than 1 day after a lesion appears. If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity. If taken at the first sign of a lesion, it can help speed healing.
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How To Stop A Herpes Outbreak Before It Happens Without Medication
In order to get rid of herpes without medication, it is important to recognise the individual triggers that result in a flare-up. While these root causes vary from person to person, common identifiers exist that â with a little patience and practise â can aid in the repression of onset symptoms. Whilst the following can help to provide symptomatic relief, they are not able to cure herpes, and it is not possible to cure herpes naturally forever.
Common triggers include:
- StressIndividuals suffering from high stress tend to exhibit herpes symptoms with higher frequency. Efforts to combat cortisol-releasing activities or events will result in diminished or delayed flare-ups.
- Feeling run-downAs mentioned, self-care is an important, holistic approach to fighting the effects of genital herpes. Being run-down, overtired or anxious can impact immune system function and lead to an onset of blisters or the fatigue and irritation associated with a herpes episode.
- SmokingThe act of smoking during an active herpes outbreak slows the healing process, as smoking weakens the bodyâs natural healing response. In the case of HSV-1 cold sores, the duration of presentation on the lips are delayed by days or weeks. In a healthy body, red blood cells transport oxygen throughout the blood. In a smokerâs body, carbon monoxide and other chemicals debilitate red blood cells, slowing their natural healing properties.
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How To Check If You Have Herpes
Many people mistake herpes symptoms for a skin rash or experience such a mild outbreak that they dont become aware theyre infected until subsequent outbreaks occur.
For more information, see our guide to Jock Itch vs. Herpes: Differences & Treatments.
Its also possible that you might experience no outbreaks at all after being infected with HSV-1 or HSV-2.
Luckily, there are several ways to check whether or not you have herpes.The best and most obvious way is to talk to your doctor about herpes testing. There are several herpes testing methods in use today, ranging from swab tests that check for viral activity to blood tests that check for the presence of IgG and/or IgM antibodies.
Each testing method has strengths and weaknesses, meaning your doctor will recommend the best option for your symptoms and potential infection type.
Most of the time, youll need to wait 12 to 16 weeks from the last possible exposure date before taking a herpes test. This gives your immune system time to produce a large enough amount of antibodies for an accurate test result.
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Lowering Your Genital Herpes Risk
- Always use condoms and dental dams during sex: Physical barriers can prevent viral transmission if the barrier covers the infected areas. This method wont work if the sores are in unprotected areas, such as the rectum or labia.
- Dont have sex during an outbreak: Viral loads are highest during an outbreak, making this the most dangerous time to transmit the virus.
- Avoid having sex if you feel an oncoming outbreak: Most people with genital and oral herpes experience tingling in an affected area before an outbreak. Recognizing these warning signs can reduce your chances of infecting a partner.
- Dont touch your sores, or wash your hands after doing so: The fluid from herpes lesions contains millions of viral particles, which remain active and infectious when you touch other parts of your body.
- Avoid kissing if you or your partner have cold sores: Cold sores can transmit viral particles through saliva and lesion fluid.
- Consider alternative forms of intimacy: Not all sexual intimacy requires genital-genital or oral-genial contact. Explore other opportunities for intimacy that reduce your risk of transmitting STDs.
- Talk to your healthcare provider about medication: Anti-herpes medication helps your body fight back against HSV, and taking it daily can reduce your viral load and make transmission to a partner less likely.
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What Shingles Symptoms Come Next
After about 1 to 5 days, a shingles rash will appear on one side of the body, often in a single characteristic band around one side of the torso or face.
The painful rash will then form itchy or burning blister-like sores filled with a clear fluid. The blisters will scab over in 7 to 10 days. Theyll gradually grow smaller before disappearing.
Shingles rash symptoms commonly last between 2 to 4 weeks.
How To Manage The First Outbreak
They can be extremely painful, and its important to see a doctor in case you need a prescription like Valocyclovir or Acyclovir. The sooner you start taking it, the more likely you are to curb the outbreak.
Unfortunately, no drug cures the condition. However, if you receive anti-viral medications promptly, you might experience the following benefits:
- Speedy recovery
- Fewer chances of future outbreaks
- A decrease in the severity of symptoms
Here are a few more self-care tips on how to deal with the symptoms:
- Consider taking an over-the-counter pain-killer like ibuprofen or acetaminophen for aches and fever.
- Apply cold compresses on the area. This will help with the burning, inflammation, and itching.
- Clean the sores regularly. This will speed the recovery.
To sum up, the first herpes outbreak can be challenging to deal with, especially if you are experimenting with your sexuality. However, proper self-care and promptly seeking expert help can ensure speedy recovery.
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Symptoms Of Oral Herpes
Oral herpes is most often caused by HSV-1, but can also be caused by HSV-2. It usually affects the lips and, in some primary attacks, the mucous membranes in the mouth. A herpes infection may occur on the cheeks or in the nose, but facial herpes is very uncommon.
Primary Oral Herpes Infection
If the primary oral infection causes symptoms, they can be very painful, particularly in children. Symptoms include:
- Tingling, burning, or itching around the mouth are the first signs.
- Red, fluid-filled blisters that may form on the lips, gums, mouth, and throat.
- Blisters that break open and leak. As they heal, they turn yellow and crusty, eventually turning into pink skin. The sores last 10 to 14 days and can be very uncomfortable.
- Blisters that may be preceded or accompanied by sore throat, fever, swollen glands, and painful swallowing.
Recurrent Oral Herpes Infection
A recurrent oral herpes infection is much milder than the primary outbreak. It usually manifests as a single sore, commonly called a cold sore or fever blister . The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat.
Symptoms Of Genital Herpes
Primary Genital Herpes Outbreak
For people with symptoms, the first outbreak usually occurs in or around the genital area 2 days to 2 weeks after sexual exposure to the virus. The first signs are a tingling sensation in the affected areas and groups of small red bumps that develop into blisters. Over the next 2 to 3 weeks, more blisters can appear and rupture into painful open sores. The lesions eventually dry out, develop a crust, and heal rapidly without leaving a scar. Blisters in moist areas heal more slowly than those in dry areas. The sores may sometimes itch, but itching decreases as they heal.
About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, and fever. Swollen glands may occur in the groin area or neck. Some women may have difficulty urinating and may, occasionally, require a urinary catheter. Women may also experience vaginal discharge.
Recurrent Genital Herpes Outbreak
In general, recurrences are much milder than the initial outbreak. The virus sheds for a much shorter period of time compared to an initial outbreak of 3 weeks. Women may have only minor itching, and the symptoms may be even milder in men.
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Are Canker Sores Caused By The Herpes Virus
Canker sores are not caused by the herpes virus or by any other virus. In fact, the cause of canker sores is unknown, although they may be triggered by a minor injury in your mouth from dental work or brushing too hard, an allergy, a vitamin B deficiency, stress, or a food intolerance. Some medical conditions, such as celiac disease and inflammatory bowel disease, may also cause canker sores, and they often occur in families, so its possible genetics or environment play a part, too.
Canker sores typically appear as small, round, or oval whitish sores with a red border, according to the Mayo Clinic. They typically occur on the tongue, inside the cheeks, inside the lips, or on the gums. The medical term for a canker sore is aphthous ulcer. Canker sores can be quite painful, but they usually heal within about two weeks without leaving any scarring.
Unlike cold sores, which usually occur outside the mouth, canker sores occur only inside the mouth. Like cold sores, canker sores are recurrent, but they are not contagious: You cant give a canker sore to another person. Canker sores occur more often in teenagers and young adults, and they are more common in women than men.
How Long Does A Recurrent Herpes Outbreak Last
| Recurrent Herpes Outbreak | |
| In hours | 240 hours |
The person may not see the symptoms of the HSV virus, as it may be asymptomatic in many cases. The intensity of the virus would also affect how long herpes would last. Sexual contact is a big cause of herpes, but some people may get it from skin-to-skin contact.
People who have very few symptoms may see herpes lasting for more than 14 days. People can do the HSV test to know if they have the virus inside the body or not. Some herpes may take around 6 months if they are intense in nature.
The virus can stay in the nerves of the person without showing any signs for around 6 months. If the person skips doing the treatment of herpes, then it would last for years. The HSV virus can cause issues of brain infection.
The recurrent herpes outbreak would not last for more than 14 weeks if treated during the initial stage. Oral herpes comes from the HSV-1, which would not last for more than 7 to 10 days. Genital herpes comes from HSV-2 which would not last for more than 14 to 20 days if the person maintains proper hygiene.
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Characteristics Of Study Participants
A total of 377 participants were enrolled in 439 study sessions. The median age was 39 years and most participants were white . The nonwhite group included 29 participants identifying as Black, 3 as Asian, and 12 as Mixed or Other. Women comprised 62% of the study population 45 participants identified as MSM or WSW . Two-hundred-eighteen were HSV-2 seropositive and HSV-1 seronegative, while 159 were HSV-1 and HSV-2 seropositive. The median age at sexual debut was 17 years , and the median age at first genital herpes episode was 27 years . The median time since first genital herpes episode and the initiation of the study to evaluate HSV shedding was 7.4 years .
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Suppressive Therapy For Recurrences
To suppress outbreaks, treatment requires taking pills daily on a long-term basis. Acyclovir and famciclovir are taken twice a day for suppression. Valacyclovir is taken once a day. The doses for these antiviral drugs are reduced in people with impaired renal function.
Suppressive treatment can reduce the frequency of outbreak recurrences by 70% to 80%. It is generally recommended for people who have frequent recurrences . Because herpes recurrences often diminish over time, you should discuss annually with your provider whether you should stay with drug therapy or discontinue it.
There is some evidence that valacyclovir may help prevent herpes transmission, particularly in situations where one heterosexual partner has HSV-2 and the other partner does not. However, this drug does not completely prevent transmission. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences.
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Why Does Testing Matter
As with any other STD test, the main reason to get a herpes test is to allow you and your partner to make informed decisions about your sexual health as a couple. While herpes is infectious, couples can take precautions to reduce the chance of infection, such as avoiding sexual contact or taking anti-retroviral drugs during an outbreak.
Having a clear diagnosis also helps your healthcare provider to recommend treatment options. While outbreaks are not dangerous, they can be extremely painful and unpleasant and take a week or more to subside. Healthcare practitioners can recommend treatment options that reduce the severity and duration of an outbreak, which lessens your discomfort and reduces the risk of transmission to any sexual partners.
Outbreaks For Asymptomatic Hsv
The majority of herpes infections, of both HSV-1 and HSV-2, are asymptomatic. This means that you can be infected with the herpes virus and have viral DNA in your body without any visible symptoms.
People with asymptomatic herpes can still spread the virus to others while not having any cold sores or genital herpes lesions.
Sometimes, people with asymptomatic herpes might experience an initial outbreak of cold sores or genital herpes, only to have the virus disappear after the first outbreak. In this case, herpes is still present in the body, but simply remains inactive and doesnt produce further outbreaks.
It can be difficult to know whether or not you have asymptomatic HSV-1 or HSV-2, or simply have infrequent herpes outbreaks. However, if youre confident you have herpes but havent had an outbreak for several years, its likely that you have an asymptomatic infection.
Even if youre asymptomatic, its still important to take precautions against spreading herpes to other people. Herpes remains in the body even if you dont have any symptoms, and there is a risk that you could spread the virus through kissing, oral sex or other sexual activity.
If you have asymptomatic herpes, the best approach is to speak to your doctor about treatment options and the use of suppressive therapy to reduce your risk of infecting others.
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Meet Nearby People With Herpes
PositiveSingles is the largest online dating and support community for people with herpes. Online since 2001, it has the largest user base among all the STD dating sites and APPs. You will find out there are plenty of people around you.
Thank you Positive Singles for providing me the avenue to meet my life long Soul Mate, the Love of my Life. It has been a wonderful year since we met and I am looking forward to spending the rest of my life with Lisa.
It started as a long distance relationship for 6 months but after that we moved in together. Wishing the same for everyone else searching for their mate.
Testing For Genital Herpes
If you think you may have genital herpes you should make an appointment with your GP or local sexual health services.
If there are symptoms present such as blisters, sores and ulcers, your doctor or nurse may be able to make a diagnosis straight away.
If you have visible blisters, your doctor or nurse may take a swab for testing, to check if this is herpes and what type. This swab can also test for another STI which causes blisters called syphilis.
The genital herpes swab tests are very reliable, though if the ulcer is too dry then it may be less likely to find a positive result.
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Im Pregnant What Do I Need To Know
To get the best care, tell your doctor you have genital herpes, because it could make you more likely to have a miscarriage or give birth too soon.
Its possible to pass along the virus to your baby. For infants, it can be life-threatening. Your doctor can talk to you about how to lower the chances that this will happen.
If you have an outbreak while youre pregnant, your doctor can give you medicine to treat your symptoms and stop them sooner.
Your doctor may give you a drug to prevent an outbreak as your due date gets closer. This is because your baby could get herpes by passing through your birth canal if youre having an outbreak when you go into labor. If thats a possibility, your doctor will most likely want to do a C-section, which is surgery to deliver the baby.
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