What Are The Risk Factors For Herpes
Some risk factors for herpes may include:
-Having unprotected sex
-Having sex with multiple partners
-Kissing someone with a herpes virus that is active
-Abuse of cigarettes, alcohol, and drugs
-Spreading the virus by touching a cold sore and then touching something else
-Having an autoimmune disorder or illness, such as hepatitis or HIV/AIDS
-Poor eating habits that cause nutritional deficiencies
What’s Involved In Herpes Testing
If there are blisters or sores, a healthcare provider may gently swab the area to take a fluid sample and test it. If there are no sores, but you are concerned you may have been exposed, a blood test may done. Herpes tests are not normally recommended unless you have symptoms.
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.
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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.
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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Do Condoms Help Prevent The Spread Of Genital Herpes
Yes. To prevent transmission of herpes, we recommend that condoms be used 100% of the time. Many patients will shed the virus and be contagious when they dont have symptoms. Studies have shown that asymptomatic shedding occurs between 1% and 3% of the time in patients with HSV II genital infections. Many new herpes infections occur from partners who are shedding the virus asymptomatically, so condoms are highly recommended.
Condoms may not be an attractive option for monogamous couples or for couples who desire to become pregnant. Couples may opt to have serological tests to determine if either partner has an asymptomatic infection. In close monogamous relationships, the risks of transmission can be weighed against other relationship issues, such as intimacy and pregnancy.
Differences Between Oral And Genital Herpes Outbreaks
The location of the sores is the main difference between the two types of herpes. Oral herpes sores generally develop on the mouth and lips, usually at the border of the lip where it meets the skin of the face.
Genital herpes sores can occur in a wider variety of locations depending on where the virus entered the body. These locations may include:
- For women and men:
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Stages Of Herpes Outbreaks
Like any other infection, every case is different. The duration of a herpes outbreak will depend on factors such as:
- Your individual immune system
- How many outbreaks youâve had in the past
- Treatment history
Keep in mind that no matter your history or treatment, thereâs help.
The stages of a herpes outbreak can last between two and 14 days and can be broken down into stages:
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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How Common Is Genital Herpes
Genital herpes infection is common in the United States. CDC estimated that there were 572,000 new genital herpes infections in the United States in a single year.1 Nationwide, 11.9 % of persons aged 14 to 49 years have HSV-2 infection .2 However, the prevalence of genital herpes infection is higher than that because an increasing number of genital herpes infections are caused by HSV-1. 3 Oral HSV-1 infection is typically acquired in childhood because the prevalence of oral HSV-1 infection has declined in recent decades, people may have become more susceptible to contracting a genital herpes infection from HSV-1. 4
HSV-2 infection is more common among women than among men the percentages of those infected during 2015-2016 were 15.9% versus 8.2% respectively, among 14 to 49 year olds. 2 This is possibly because genital infection is more easily transmitted from men to women than from women to men during penile-vaginal sex. 5 HSV-2 infection is more common among non-Hispanic blacks than among non-Hispanic whites . 2 A previous analysis found that these disparities, exist even among persons with similar numbers of lifetime sexual partners. Most infected persons may be unaware of their infection in the United States, an estimated 87.4% of 14 to 49 year olds infected with HSV-2 have never received a clinical diagnosis. 6
The age-adjusted percentage of persons in the United States infected with HSV-2 decreased from 18.0% in 19992000 to 12.1% in 2015-2016. 2
Treatment For Genital Herpes
Three drugs are approved to treat genital herpes:
These medications are antiviral drugs called nucleoside analogues. The drugs are used initially to treat a first attack of herpes, and then afterward to either treat recurrent outbreaks or reduce frequency of recurrences .
No drug can cure herpes simplex virus. The infection may recur after treatment has been stopped. Even during therapy, an infected person can still transmit the virus to another person. Drugs can, however, reduce the severity of symptoms, improve healing times, and prevent recurrences.
Antiviral drugs for genital herpes are generally given as pills that are taken by mouth. If people experience very severe disease or complications, they need to be hospitalized and receive an antiviral drug intravenously. Acyclovir is also available as an ointment, which can be used as an adjunct for treatment of initial genital herpes.
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Risk For Genital Herpes
According to the US Centers for Disease Control and Prevention , about 1 in 6 Americans ages 14 to 49 years have genital herpes. While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. Except for people in monogamous relationships with uninfected partners, everyone who is sexually active is at risk for genital herpes.
Risk factors for genital herpes include:
- History of an STD
- First sexual intercourse at an early age
- High number of sexual partners
- Low socioeconomic status
Women are more susceptible to HSV-2 infection because herpes is more easily transmitted from men to women than from women to men. About 1 in 5 women, compared to 1 in 9 men, have genital herpes. African-American women are at particularly high risk.
People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. These people are also at risk for more severe complications from herpes. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes.
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Stage : Blister Breakout
Within 48 hours, a cold sore blister may appear around your mouth or lips, though you can get them anywhere on your face, including around your nose. A cold sore results in a swollen lip as the blister develops.
The blister may look like a group of small, fluid-filled bumps surrounded by red, swollen skin. The bumps may grow and multiply and can be painful, too.i
You can soothe pain and discomfort with over-the-counter painkiller medication such as ibuprofen or acetaminophen. Alternatively, local anesthetic creams such as lidocaine or benzocaine temporarily block nerve signals in your skin, numbing pain and stopping itching. Never squeeze the blisters as this can help spread the virus and even lead to scarring.iv
Use a disposable applicator such as a cotton swab to apply Abreva® Cream, sunscreen, lip balm, or make-up to your cold sore or the surrounding area.
Midpoint of a Cold Sore
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Can A Herpes Outbreak Last Months Why Does My Herpes Never Go Away
Typically, herpes outbreak are resolved in 2 to 3 weeks, though sores may take up to 4 weeks to heal. In severe cases, such as for those who are immunocompromised, herpes may take months to completely disappear. It is important to not that herpes never truly goes away, as the virus remain dormant in your body even when outbreaks are not present.
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How Soon Can You Be Tested
The incubation period for herpes is 2 to 12 days, which means that the best time to get tested for the herpes virus if you havent had an initial outbreak is after 12 days. If youre worried that youve been exposed to herpes but have not yet been diagnosed, here are some steps you can take:
- If youre currently sexually active, stop all sexual activity until you can receive a formal diagnosis.
- Reach out to your doctor and schedule an appointment for once the incubation period is up.
- If youre having an outbreak, you dont have to wait to get tested. Its possible to receive a diagnosis based on the lesions.
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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.
What Can A Person Or Community Do To Prevent The Spread Of Herpes Ii
Avoidance of sexual contact with symptomatic individuals is an immediate, but only partial answer because herpes virus may be shed while the infected individual remains asymptomatic. Cesarean section is often recommended when primary or recurrent herpes II lesions occur in late pregnancy.
Sexual relations should be approached responsibly.
- Limit the number of your sex partners.
- Use a male or female condom.
- If you think you are infected, avoid any sexual contact and visit the local STD clinic, a hospital or your doctor.
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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.
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.
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.
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No Ulcers Doesnt Equal No Herpes So Then What
If youve never had genital ulcers and as far as you know, have never been exposed, is it worth getting tested? Thats a controversial point and in fact, the widely followed official guidelines discourage screening.
Why? Many reasons: Lets say the test comes back positive for HSV-2. This means that the patient may have been exposed to HSV-2 at some point in their lives, somehow, somewhere. Research tells us that these folks may be periodically shedding virus particles in their genital fluids. These patients would then be diagnosed with genital herpes, encouraged to share their status with future partners, and offered daily antiviral medication to prevent possibly spreading the virus.
All of this can be a tough pill to swallow, so to speak. There is significant social stigma and shame associated with herpes. In addition, there are occasionally false-positive tests. Labeling someone with the diagnosis can be devastating to their future relationships, and asking someone to take a pill for a condition they may or may not have and may or may not spread seems unreasonable.
However, many experts disagree with the official guidelines. I wrote to Dr. John Gnann, professor of infectious disease at the Medical University of South Carolina and co-author of a review in the New England Journal of Medicine . He has suggested the below guidelines, and outlines the rationale:
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Can Herpes Make You Feel Like You Have The Flu
During the first outbreak , you may experience flu-like symptoms. These include body aches, fever, and headache. Many people who have a herpes infection will have outbreaks of sores and symptoms from time to time.
Can viral herpes cure?
Although there is no cure for herpes, treatments can relieve the symptoms. Medication can decrease the pain related to an outbreak and can shorten healing time. They can also decrease the total number of outbreaks. Drugs including Famvir, Zovirax, and Valtrex are among the drugs used to treat the symptoms of herpes.
How long does it take herpes to heal?
An initial herpes outbreak lasts around 14 days but can take up to six weeks for sores to fully heal . Later outbreaks arent re-infection with the same virus. Theyre the same virus waking up. Herpes viruses remain in your body and park themselves in your nerves.
How Long Does A Herpes Outbreak Last
Herpes outbreaks usually last for about one to two weeks, though the first outbreak after infection may last longer. The symptoms typically go away on their own without treatment. However, there are at-home remedies and prescription treatments which may help to ease symptoms and shorten the length of outbreaks. Herpes outbreaks may continue to occur, but many people find that they become shorter and less severe over time.
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Safer Sex Still Carries Std Risk
Itâs also worth noting that concerns about STD incubation periods arenât restricted to individuals who practice unprotected sex. Although practicing safer sex and other measures that reduce your risk, like using mouthwash, can drastically reduce your stress levels and your level of risk, it isnât foolproof protection.
Condoms and other barriers can only reduce the risk of diseases that spread skin-to-skin instead of by bodily fluidsthey canât entirely prevent them. Thatâs why itâs a good idea to talk about testing and sources of risk before you have sex.
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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.
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Red Light Therapy Can Reduce Duration Of Outbreaks
Red light therapy is a type of treatment proven to help reduce the duration of herpes outbreaks. Clinical research has shown that treatment with red light can shorten the healing time of herpes outbreaks even more than traditional treatments.
The Luminance RED lip sore device and genital sore device are FDA-registered medical devices that use the same kind of high-powered light that achieved such results. To spend the least amount of time with your herpes sores, try one of the Luminance RED devices with its advanced red light therapy technology.