First Signs And Symptoms Of A Herpes Outbreak
The first signs and symptoms of a genital herpes outbreak are usually a tingling or itching feeling in the affected area. You may also notice some pain, discomfort or a burning feeling.
After a couple of days, you may start to notice some small blisters appearing. There may be just one or you may have several. Over time, you may be able to see the blisters filling with fluid. The blisters will eventually burst, leading to ulcers forming. As the ulcers form, you may find it painful whilst peeing .
Recurrence Course Triggers And Timing
Course of Recurrence
Most cases of herpes simplex recur. The site on the body and the type of virus influence how often it comes back. Recurrences of genital herpes are more likely with HSV-2 infection than with HSV-1 infection.
The virus usually takes the following course:
- Prodrome. The outbreak of infection is often preceded by a prodrome, an early group of symptoms that may include itchy skin, pain, or an abnormal tingling sensation at the site of infection. Headache, enlarged lymph glands, and flu-like symptoms may occur. The prodrome, which may last from 2 hours to 2 days, stops when the blisters develop. About 25% of the time, recurrence does not go beyond the prodrome stage.
- Outbreak. Recurrent outbreaks feature most of the same symptoms at the same sites as the primary attack, but they tend to be milder and briefer. After blisters erupt, they typically heal in 6 to 10 days. Occasionally, the symptoms may not resemble those of the primary episode, but appear as fissures and scrapes in the skin or as general inflammation around the affected area.
Triggers of Recurrence
Herpes outbreaks can be triggered by different factors. They include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress. Oral herpes can be triggered within about 3 days of intense dental work, particularly root canal or tooth extraction.
Timing of Recurrences
Dont Forget Your Mental Health
Living and dating with herpes can come with unique stressors. Arming yourself with the right tools and information can help both your physical and mental health â and help you feel better about your sex life.
Learning how to cope with your diagnosis can also mean seeking mental health support. The good news is, that support is available.
In Toronto and Vancouver, there are:
If youâre struggling with your mental health, itâs important that you talk to your healthcare provider. You can also speak to a counsellor about your herpes diagnosis at the Ontario Sexual Health Infoline at 1-800-668-2437.
If youâre ever in an emergency, call 911 right away.
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Where Does The Herpes Virus Live In The Body
The herpes simplex viruses are latent, meaning they can live in the body without causing symptoms. After the initial infection, the virus gets into the nerve roots and spreads to the sensory nerve ganglia, the junctions where nerves from different parts of the body come together. For the genital area, the ganglia are adjacent to the spinal cord in the lower back. For orofacial herpes , the ganglia are located behind the cheek bone.
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 Cope After Diagnosis
Many posters were occupied with the issue of passing on the infection. Yolandayw points out that you can minimise the risk of transmission by postponing sex until all the sores have healed. She also mentioned that condoms should be used. They won’t completely prevent transmission but they will help.
Ending on a positive note, many posters emphasised that there was light at the end of the tunnel. Learning of the diagnosis may feel stressful at first, but it’s a manageable condition and certainly nothing to be ashamed of. Lucy03934 has had genital herpes for 25 years. She’s been married for 18 years and has two sons – living proof that there is life after herpes.
Treatment The First Time You Have Genital Herpes
You may be prescribed:
- antiviral medicine to stop the symptoms getting worse you need to start taking this within 5 days of the symptoms appearing
- cream for the pain
If you have had symptoms for more than 5 days before you go to a sexual health clinic, you can still get tested to find out the cause.
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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.
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.
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What Can I Do If I Have Herpes Simplex 2
Many people who find out they have herpes feel depressed knowing they’ll always have the virus and can give it to others. But you arent alone. Herpes is one of the most common STIs, both in the U.S. and worldwide. 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 or dental dam , 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 ask your doctor if this is the right choice for you in your relationship.
- Have children. People with herpes can still give birth to healthy babies. If you have herpes and plan to have children, discuss your illness with your healthcare provider.
If you have herpes, you should also get checked for HIV and other STIs .
Initial Outbreak Of Genital Herpes
A person’s first outbreak of HSV-2 tends to last longer than subsequent outbreaks. Some people develop an outbreak quickly after contracting the herpes virus, while others don’t have symptoms that appear for several months or even years. Some lucky people never develop symptoms at all.
The initial episode of genital herpes also tends to be more painful than future outbreaks. Many people develop flu-like symptoms during their initial outbreak. These can include headache, fever, body aches, swollen lymph nodes and tiredness.
The first outbreak of HSV-2 can last between two and four weeks.
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How Can I Reduce My Risk Of Herpes Simplex
Preventing HSV-1
You can reduce your risk of contracting HSV-1 by avoiding physical contact with someone who has a cold sore. People can still spread HSV-1 when cold sores arent present, but its less likely.
If someone has an active HSV-1 infection, avoid:
- Sharing utensils, cups, lip balms or other personal care products.
- Touching the skin near their mouth.
Preventing HSV-2
If youre sexually active, you can take these steps to protect yourself and others from the herpes virus and other STIs:
- Be monogamous with one sexual partner or limit your number of partners.
- Get tested for STIs and complete any prescribed treatment.
- Tell your sexual partners if you have genital herpes so they can get tested.
- Use condoms during intercourse and dental dams during oral sex.
Wash your hands often if you have an outbreak or are around someone with symptoms.
If your sexual partner has genital herpes, these actions can lower your risk of getting the virus:
- Dont have sex when your partner has active symptoms. Condoms may not cover all sores, so you may still get the virus.
- Make sure your partner takes antiviral medication as prescribed.
- Wait to have sex until scabs fall off active lesions.
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.
Continued
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What Are The Herpes Outbreak Stages
- Lauren Stuttaford
Herpes, otherwise known as the herpes simplex virus, is categorized into two types: herpes simplex virus type 1 and herpes simplex virus type 2 .
The first is mainly transmitted through oral-to-oral contact causing oral herpes but can also cause genital herpes. While HSV-2 is a sexually transmitted infection that causes genital herpes. Both types of the infection are lifelong.
A person infected with herpes, whether oral or genital, might show no symptoms or could progress through the different herpes outbreak stages from blister development to herps healing. However, most herpes infections are asymptomatic.
According to the World Health Organization , an estimated 3.7 billion people under 50 years old have HSV-1 infection globally, and an estimated 491 million people between the ages of 15-49 have HSV-2 infection worldwide.
Astonishingly, the virus causing genital herpes or HSV-2 increases the risk of contracting and transmitting HIV, putting millions at greater risk of contracting an HIV infection.
Lets take a closer look at the herpes outbreak stages.
Encouraging Healing Of Cold Sores
Wet or Dry?
Knowing when to keep your cold sore dry and when to keep it moist is an important part of getting rid of cold sores faster.
When you first notice a tingling or itching sensation that indicates a cold sore is on its way, try to keep the area dry. The area should remain dry until after the blister bursts and scabs over with a yellow or brown crust.
You can dry a cold sore out by pressing salt against it for about 30 seconds. You can also try applying a thin layer of white toothpaste to the sore before bed.
Once a scab forms on the sore, you can use petroleum jelly to keep the scab moist.
Supplements and Compresses
Taking lysine supplements and using a cold compress can also encourage cold sores to heal more quickly. You can try traditional natural compresses such as an ice pack, which can reduce pain and inflammation, but be sure that the ice usage doesn’t cause the sore to become wet. You can also try compresses of cornstarch paste.
Best Practices
One of the most important ways to combat cold sores and shorten their duration is to take action at the very first sign of an outbreak. Whether you use cold compresses, keep the area dry, or try to minimize swelling by using ice and/or ibuprofen, all of these tips will work best when used early.
Additionally, be sure to avoid touching or picking at the cold sore, which could lead to infection. It could also further injure your skin and prolong healing time.
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I Had Lesions When I Was Evaluated But My Culture Was Negative Does This Mean That I Dont Have Herpes
Not necessarily. Although lesions can be caused by something other than herpes, false negative herpes tests can occur if the samples are not taken appropriately, if there is a long transport time between the clinic and the laboratory, or if cultures were taken late in the course of the lesions. Lesions that occur early in the course of a herpes outbreak are much more likely to have positive cultures than cultures taken after the lesions crust over.
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%.
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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 Outbreak Treatment Options
Even without treatment, most herpes outbreaks go away on their own. There are treatments available, however, which have been proven to shorten and even prevent future outbreaks. These antiviral medications work by preventing the virus from making copies of itself and spreading through your cells to cause an outbreak. If you suffer from oral herpes, a healthcare provider may recommend a topical cream or ointment that you should apply at the first sign of an outbreak. If you experience recurrent genital herpes outbreaks, you may be offered oral herpes treatments which are pills you take by mouth. Examples of antiviral drugs include acyclovir, famciclovir, and valacyclovir . These are all standard options proven to help decrease the severity and length of outbreaks from herpes .
Prescription antiviral treatments are usually very effective at prevent future outbreaks, reducing the chance of experiencing an outbreak by 7080%. Many people on antiviral therapy report experiencing no herpes symptoms at all . Using medication within the first 24 hours of symptoms can shorten outbreaks by several hours or days, ultimately reducing any discomfort in the long run .
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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.