How To Treat An Hsv
Herpes outbreaks can range from a minor inconvenience to a major annoyance. Outbreaks of genital herpes can be particularly frustrating, as they can have a major effect on your personal relationship with your partner or partners.
Luckily, herpes is relatively easy to manage using modern medication. Most doctors recommend the use of antiviral medication like valacyclovir, which suppresses the herpes virus from multiplying within the body.
During an outbreak, this can prevent viral replication and speed up healing. Between outbreaks, the use of antiviral drugs can prevent viral shedding and reduce your risk of passing on herpes to other people through oral or sexual contact.
Want to learn more about treating herpes? Our comparison of valacyclovir, acyclovir, famciclovir and other herpes drugs explains how modern herpes medicine works, why its effective and how you can use it to minimize the negative effects of HSV-1 or HSV-2 outbreaks.
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.
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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.
Approaches By Virus Life Cycle Stage
Viruses consist of a genome and sometimes a few enzymes stored in a capsule made of protein , and sometimes covered with a lipid layer . Viruses cannot reproduce on their own and instead propagate by subjugating a host cell to produce copies of themselves, thus producing the next generation.
Researchers working on such rational drug design strategies for developing antivirals have tried to attack viruses at every stage of their life cycles. Some species of mushrooms have been found to contain multiple antiviral chemicals with similar synergistic effects.Compounds isolated from fruiting bodies and filtrates of various mushrooms have broad-spectrum antiviral activities, but successful production and availability of such compounds as frontline antiviral is a long way away. Viral life cycles vary in their precise details depending on the type of virus, but they all share a general pattern:
Before cell entry
This stage of viral replication can be inhibited in two ways:
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Genital Herpes Symptoms & Treatment
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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What Causes Recurrent Herpes Simplex Labialis
Herpes simplex labialis is the result of a virus called herpes simplex virus type 1 . The initial acquisition usually occurs before age 20. It typically affects the lips and areas around the mouth.
You can get the virus from close personal contact, such as through kissing, with someone who has the virus. You can also get oral herpes from touching objects where the virus may be present. These include towels, utensils, razors for shaving, and other shared items.
Since the virus lays dormant inside the nerve cells of the face for the rest of a persons life, symptoms arent always present. However, certain events can make the virus reawaken and lead to a recurrent herpes outbreak.
Events that trigger a recurrence of oral herpes might include:
The original acquisition may not cause symptoms at all. If it does, blisters may appear near or on the mouth within 1 to 3 weeks after your first contact with the virus. The blisters might last up to 3 weeks.
In general, a recurrent episode is milder than the initial outbreak.
Symptoms of a recurrent episode may include:
- blisters or sores on the mouth, lips, tongue, nose, or gums
- burning pain around the blisters
- tingling or itching near the lips
- outbreaks of several small blisters that grow together and may be red and inflamed
Tingling or warmth on or near the lips is usually a warning sign that the cold sores of recurrent oral herpes are about to appear in 1 to 2 days.
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Signs And Symptoms Of Herpes On Face
Although the signs and symptoms of facial herpes vary from person to person, they usually begin with a tingling followed by burning, pain, redness, and swelling of the skin in one area of the face. In addition to these symptoms, you may have a fever and swollen lymph nodes in your neck.
After these signs and symptoms you will see some blisters that after a few days burst into sores, which are covered by a crust that dries and falls. Finally the skin returns to its initial state.
This means herpes on face is a six-phase disease that begins with the first signs and ends with the healing phase.
The early stages of disease until sores appear are called herpes outbreaks.
Stages of facial herpes.
How long does a facial herpes last?
The duration of this disease is determined by the time from the beginning of the first phase to the end of the last phase that oscillates between two and three weeks in the primary infection, that is, the first time it appears.
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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How Do I Talk To My Sex Partners
Telling them about your condition can be hard. Take some time to learn what you can and understand your own feelings first. You may be more at ease to talk openly.
Some people you tell might not think its such a big deal. Others will have strong feelings about it.
You cant control how anyone else reacts. All you can do is share what you know, answer questions, and give them time to think about it.
What Does The Virus Do: Initial Infection And Recurrences
HSV invades the cells of the epidermis, the outer layer of the skin, causing fluid-filled blisters to appear. The herpes virus travels from the epidermis along the nerve paths to the trigeminal ganglion, a bundle of nerves close to the inner ear, where it lies hidden until it is reactivated. Potential herpes triggers include a fever , UV radiation , extreme tiredness or lowered immune function.
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Subsequent Genital Herpes Outbreaks
Subsequent HSV-2 outbreaks typically last about a week from onset of symptoms to complete healing of sores. People sometimes experience symptoms that warn of an impending outbreak. These include an itching, burning or tingling sensation in the genital area where the sores form.
Over time, many people say they experience fewer and less severe genital herpes outbreaks than they did after first contracting the virus, though they are still infected.
Can Genital Herpes Be Treated
Your physician can prescribe different medications to help reduce your symptoms and speed up the healing of an outbreak. These medicines work best when you start them soon after an outbreak occurs.
To reduce pain during an outbreak:
- Sit in warm water in a portable bath or bathtub for about 20 minutes. Avoid bubble baths.
- Keep your genital area clean and dry, and avoid tight clothes.
- Take over-the-counter medications, such as acetaminophen or ibuprofen. Avoid aspirin.
Let your physician know if you are worried about your genital herpes. He or she can recommend a support group to help you cope with the virus.
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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.
How To Prevent The Spread Of Herpes
Although herpes is a lifelong virus that cant be cured, it goes through periods of dormancy between outbreaks. This means that while the virus is still present, its not actively replicating.
During this time, you may not experience any signs or symptoms of having the disease even if youve had a previous outbreak before.
However, you can still spread the herpes virus to your sexual partners at any time, even if no sores are present. In addition, although rare, its possible to spread oral herpes to the genital region and vice versa.
For this reason, its extremely important to be mindful of the following preventive measures:
- Tell your partners that you have genital or oral herpes. This allows them to make informed decisions about their own sexual health, and its the responsible thing to do.
- If youre experiencing the signs and symptoms of an upcoming outbreak, avoid all sexual contact. Youre most likely to spread the virus to others during an outbreak.
- Its possible to spread the herpes virus even without an outbreak. If youre worried about spreading the disease to a partner, research shows that antivirals are effective at reducing this possibility.
Having oral or genital herpes doesnt mean that you can no longer have sex. However, its your responsibility to prevent the spread of herpes to your sexual partner.
If you have herpes, you can still take care of your sexual health through open communication and safer sex.
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Reactivation And Recurrent Outbreaks
- Extreme temperatures
- Menstrual periods
The virus then travels to the skin and can cause another, often milder, outbreak. However, reactivation may not cause any symptoms.
Before an outbreak, some people experience prodrome. This is characterized by tingling, itching, or pain in the affected areas before the lesions appear.
Do Natural Remedies Help
There are several options that can be tried to ease the pain. A73612 and Donnor52059 suggest dabbing cornstarch directly on the sores. I can’t find any scientific studies that have researched this, but I can’t see that it would do any harm.
A73612 also recommends squirting water from a bottle over the sores when you pee. This is a time-honoured method that will help to ease the pain.
Yolandayw mentioned taking a simple painkiller such as paracetamol during an outbreak. Feelbroken advised putting Vaseline on the sores. Lidocaine 5%, a local anaesthetic gel that numbs the area, is another option. Some people find it helpful to put on five minutes before passing urine. You need to get it on prescription and it doesn’t suit everyone. Some people develop sensitivity to it which makes the symptoms worse.
Yolandayw also advised using ice as a home remedy. Simply wrap the ice in a tea towel and apply for 5-10 minutes. Never put ice directly on the skin as this can cause ‘ice burn’. Drinking plenty of water can also be helpful as it reduces the concentration of urine, making it less painful when you have to pee.
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Initial Outbreaks Of Hsv
If youve been infected with HSV-1 or HSV-2, youll usually go through an initial outbreak. Your first herpes outbreak is also referred to as the primary outbreak, which usually happens one to two weeks after your virus exposure, and tends to be the most severe physical experience from the virus.
Not everyone with HSV-1 or HSV-2 will have an initial outbreak. Some people are completely asymptomatic, which means they can be infected with the virus without experiencing any real herpes symptoms.
During a first herpes outbreak, most people experience the physical effects of herpes , plus additional flu-like symptoms, including fever, chills, sore throat and general body aches.
Herpes outbreaks usually start within several days of exposure. If youre worried that youre going through an initial outbreak of herpes, the best thing to do is check your symptoms and talk to your doctor about testing and treatment options.
If You Have Genital Herpes Already Can It Be Spread To Other Parts Of The Body Such As The Arms Or Legs
No. Genital herpes cannot be transmitted to another part of your body such as your arm, leg or hand after the first infection occurs. If you have genital HSV II, you will not get HSV II at another site in your body. The immune system produces antibodies that protect other parts of your body from infection. However, there are cases where a person has multiple site infections from the same virus. This is usually acquired at the time of the first infection. For example, if someone has never had herpes but then has oral and genital sex with an infected partner, they can acquire the infection at both sites.
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When To Call The Doctor
Even though HSV sores can hurt and be unsightly, most cases of herpes do not cause serious illness. The sores go away in a few days. Contact the health provider if:
- Sores are present and you think it might be a first herpes infection. The diagnosis is usually made by examining the sores. If the sores have not healed, sometimes a laboratory test is done.
- Sores do not heal by themselves or show signs of infection such as pus, spreading redness or fever.
- Sores are near the eyes.
- You have another health condition with a weakened immune system.
Ruling Out Conditions That Resemble Oral Herpes
Simple canker sores are often confused with the cold sores of HSV-1. Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue. Their cause is unknown, and they are common in perfectly healthy people. They are usually white or grayish crater-like ulcers with a sharp edge and a red rim. They usually heal within 2 weeks without treatment.
This aphthous ulcer is located in front of and just below the bottom teeth.
Oral candidiasis is a yeast infection that causes a whitish overgrowth in the mouth. It is most common in infants, but can appear in people of all ages, particularly people taking antibiotics or those with impaired immune systems.
Other conditions that may be confused with oral herpes include herpangina , sore throat caused by strep or other bacteria, and infectious mononucleosis.
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