Can Herpes Simplex Virus Cause Serious Infections
Yes. The most serious, or life-threatening, HSV infections can occur in newborns who are infected during birth and in individuals with weakened immune systems , such as organ transplant recipients and people with HIV/AIDS. Neonatal herpes is a serious condition, but also very rare. While 25-30% of pregnant women have genital herpes, less than 0.1% of babies born in the U.S. each year get neonatal herpes. This means that most women with genital herpes give birth to healthy babies.
HSV lesions tend to be more extensive and persist longer in newborns and immunocompromised people than in individuals who have healthy immune systems.
When Should You Get Tested
The best time to get tested for herpes varies, depending on whats happening.
If youre exhibiting symptoms of an initial outbreak which include pain, itching and redness of the affected location fatigue, fever and chills and, ultimately, painful sores or ulcers its best to see a healthcare professional about getting tested.
However, if you think youve been exposed to the virus and arent yet exhibiting symptoms, HSV may take some time before being able to show results on a test. While the exact time frame is unknown and varies from person to person, two weeks is usually enough time to yield accurate test results.
Most people become concerned about being infected with the herpes virus after contact with a potentially infected person. Often, simple things like kissing someone with a visible cold sore or facial acne around the lips can cause concern about HSV-1.
For genital herpes, most people become concerned about potentially being infected after sexual contact with a person that shows symptoms of herpes. This can include oral sex with someone that has cold sores, which can potentially spread to the genitals.
Since herpes is asymptomatic in many people, you could be infected with the virus even if you dont have any symptoms.
Hsv 1 Test Results Range And Interpretation
HSV-Herpes Simplex Virus 1 is one of the most common Sexually Transmitted Disease . HSV-1 is usually transmitted during childhood and it is commonly associated with viral infections of non-genital areas. Although HSV-1 causes oral herpes, its possible also to be present in genitals if the genitals are in contact with the exposed virus.
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The Bottom Line: Tests For Herpes Are More Worry Than Theyre Worth
If you do have symptoms, dont fret: If you know your status, youre at an advantage in that you can talk with your doctor and find an antiviral drug that works for you. Medication can curtail the severity of your symptoms, as well as the number of outbreaks you get. Additionally, taking an antiviral daily will greatly reduce your chances of transmitting the virus to someone else. In case you missed it, theres also a very promising new drug for herpes on the horizon, which researchers say could be the most effective one yet.
Take it straight from the pros and dont put yourself through the stress of a herpes blood test if you dont need to. And, whether you have symptoms or not, know that youre not alone if you are herpes-positive.
Read more stories on herpes facts and myths:
How Long Does It Take To Get Herpes
It is very hard to determine how long does it take to get herpes. It may not even be detected too soon. It is a kind of virus that acts on the skin, resulting in diseases of the skin. It spreads as sores in and around the mouth, or the genital area. The sores slowly turn into fluid boils and eventually seep out blood or white fluid. The final healing process takes up to 2 to 4 weeks, though there is no final corrective measure for it. It is a long-lasting occurrence and cannot say how long does it take to get herpes.
Herpes can be transmitted through oral sex if the person given oral sex has herpes on the genitals. It can also be transmitted through sexual intercourse without protection. Hence it is advisable to use condoms while having sex. At times, due to the unawareness of how long does it take to get herpes, there is no way to avoid its transmission if the aforementioned precautions are not taken. Even kissing a person who has sores around the mouth may pass on the virus to the other person. The sores that occur in case of herpes are quite hurtful, causing extreme discomfort. The initial symptoms start to be noticeable between 2 to 20 days and even if treated the sores may last for longer than that .
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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
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.
- 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.
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Precautions And Prevention Of Herpes
It is not possible to prevent all exposure to herpes simplex.
The virus is common, and is not always transmitted via sexual contact.
Many people who have HSV-1 do not even know they were exposed. It is possible to get exposed in childhood and never have active outbreaks.
It is possible to practice safe sexual hygiene and prevent the transmission of genital herpes.
You can minimize this risk by:
- Avoiding sexual contact, kissing, or any type of contact with active sores from someone who is having a current outbreak
- Using condoms and dental dams during all types of sexual contact
- Not sharing utensils and cosmetics with someone who has an active herpes outbreak
Whether youre having an outbreak or need long-term treatment, K can help. Get private, online herpes treatment today.
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.
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What Happens If You Get A Positive Test Result
If you receive a positive test result from your STD test, you and your doctor will need to come up with a treatment plan that is dependent on the type of infection you have. One of the first things you should do is inform any of your partners that youve tested positive. They will also need to be evaluated as infections can easily be passed back and forth.
How To Use An External Condom
1. Open carefully
Dont use teeth, scissors or a knife to open the condom. Roughly tearing or handling the condom can damage it. If the person handling the condom has long fingernails, be extra careful as they can nick the condom, making it ineffective, putting you at risk of STI or unplanned pregnancy.
2. Place and pinch
4. Afterwards
Lubricants
Its recommended to use lubricated condoms and, if needed, add a personal lubricant to the outside of the condom to decrease the risk of breaking and to decrease discomfort.
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Type Of Tests Used To Diagnose Herpes
There are four main types of diagnostic tests that can be used to diagnose herpes. Your doctor will determine which type of test to use based on whether an outbreak is present or not.
If youre experiencing what you believe to be a herpes outbreak, your doctor can use a viral culture test or virus antigen detection test. If youre not experiencing symptoms, you can have an antibody test.
- Viral culture test.This test is used to determine if a sore contains the herpes virus. This test can sometimes produce a false-negative, meaning that it may not detect the virus even though its present.
- Virus antigen detection test. This test is used to determine if antigens to the herpes virus are present in a sore or lesion.
- Antibody test. If youre not experiencing an outbreak yet but still believe you may have been exposed, you can opt to have an antibody test performed. This test will only show a positive result if the antibodies to the virus have been developed. Therefore, this test isnt necessarily recommended for recent exposure.
- Polymerase chain reaction test. With this test, a healthcare provider can screen a sample of your blood or tissue from a sore. They can use this to determine if HSV is present and which type you have.
Which Herpes Test Should You Get
Each method of testing for herpes has advantages and disadvantages, from time and cost, to an increased possibility of false results. Often, people concerned about the virus use a range of herpes testing to get a more accurate, proven picture of whether or not theyre infected with HSV-1 or HSV-2.
Since herpes is a lifelong infection that cant be cured, its important to discuss testing options with your healthcare provider and make sure you receive an accurate result. Your healthcare provider will be able to tell you more about the best options for herpes testing based on your symptoms and situation.
Typically, your healthcare provider will carry out a physical exam before choosing the best testing method for you. As herpes symptoms tend to be worst during the initial outbreak of the virus, its best to talk to your healthcare provider as soon as you start experiencing symptoms.
In the event that you do have herpes, theres no need to panic. Both oral and genital herpes are extremely common, and a variety of effective treatments are available for both.
Our Valacyclovir 101 guide goes into more detail about one of the most common, effective drugs for treating both symptomatic and asymptomatic herpes. You can also learn more about the risk of catching herpes in our guide to how herpes is transmitted between people.
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Submission And Collection Notes
Follow the instructions found in the Virus-Culture Kit Instruction Sheet.
HSV resistance testing is also available at NML (National Microbiology Laboratory, Winnipeg when clinically indicated. Specimens submitted for this test is initially cultured at PHO Laboratory prior to submission to NML for HSV 1 or HSV 2 resistant testing: NML guidelines-Viral Exanthemata and STDs-Viral STI, Polyoma and Herpesvirus unit.
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What Does Herpes Look Like
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Herpes sores can affect many areas of the body, including the mouth, genitals, and eyes. Knowing what herpes looks like across the body can help people diagnose the condition.
Herpes is a skin condition caused by the herpes simplex virus. The symptoms include sores that come and go over time. Different types of herpes affect different body parts.
This article will explain what herpes is, how people get it, and what herpes looks like with pictures.
Most people with HSV are asymptomatic, meaning they will not experience any symptoms. Others will notice sores or lesions. These sores look like blisters filled with fluid. Over a few days, the sores break open, ooze, and form a crust before healing.
People may also notice a tingling, itching, or burning feeling a few days before the sores appear. Some people may also experience flu-like symptoms, such as:
Someone who has contracted the virus will usually have their first sores, or an outbreak, between 2 and 20 days later. The sores may last up to a week or 10 days.
An outbreak may involve a single sore or a cluster of sores. They often affect the skin around the mouth, the genitals, or the rectum. The blisters can take between 2 and 4 weeks to heal.
The symptoms will usually reappear from time to time, though they do not tend to be as severe as the first time.
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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.
Testing With No Symptoms
Blood tests can be used when a person has no visible symptoms but has concerns about having herpes. Blood tests do not actually detect the virus instead, they look for antibodies in the blood.
IgM vs. IgG
When an individual contracts herpes, the immune system responds by developing antibodies to fight the virus: IgG and IgM. Blood tests can look for and detect these antibodiesnot the virus itself. IgG appears soon after infection and stays in the blood for life. IgM is actually the first antibody that appears after infection, but it may disappear thereafter.
IgM tests are not recommended because of three serious problems:
The accurate herpes blood tests detect IgG antibodies. Unlike IgM, IgG antibodies can be accurately broken down to either HSV-1 or HSV-2. The challenge here is that the time it takes for IgG antibodies to reach detectable levels can vary from person to person. For one person, it could take just a few weeks, while it could take a few months for another. So even with the accurate tests, a person could receive a false negative if the test is taken too soon after contracting the virus.
For the most accurate test result, it is recommended to wait 12 16 weeks from the last possible date of exposure before getting an accurate, type-specific blood test in order to allow enough time for antibodies to reach detectable levels.
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How The Test Is Performed
The health care provider collects the sample from a skin sore . This is done usually by rubbing a small cotton swab and on the skin lesion. The sample is sent to a lab. There, it is placed in a special dish . It is then watched to see if the herpes simplex virus , herpes zoster virus, or substances related to the virus grow. Special tests may also be done to determine whether it is HSV type 1 or 2.
Prognosis Of Genital Herpes
Genital herpes can be treated and managed. Baill stresses that for most people who have healthy immune systems, the high-risk times for giving a sex partner genital herpes are during the first outbreak and during later outbreaks of sores.
Without such an outbreak, the viral load is usually not sufficient to infect a normal, healthy partner, she says. Antiviral medication can be effective at controlling the frequency and the severity of genital herpes outbreaks, Baill says.
For some people, though, even the times when no symptoms are present can be risky ones for transmission.
If you have genital herpes and your partner is taking biologic drugs for rheumatoid arthritis or MS or psoriasis, you may need to be extra careful, says Baill. It may take a lower viral load to infect people taking those medications.
In these situations, she says, you may want to take antiviral drugs in an ongoing way to keep your viral load low and protect your partner.
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What Is Oral Herpes
More than half of American adults have oral herpes. Some estimates say up to 80% of American adults have oral herpes.
Oral herpes is primarily caused by HSV-1, although it is also possible to have an HSV-2 infection around the mouth.
A person with an oral herpes outbreak may first feel itching, burning, or tingling around the mouth, lips, or tongue. Later, cold sores or small blisters may develop in these areas or anywhere on the skin.
Roughly four to six days after these cold sores start leaking, they start healing by forming a crust. Outbreaks of oral herpes can last for two to three weeks, which can be shorter than the two to six weeks of a genital herpes outbreak.
People who develop symptoms of herpes may first experience tingling, itching, or burning, then notice sores or blisters forming around the mouth or genitals.
Symptoms tend to develop 220 days after exposure to the virus.
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