Recognizing The Signs: The Prodrome
Early in the phase of reactivation , many people experience an itching, tingling, or painful feeling in the area where their recurrent lesions will develop. This sort of warning symptomcalled a prodromeoften comes a day or two before lesions appear. To be on the safe side, its best to assume virus is active during these times.
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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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Is It Safe To Breastfeed If I Have Genital Herpes
Yes as long as there isnt an open lesion on your chest or breast. If you have an active outbreak while breastfeeding, its possible to spread the infection to your nipples through touch. Careful hand-washing can prevent this spread. You shouldnt nurse from a breast that has herpes sores. You can pump breast milk until the sores heal. Dont give your baby expressed breast milk if the pump comes into contact with an open sore.
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Is Herpes Simplex Related To Herpes Zoster
Like HSV-1 and HSV-2, shingles can cause a painful, blistering rash. The shingles rash usually shows up on the back, side, abdomen , neck and face. It is often only on half of your body, following the pattern of your nerves. See your healthcare provider if you have a new rash and suspect you may have shingles.
A note from Cleveland Clinic
Herpes simplex is a virus. Once you have herpes, its a lifelong condition. A herpes infection can lead to outbreaks , but youll also have times when you have no symptoms. The main sign of herpes is sores that appear on the infected skin. Some people choose not to treat herpes, especially if symptoms are mild. Others take antiviral medications to reduce the severity and frequency of outbreaks.
Last reviewed by a Cleveland Clinic medical professional on 05/17/2022.
How Is Genital Herpes Transmitted
Genital herpes is spread through direct sexual contact of mucous membranes , herpes lesions and fluids, as well as through genital fluids and saliva .
Viral shedding occurs when someone is contagious and able to pass on the virus.
If herpes blisters are present, viral shedding will occur, making the person very contagious . If no blisters are present, this does not not mean that they are not contagious. Viral shedding can still happens in absence of active lesions, which means a person can still pass on the genital herpes virus to an unsuspecting partner .
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How Long Does It Take For Herpes To Show Up After Exposure
Herpes is not just one type of infection. Its a family of related viruses that can cause several different medical conditions. The herpes infection were talking about when it comes to sex is caused by the herpes simplex virus or HSV .
Typically, HSV-1 is responsible for cold sores on the lips and around the mouth. HSV-2 is most commonly transmitted sexually and causes genital herpes, a common sexually transmitted infection . However, HSV-1 can also spread from the mouth to the genitals through oral sex and cause genital herpes.
While the symptoms of herpes usually show up anywhere from a couple of days to about two weeks following exposure, thats not always the case. In some cases, you may be asymptomatic for weeks or months before your first outbreak .
Long story short, if a few weeks have gone by after exposure and you dont have any symptoms, that doesnt necessarily mean youre out of the woods.
Herpes Myths To Stop Freaking Out About
A surprising number of people you know probably have herpes.
Shocked? You shouldnt be, since the virus is very common. According to the World Health Organization, 3.7 billion people under age 50 have herpes simplex virus type 1 thats 67 percent of the global population in that age bracket. Another 417 million people between ages 15 and 49 worldwide have herpes simplex virus type 2 .
Many people consider HSV-1 more benign, but it turns out theres not much difference between the two types of virus. While its true that HSV-2 is a sexually transmitted disease and can cause genital sores or blisters, type 1 can do the same thing.
One big misconception is that cold sores are caused by HSV-1 and genital herpes are always type 2, but thats not always the case, says Sarah Vensel, a physician assistant in San Francisco. Cold sores are so common theyve been normalized at this point. But genital herpes is sometimes the exact same virus just in a different location.
Not only is herpes incredibly common its also totally manageable. Allow us to set your mind at ease and debunk three widespread herpes myths:
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.
How Does Herpes Simplex Spread
Herpes spreads through close contact with a person who has the infection. The virus can be found in skin and saliva. If you have herpes simplex, you are most likely to pass the virus to another person when you have sores. But you can infect someone else even if you have no symptoms. Healthcare providers call this asymptomatic viral shedding.
People may get HSV-1 through
- Touching a persons skin near the mouth.
- Sharing food utensils, lip balm or razors.
- If you receive oral sex from someone who has a cold sore, it may spread a herpes infection to your genitals.
People may get HSV-2 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.
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How Soon After Sex Can Std Symptoms Start
The answer is more complicated than you think
Youre not proud of it, but you had unprotected sex and now youre worried if the escapade may come with consequences. Youre not the first guy to wonder how soon symptoms might show up if your worst fears are realized and you picked up a sexually transmitted infection .
But first: Understand that just because you dont have symptomsimmediately or everdoesnt mean youre necessarily in the clear.
The most important thing to highlight is that the majority of STDsbe it gonorrhea, chlamydia, or herpestend to be asymptomatic, meaning they dont cause symptoms, says Khalil Ghanem, MD, PhD, an associate professor of medicine at Johns Hopkins University School of Medicine.
The most important thing to highlight is that the majority of STDs tend to be asymptomatic.
Ghanem says 90 percent of people with gonorrhea and chlamydia will not have symptoms, while the same is true of 70 percent of those with herpes.
But even if your STD is asymptomatic, you can still infect your partner. You could also be at greater risk for serious complicationseverything from arthritis to cancerif your STD goes untreated. The only way to be sure youre STD free after an unprotected sexual encounter is to be screened, Ghanem says.
Now that were clear on that, lets get back to your original question. How soon would symptoms show up? For most STDs, usually sometime between 3 days and 10 days after exposure, Ghanem says.
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 .
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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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How Is It Treated
Although there is no cure, medicine can relieve pain and itching and help sores heal faster. If you have a lot of outbreaks, you may take medicine every day to limit the number of outbreaks.
After the first outbreak, some people have just a few more outbreaks over their lifetime, while others may have 4 to 6 outbreaks a year. Usually the number of outbreaks decreases after a few years.
Treatment works best if it is started as soon as possible after the start of an outbreak. This is especially true for outbreaks that come back again and again.
Finding out that you have herpes may cause you to feel bad about yourself or about sex. Counseling or a support group may help you feel better.
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Does A Cold Sore On My Mouth Mean I Have Genital Herpes
No, a cold sore on your mouth usually means you have herpes simplex virus type 1 . You can get HSV-1 by kissing someone or sharing utensils, towels, razors, or lipstick with someone who has HSV-1.
HSV-1 cannot turn into HSV-2 , but you can get a cold sore on your mouth from HSV-2 if you give oral sex to someone with HSV-2. Cold sores caused by HSV-1 or HSV-2 are contagious. You can spread it to other people or other parts of your body if you touch an open sore and then touch another part of your body. That means if you have a cold sore and give oral sex to someone, that person will get the herpes virus on his or her genitals.
Avoid touching your cold sore as much as possible. If you touch your cold sore, wash your hands right away to avoid spreading the infection to other parts of your body or other people.
How Is Genital Herpes Spread
If you do not have herpes, you can get infected if you come into contact with the herpes virus in:
- Saliva or genital secretions
- Skin in the oral area if your partner has an oral herpes infection, or skin in the genital area if your partner has a genital herpes infection.
You can get herpes from a sex partner who does not have a visible sore or who may not know he or she is infected. It is also possible to get genital herpes if you receive oral sex from a sex partner who has oral herpes.
You will not get herpes from toilet seats, bedding, or swimming pools, or from touching objects around you such as silverware, soap, or towels. If you have additional questions about how herpes is spread, consider discussing your concerns with a healthcare provider.
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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 Manage Herpes Flare
If you have herpes, youre not alone. Few people talk about it, but more than 1 in 6 people have herpes type 2. There are two types of herpes: herpes simplex I and herpes simplex 2. HSV-2 is the type of herpes that causes genital herpes.
Genital herpes causes flare-ups from time to time, and they can be extremely uncomfortable. You need to learn how to manage them. Dr. Alan Patterson explains more about how to manage your symptoms when your herpes flares up.
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Can I Breastfeed If I Have Genital Herpes
Yes, you can breastfeed if you have genital herpes, but not if you have a herpes sore on one of your breasts. If you have genital herpes, it is possible to spread the infection to any part of your breast, including your nipple and areola.
If you have any genital herpes sores on one or both of your breasts:
- You can keep breastfeeding as long as your baby or pumping equipment does not touch a herpes sore.
- Do not breastfeed from the breast with sores. Herpes is spread through contact with sores and can be dangerous to a newborn baby.
- Pump or hand-express your milk from the breast with sores until the sores heal. Pumping will help keep up your milk supply and prevent your breast from getting overly full and painful. You can store your milk to give to your baby in a bottle for another feeding. But if parts of your pump also touch the sore while pumping, throw the milk away.
Is Genital Herpes Infection Related To Hiv
Herpes and HIV are caused by different viruses. But patients infected with these viruses are more likely to transmit either disease to their sexual partners. Patients with herpes are more vulnerable to HIV infection. People newly diagnosed with herpes should be tested for HIV infection and other sexually transmitted infections.
Patients who are infected with both herpes and HIV also may have a higher concentration of HIV viruses in their body because of the interaction between the herpes virus and the HIV virus. When HIV damages a persons immune system, the person may be more likely to shed herpes simplex virus asymptomatically.
Prevention Of Genital Herpes
The best protection against STIs is to always use barrier protection such as condoms, female condoms and dams . Because herpes is spread by skin-to-skin contact, condoms will reduce the risk of transmission, but it will not protect sexual partners completely as condoms do not cover the entire genitals.
Using lubricant with a condom during sex will also reduce the risk of trauma to the genital skin. This has been shown to reduce HSV transmission, especially in the first six months of a sexual relationship. Silicone-based lubricants are recommended.
Remember that herpes transmission can occur when symptoms are present , but may also occur even if there are no genital symptoms through asymptomatic viral shedding.
For people who have frequent episodes of genital herpes, antiviral medication, taken daily, helps to reduce transmission of herpes to a sexual partner.