How To Check If I Have Genital Herpes

Is There A Cure For Herpes Simplex

Herpes (oral & genital) – causes, symptoms, diagnosis, treatment, pathology

There is no cure for herpes simplex. Once you have the virus, its a lifelong infection.

What is the outlook for people with herpes simplex?

For many people, the first herpes outbreak is the most severe. Many outbreaks are less frequent and milder after the first year of infection. Some people may have only one outbreak and never have another again.

Herpes infection doesnt usually pose a serious health risk. The risk of a health complication due to herpes is higher in infants and if you have HIV/AIDS, cancer or an organ transplant.

Which Symptoms Mean I Should Get Checked

Get tested for herpes if you have:

an outbreak of blisters, sores or lesions around the genital area
pain around the genital area
pain or discomfort when urinating

As soon as you begin to see blisters around your genitals, you can try home testing or visit a clinic. Do this before the blisters begin to scab over and heal for the most accurate results. If you have no symptoms or suspect a false negative result, a blood test can be done. This will only show if you have ever been exposed to HSV and if you may have outbreaks in the future.

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Does My Healthcare Provider Include A Blood Test For Genital Herpes When They Test Me For Everything

Herpes blood tests may or may not be part of the tests your healthcare provider gives you. They may choose tests based on several factors .

They will also evaluate you for signs or symptoms of herpes to choose which tests to use. This is why its important to talk openly and honestly with your provider during your visit. Ask them which infections they are and are not testing you for and why.

Additional Resources

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How Is It Spread

The herpes virus is spread by skin-to-skin contact with a person who has the herpes virus:

Most often, from herpes sores or blisters
Less often, from normal looking skin where the virusfirst entered the body
The herpes virus enters the body through the:

Lining of the mouth
Regular skin that has small cracks or cuts

People with a weak immune system can get a herpesinfection more easily. A weak immune system is causedby some diseases and by somemedicines used to treat serious diseases.

People who don’t know they have herpes can still spread the virus to others.

Learn How To Manage Outbreaks

While thereâs no cure for genital herpes, there is a lot that can be done to reduce the length and severity of outbreaks.

A number of proven medications speed up the healing process and reduce discomfort. Antiviral medications like acyclovir and valacyclovir offer a simple way to control and minimize herpes outbreaks.

Start taking acyclovir as soon as you notice the first signs of an emerging outbreak. This medication stops the herpes virus from growing and spreading during an outbreak, though it canât remove the virus from your body completely. Most people experience relief within just a few days.

Improving lifestyle habits may also prevent future herpes outbreaks:

Stay rested to support a strong immune system
Eat nutritious foods to support your bodyâs innate healing response
Use the Luminance RED

The Luminance RED nourishes the skin with red light, which is metabolized to accelerate the bodyâs healing process and to strengthen its defenses against future attacks. Regular use of the Luminance RED not only shortens the healing time of active outbreaks, but can also prevent future outbreaks altogether!

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Are Any Other Treatments Effective Against Genital Herpes

The antiviral drug Aciclovir was the first therapy which had been shown conclusively to be effective in treating genital herpes. New antiviral drugs have become available which work in a similar way to Aciclovir, are more effective and require less frequent dosing to treat or suppress the recurrence.

These are not available in New Zealand. Recent studies using an HSV-2 vaccine are showing some promise in both the prevention and transmission of HSV-2. However, these are still in the developmental research stage and will not be available commercially for some years.

Many people find that having a healthy diet, eating regularly and getting enough sleep are helpful in preventing recurrences.

What Are The Symptoms Of Herpes Simplex

Many people with the infection never experience any herpes symptoms. If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a repeat outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

People who do have herpes symptoms may experience:

Cold sores around their lips, mouth or tongue. They may look crusty or like fluid-filled blisters.
Tingling, itching or burning.
Pain while urinating.

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.

Treatment For Genital Herpes

Understanding Herpes Testing

There is no medication to cure your body of the herpes virus. Treatment is aimed at easing symptoms, reducing the frequency of recurrences and reducing transmission.

Symptoms can be improved by:

ice packs to the affected area
pain-relieving medication such as paracetamol
antiviral medication such as acyclovir, famciclovir and valaciclovir. These can reduce the severity of an episode if taken early enough . Topical antivirals usually used for cold sores on the lips or face are not suitable for use on the genitals.

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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.

How can the herpes virus affect pregnancy?

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.

Can I still breastfeed my baby if I have the herpes virus?

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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How Can I Confirm Whether I Have Genital Herpes

Herpes doesnt always cause symptoms, so your best bet is to make an appointment with a healthcare provider. They might be able to diagnose you just by looking at your symptoms.

They may also take a fluid sample from a blister and test it or have you do a blood test.

Youll likely be asked some questions about your sexual history. Its very important that youre honest in your answers. This will help to determine whether you should be tested for any other STIs while youre there.

Remember, theres no cure for herpes. But antiviral medication can help to prevent the virus from reproducing and reduce the number of outbreaks you have. This can also reduce your risk of passing the virus to others.

Common antiviral medications used for herpes include:

What To Expect On This Page

We summarize in this article how to recognize genital herpes and why itâs important to talk to your doctor if youâre worried you may have it.

The most common symptom of herpes is skin lesions. These lesions can be confused with similar-looking lesions caused by a number of other conditions.

Using photographs to help you see what weâre saying, we describe herpes lesions and compare and contrast them with the lesions caused by these diseases:

How Do I Know If I Have Genital Herpes

Most people with genital herpes have no symptoms or have very mild symptoms. Mild symptoms may go unnoticed or be mistaken for other skin conditions like a pimple or ingrown hair. Because of this, most people do not know they have a herpes infection.

Herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. This is known as having an outbreak. The blisters break and leave painful sores that may take a week or more to heal. Flu-like symptoms also may occur during the first outbreak.

People who experience an initial outbreak of herpes can have repeated outbreaks, especially if they have HSV-2. However, repeat outbreaks are usually shorter and less severe than the first outbreak. Although genital herpes is a lifelong infection, the number of outbreaks may decrease over time.

Ask a healthcare provider to examine you if:

You notice any symptoms or
Your partner has an STD or symptoms of an STD.

STD symptoms can include an unusual sore, a smelly genital discharge, burning when peeing, or bleeding between periods .

What Does Genital Herpes Look Like

While some people with genital herpes will never have any symptoms, other people can develop symptoms within a few weeks of being infected.

Often, before the lesions appear, patients describe a prodrome, characterized by a tingling or burning sensation in the area where the lesions will develop that can be noticed during urination, along with itching or discomfort in the genital area.

You can also have the following symptoms:

Blisters on the mouth or lips
Fever, headache or pain in the joints
Trouble urinating

The symptoms of genital herpes often go away and come back as recurring outbreaks. For most people, the first outbreak is the worst, and can last from two to three weeks. Future flare-ups are often less severe and do not last as long. Still, some people shed the virus regularly. The following triggers can make outbreaks more likely to occur:

Viral or bacterial infections
Menstrual periods

Recurrent genital herpes is most common in the first year after the initial infection and decreases as time goes on.

In many cases, anti-herpes medicine can help patients. When a person experiences a prodrome and suspects a recurrence is going to happen, they begin taking anti-herpes medications that lessen symptoms and shorten the time of the outbreak.

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What Are Signs Of Genital Herpes In Women

Women who have the herpes virus may have nooutbreaks or signs of infection. Many do not know theyhave the virus. Once you are infected, the virus staysin your nerve cells for life. When the virus is not active,there is no sign of infection. When the virus becomesactive, a herpes outbreak occurs. Some womenmay not have any outbreaks or may have only oneoutbreak, while others may have multiple outbreaks.

What About Pregnancy

Herpes and Pregnancy

A pregnant woman who has genital herpes can passthe virus to her baby. A baby born with herpes might:

Have brain, skin, or eye problems

If you are pregnant, you should tell your health careprovider if you have herpes. If you show any signs ofherpes during pregnancy, tell your provider. Pregnancycan be managed safely if your health care providerknows about your herpes. Medicines can help babiesborn with herpes if they are treated right away.

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Why Are There State

Syphilis, gonorrhea, and chlamydia are notifiable diseases in the United States, but herpes is not. A disease is notifiable if healthcare providers in all 50 states are required by law to report the diagnosis to their state or local health departments. CDC is also notified, and publishes state-by-state data for these infections. Because herpes infections are not notifiable infections by law, CDC is not able to provide state-by-state data. Public health surveillance for herpes infections is mainly done through population-based, national surveys, such as the National Health and Nutrition Examination Survey .

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.

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How Common Is Genital Herpes

According to the Centers for Disease Control and Prevention, approximately 40 million to 50 million adults in the United States have genital herpes. HSV II infection is more common in women and in people who have had more than five sexual partners. Most people with HSV II do not know they have it, because it does not always cause symptoms.

Is There Anything Else I Need To Know About An Hsv Test

The best way to prevent genital herpes or another STD is to not have sex. If you are sexually active, you can reduce your risk of infection by

Being in a long-term relationship with one partner who has tested negative for STDs
Using condoms correctly every time you have sex

If you’ve been diagnosed with genital herpes, condom use can reduce your risk of spreading the infection to others.

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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.

What Is Life Like For Someone Who Has Genital Herpes

The virus that causes genital herpes stays inside your body forever. While many people carry this virus, some dont know that they have it because they never have an outbreak.

If you have an outbreak, taking an antiviral medicine can shorten the outbreak and relieve symptoms. Some people have several outbreaks. For most people, the outbreaks become less severe and occur less often with time.

Anyone who has been infected with the virus, however, can spread the virus to others during sex. Even if you never have an outbreak, you can still spread the virus.

Related AAD resources

Centers for Disease Control. Genital Herpes – CDC Fact Sheet . Last accessed December 19, 2016.

Fatahzadeh M and Schwartz RA. Human herpes simplex virus infections: Epidemiology, pathogenesis, symptomatology, diagnosis, and management. J Am Acad Dermatol 2007 57:737-63.

Madkan V Sra K, et al. Human herpesviruses. In: Bolognia JL, et al. Dermatology. . Mosby Elsevier, Spain, 2008:1075-6.

Marques AR, Straus SE, Herpes simplex. In: Wolff K, Goldsmith LA, et al. Fitzpatricks Dermatology in General Medicine . McGraw Hill Medical, New York, 2008: 1199-1204.

US Preventive Task Force. Serologic screening for genital herpes infection: US Preventive Services Task Force recommendation statement. JAMA. 2016 316:2525-30.

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