Understanding Herpes With H Hunter Handsfield Md
Herpes expert H. Hunter Handsfield, MD, explains the basics about genital herpes, including the difference between genital HSV-1 and HSV-2 infection, testing options and the importance of knowing virus type, and the three-prong strategy for prevention. See more herpes videos at sexualhealthTV.com.
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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.
D91907 mentioned putting aloe vera gel on the sores. There is some scientific evidence that aloe vera is useful for both genital and oral herpes.
What Is The Incubation Period For Cold Sores
The time between infection and symptoms of primary oral herpes is anywhere from 2 days to 2 weeks.
The hallmark symptom of herpes is tingling or a burning sensation before the appearance of the outbreak:
- The classic sign of herpes is a cluster of blisters on a base of red skin.
- The blisters look like a drop of water filled with clear liquid.
- These blisters dry up rapidly and leave a crust or scab that lasts anywhere from a few days to a few weeks, depending on the severity of the infection.
- This pattern has important implications for the many people who fear they have herpes but don’t, If you are healthy and the rash lasts for weeks, it is unlikely to be herpes.
Herpes infections feel dry and crusty, and they may cause pain or itch. Some patients have a “prodrome,” which is the occurrence of certain symptoms before the actual sores become fully evident. The prodrome to herpes infections typically involves flu-like symptoms and a burning or tingling sensation that precedes the appearance of blisters by a few hours or a day or two.
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What Are The Signs Of Herpes In Men
In about two-thirds of cases, men will have no symptoms of herpes. Symptoms of herpes in men may include:
It is unclear if genital herpes affects fertility in men because it affects such a large part of the population. However, a recent study found that herpes may lower the sperm count in men and may have an effect on mens ability to get pregnant with a partner.
Herpes Causes And Risk Factors
Causes of herpes include acquiring the virus through sexual contact, coupled with immune system suppression and sometimes nutritional deficiencies.
HSV-1 is primarily transmitted by oral-oral contact. On the other hand, HSV-2 is considered a sexually transmitted disease and usually passed during oral or vaginal sex.
A scary finding is that more cases of genital herpes than ever before are now being caused by HSV-1 , and about 85 percent of people with genital herpes dont even know it. Studies show that about 50 percent of the new genital herpes infections in young adults are due to HSV-1 and about 40 percent in older adults. The fact that most people dont ever find out theyre infected is one of the reasons that transmission rates are steadily climbing.
Risk factors for acquiring herpes include:
- Kissing someone who has symptoms of an active herpes virus
- Engaging in any form of unprotected sex
- Having sex with multiple partners
- Spreading the virus through contact with cold sores on the eyes, secretions on the fingers, or ulcers/sores on buttocks and upper thighs
- Having certain other illnesses that lower immune function, such as HIV/AIDS, an autoimmune disorder or hepatitis
- Eating a poor diet that causes nutrient deficiencies and lowered immunity
- Smoking cigarettes, drinking high amounts of alcohol or abusing drugs
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How Do Dermatologists Treat Herpes Simplex
There is no cure for herpes simplex. The good news is that sores often clear without treatment. Many people choose to treat herpes simplex because treatment can relieve symptoms and shorten an outbreak.
Most people are treated with an antiviral medicine. An antiviral cream or ointment can relieve the burning, itching, or tingling. An antiviral medicine that is oral or intravenous can shorten an outbreak of herpes.
Prescription antiviral medicines approved for the treatment of both types of herpes simplex include:
Taken daily, these medicines can lessen the severity and frequency of outbreaks. They also can help prevent infected people from spreading the virus.
How Is Genital Herpes Diagnosed
Often, your doctor can diagnose genital herpes by looking at visible sores. Your doctor or nurse may also use a cotton swab to take a fluid sample from a sore to test in a lab.
Genital herpes can be hard to diagnose, especially between outbreaks. Blood tests that look for antibodies to the herpes virus can help diagnose herpes in women without symptoms or between outbreaks.
A Pap test is not used to detect genital herpes.
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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.
Genital Herpes And Pregnancy
Women with herpes before pregnancy can usually expect to have a healthy baby and a vaginal delivery.
If you have genital herpes during pregnancy, there’s a risk your baby could develop a serious illness called neonatal herpes.
This can be fatal, but most babies recover with antiviral treatment.
The risk of your baby getting neonatal herpes is low if you have had genital herpes before.
It’s higher if you get genital herpes for the first time in pregnancy.
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How Painful Is Herpes Simplex
Some people experience very mild genital herpes symptoms or no symptoms at all. Frequently, people infected with the virus donât even know they have it. However, when it causes symptoms, it can be described as extremely painful. This is especially true for the first outbreak, which is often the worst. Outbreaks are described as aches or pains in or around the genital area or burning, pain, or difficulty urinating. Some people experience discharge from the or .
Oral herpes lesions usually cause tingling and burning just prior to the breakout of the blisters. The blisters themselves can also be painful.
How Will My Doctor Know If I Have Herpes
Your healthcare provider may diagnose genital herpes by simply looking at your symptoms. Providers can also take a sample from the sore and test it. In certain situations, a blood test may be used to look for herpes antibodies. Have an honest and open talk with your health care provider and ask whether you should be tested for herpes or other STDs.
Please note: A herpes blood test can help determine if you have herpes infection. It cannot tell you who gave you the infection or how long you have been infected.
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Take Care Of Your Health
If living with herpes will teach you anything, its to pay attention to your body, and thats a great thing. In fact, if you didnt tune into your body and its needs before, its almost kind of a wake-up call. Learning how to manage your diet, exercise, and overall balance will not only lessen your herpes symptoms but improve your mood, sleep, sex, other health issues, and overall satisfaction in life. This could jumpstart you to learn more about safe sex, responsible relationships, nutrition, and health.
Some things you might tune into when managing herpes include which foods to avoid or keep balanced, like limiting your intake of high-arginine foods in favor of ones rich in lysine. This is known to reduce herpes outbreaks. It also helps to be conscious of getting enough sleep and managing stress, and we all need more than that. Stress is the number one outbreak trigger for many people learning how to live with herpes. So relax, get rest, meditate, do yoga, go for a head-clearing bike ride whatever you need.
How To Get Rid Of Herpes Naturally
Not every person with a herpes infection actually experiences breakouts of cold sores throughout his or her lifetime or even after initially becoming infected. How often someone has a herpes cold sore outbreak, how severe the outbreaks are, how contagious someone is after infection and how long the sores take to heal all depend on someones individual immune response.
1. Boost Nutrient Intake
If youre going to keep the herpes virus from frequently causing outbreaks, the first step in how to get rid of herpes is to improve immune function by boosting nutrient intake. Include these healing foods in your diet to keep the virus dormant as much as possible:
2. Avoid Inflammatory Foods
Certain foods can raise inflammation, weaken immune defenses and make skin irritation even worse. Avoid the following foods as much as possible to limit outbreak severity and duration.
3. Consider Supplements
- Antiviral herbs: These include elderberry, calendula, echinacea, garlic, astragalus and licorice root.
- L-lysine : Can help treat and prevent outbreaks.
- Lemon balm extract: Apply as a topical cream for healing.
- Vitamin C : Vitamin C boosts immune function improving herpes.
- Zinc : Zinc benefits include supporting immune function, keeping viruses dormant and rebuilding skin tissue to speed up healing.
- B-complex : B vitamins help your body deal with stress and can prevent outbreaks.
4. Try Essential Oils
5. Ease Cold Sore Pain Naturally
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Be Upfront Well Before You Have Sex
One of the hardest things about dating with herpes is deciding when to disclose your diagnosis to your partner. Although I generally try not to speak in absolutes, it is always a better idea to do so before you have sex. That way, your partner can make an informed choice about what risks they are and are not comfortable taking.
If you wait to tell your partner that you have herpes until after youve had sex, the revelation may feel like a betrayal. You will have denied them the opportunity to make an informed decision about risk. You may also have implied that your herpes diagnosis is more important than the other things they find attractive about you.
If someone is really interested in you before you tell them you have herpes, they probably will be afterward as well. It just helps to tell them early. That makes it less likely that theyll feel exposed and/or betrayed.
How early? You dont have to do it on the first date. The timing really depends on the people involved. If youre worried about how your partner might react, talk to them about it in a safe place.
You could bring it up over dinner when youre getting near the going home together phase. Or you could have the talk while youre out for a walk, and perhaps a make-out session.
When you do have the talk, its best to be straightforward about it. You have nothing to be ashamed of.
What Stands Out About Yale Medicines Approach To Genital Herpes
As an academic medical center, Yale Medicine provides a wide range of treatment options for patients. Our doctors are expert at diagnosing and treating difficult cases and helping manage the condition for people at risk, such as pregnant women. Our doctors have access to the most advanced technology for diagnosing herpes and other medical conditions.Also, our researchers continue to look for new information about the herpes virus.
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Remember Its Just Herpes
When it all comes down to it, herpes is a nuisance, a nuisance primarily related to your skin surface , but definitely not a death sentence. Herpes is highly manageable. As you saw in the above point, its also common and lots of people manage with it to the point where its hardly an issue at all. So put it in perspective:
- Herpes wont kill you or ruin your health.
- Other forms of herpes are cold sores, chicken pox, and shingles.
Dont Be Afraid To Get Emotionally Intimate
An open and honest conversation about your diagnosis can require emotional intimacy that may be scary to have in a new relationship. Harbushka says to relax and realize that it can be sexy to communicate with your partner about sex and other important intimate topics.
With the right information and adequate protection, you can still enjoy a healthy sexual relationship. Here are some tips to help you and your partner stay safe during sex.
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My Partner Has Herpes How Can I Avoid Getting It And And Still Have A Fulfilling Sex Life
I just found out the guy Ive been seeing for a couple weeks has herpes. Im full of questions, but one question I keep dwelling on is, how can people get pregnant without passing on herpes to their partner? How can I avoid getting herpes and still have a fulfilling sex life with him?
Its normal to have complicated feelings after you find out that your partner has herpes. Millions of people are living with herpes, and sharing your concerns with your partner and educating yourself on how its spread are good ways to protect yourself.
Genital herpes is spread from skin-to-skin contact with someone who has it including . Herpes can live on areas of your body that arent protected by condoms , so condoms wont always protect you from herpes. But they do lower your chances of getting herpes.
Here are other ways to avoid getting herpes from your partner:
Talk with your partner about taking herpes medicine every day, which can lower their chances of spreading herpes.
Dont have sex during a herpes outbreak, even with a condom. There may be sores on places the condom doesnt cover. Wait until the sores are totally gone, and the scabs heal and fall off.
Herpes Symptoms And Signs
In order to diagnose herpes, a health care provider can swab an area of visibly active herpes infection or, if symptoms arent active, a blood test can be given that measures the number of herpes antibodies present in the body. The antibodies dont indicate herpes itself, but rather show the immune systems response to the presence of the virus in the body. Its important to note that sometimes a swab can give false negative results since herpes lesions need to be large enough to yield enough detectable virus and if the outbreak is already healing it also may not be detected in a swab.
The most common herpes symptoms include:
- Developing either a single cold sore or cluster of multiple cold sores that form on the lips, inside the mouth, or on the genitals, buttocks and upper thighs.
- Sores can sometimes be severe, painful and rupture and cause fluid to be secreted out.
- Some herpes canker sores develop a thin, white coating and burn when touched while they healing.
- Around herpes cold sores, its common to feel pain, tenderness and other symptoms of a rash, such as redness or signs of swelling.
- Some people are able to tell before an outbreak if one is going to occur because they feel tingling, itchy sensations near the affected area.
- Some people develop other symptoms during herpes outbreaks that are similar to those caused by a cold or the flu. This may include fatigue, irritability, aches or a slight fever.
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What Are The Types Of Herpes Viruses
Herpes is a group of contagious viruses. All of these viruses cause blisters and sores. Some of the more common herpes viruses include:
- Type 1: HSV-1, or oral herpes, causes cold sores to form on lips, gums, tongue and inside the mouth. It can cause genital herpes in some cases This type usually spreads through saliva when you kiss someone with open herpes sores. You can also get HSV-1 by sharing items like toothbrushes, lipsticks or eating utensils.
- Type 2: HSV-2 causes genital herpes.
- Herpes zoster: This virus causes chickenpox and shingles.
How To Treat Herpes
This article was medically reviewed by Luba Lee, FNP-BC, MS. Luba Lee, FNP-BC is a board certified Family Nurse Practitioner and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support , Emergency Medicine, Advanced Cardiac Life Support , Team Building, and Critical Care Nursing. She received her Master of Science in Nursing from the University of Tennessee in 2006.There are 13 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. In this case, several readers have written to tell us that this article was helpful to them, earning it our reader-approved status. This article has been viewed 1,634,244 times.
Herpes is an outbreak of painful, itchy blisters caused by a viral infection. While there is no cure for herpes, antiviral medications can relieve symptoms and shorten an outbreak’s duration. There are also steps you can take on your own to ease your discomfort. To reduce the risk of subsequent outbreaks, maintain a healthy diet, get 7 to 9 hours of sleep nightly, and try to keep your stress levels in check.
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