What Are The Possible Complications Of Oral Herpes
“Autoinoculation” from touching a cold sore on the lip can cause herpes of the finger . Autoinoculation occurs most commonly at the time of primary infection, when viral shedding is high and the immune system is still gearing up to contain it. The antibodies that are made after primary infection are usuallybut not alwayssuccessful in preventing autoinoculation during recurrent attacks.
A more serious complication is infection of the eye, or ocular herpes . It may be a mild surface ulceration with little discomfort, or it may cause deeper, painful ulcers that threaten vision. Ocular herpes is also caused by autoinoculation. If not treated, ocular herpes may lead to serious damage or even blindness.
Rarely, herpes simplex may infect the brain, causing encephalitis. This infection requires hospitalization and intravenous antiviral medications. HSV-1 is among the commonest causes of fatal viral encephalitis worldwide.
In immunocompromised people, such as those with HIV infection or those receiving chemotherapy, severe outbreaks of herpes may occur. Colds sores may spread to large parts of the lower face or invade organs. Antiviral drugs are used to prevent or lessen such attacks.
How Do Dermatologists Diagnose Herpes Simplex
During an outbreak, a dermatologist often can diagnose herpes simplex by looking at the sores. To confirm that a patient has herpes simplex, a dermatologist may take a swab from a sore and send this swab to a laboratory.
When sores are not present, other medical tests, such as blood tests, can find the herpes simplex virus.
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 cant find any scientific studies that have researched this, but I cant 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 doesnt 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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Coping With The Diagnosis
Although learning you have herpes can be stressful because of the stigma associated with the disease, herpes is simply a virus like any other. A herpes diagnosis says nothing negative about how you live your life. It says nothing negative about who you are.
As hard as it may be to believe, people with herpes can date and have happy and fulfilling sexual lives with herpes. This is not to suggest you won’t encounter challenges or need time to adjust.
The very act of disclosing your status to a sexual partner can be extremely stressful, but not disclosing it can be even worse. There is a chance you may be rejected if your partner finds out or that you may pass the infection to others even if you use condoms.
But, it’s important to know that the attitude toward herpes is fast changing. The public is more aware than ever of how the virus is spread and what you can do to protect yourself against not only herpes but a host of the common STIs like chlamydia, gonorrhea, syphilis, and HIV .
To normalize herpes in your life, you need to first embrace self-acceptance. It is a process that may take time, but one that can help you rein in feelings of depression you may be struggling with.
Reduce The Risk Sex Will Spread Herpes
One of the things that scares people when theyre thinking about dating with herpes is the risk for potential partners. Theyre concerned about the possibility that they might spread herpes to someone they care about. This is a legitimate concern.
Fortunately, there are ways to reduce the likelihood you will spread herpes during sex. Suppressive therapy, for example, can lower the risk of transmission significantly. Its not just good for reducing the number and severity of outbreaks.
Using condoms consistently, even for oral sex, can also make a big difference in your partners risk. Condoms and dental dams dont just make intercourse safer. They also make it less likely for you to spread herpes from your genitals to their mouth, and vice versa. Practicing safe sex is always a good choice.
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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.
What To Do When Youre Diagnosed With Herpes
It can be shocking to hear the word herpes in the doctors office. If youre caught off guard or overwhelmed, you may not register what your medical provider is telling you, says Dr. Navya Mysore, family doctor and primary care provider.
Mysore says genital herpes can be caused by HSV-1 or HSV-2. HSV-1 is most commonly related to cold sores, which a large amount of the population have. However, HSV-1 can also be the virus that causes genital herpes and HSV-2 can be the virus that gives you cold sores, she says.
While at the doctors office, dont be afraid to ask all the questions you may have, and make sure you ask for clarification if you dont understand something.
He says herpes outbreak prevention may involve taking a once- or twice-daily antiviral medication, and the treatment of active outbreaks involves topical treatment, an antiviral medication, and sometimes a painkiller. Maintaining a consistent medication schedule is key to successfully managing herpes and preventing active outbreaks, he explains.
Between your appointments, create a list of questions you have about your diagnosis. That way you wont forget anything.
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Is There A Cure For Herpes Simplex
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.
Simple Treatments For The Relief Of Discomfort
- Wear loose underclothes, preferably cotton , to help minimise discomfort and allow healing.
- Use plain water or saline solution with cotton wool to clean and soothe the area. To make a saline solution, use 1 teaspoon of salt in 600ml of water or a handful of salt in a shallow bath.
- Don’t use scented soaps, bubble bath, etc in the area, as these may irritate it.
- Using a hairdryer on its lowest setting to dry the area may be more comfortable than using a towel.
- Pain relief medication such as paracetamol and ibuprofen may ease the pain. Check with your pharmacist or other health professional whether taking these is suitable for you.
- Ice wrapped in a face cloth or flannel and placed over the sores for 510 minutes may be soothing. Don’t apply ice directly to the sores as this can cause ice burn.
- If you find peeing painful, try applying Vaseline® to the area or sitting in a warm bath before urinating or using a pump bottle full of water and spraying water on yourself while peeing.
- You can also try applying a pain relief cream such as lignocaine cream to the painful area. This is applied 5 minutes before peeing and should be used for a maximum of 12 days.
- Drink plenty of fluids as this dilutes your pee and may help reduce stinging.
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Preventing The Spread Of Herpes
Even when you do not have sores, you can pass the virus to someone during sexual or other close contact. To protect others:
- Let any sexual partner know that you have herpes before having sex. Allow them to decide what to do.
- Use latex or polyurethane condoms, and avoid sex during symptomatic outbreaks.
- Do not kiss or have oral sex when you have a sore on the lips or inside the mouth.
- Do not share your towels, toothbrush, or lipstick. Make sure dishes and utensils you use are washed well with detergent before others use them.
- Wash your hands well with soap and water after touching a sore.
- Consider using daily antiviral medicine to limit viral shedding and reduce the risk of passing the virus to your partner.
- You may also want to consider getting your partner tested even if they have never had an outbreak. If you both have the herpes virus, there is no risk for transmission.
Treatment For Genital Herpes
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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What Is The Difference Between Genital Herpes And Genital Warts
Both genital herpes and are STIs, are spread through skin-to-skin contact, and are caused by a virus. But the viruses that cause genital herpes and genital warts are different:
- Herpes simplex virus is the virus that causes genital herpes.
- is the virus that causes genital warts.
There is no cure for either genital herpes or genital warts. But, different medicines can help manage the symptoms of herpes and treat the complications of HPV infections that can cause genital warts.
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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.
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Example Disclosure Of Diagnosis
I like how things are going in our relationship, and Im hoping well end up in bed sometime soon. Before we do, I wanted to let you know that I have genital herpes. I take suppressive therapy and havent had an outbreak in a while, so the risk of passing it to you is low.
Still, its not zero, so I wanted you to have a chance to think about it before we get intimate. You dont need to respond right now. When, and if, youre ready, Im happy to talk with you more or to just send you some information.
What Are The Risk Factors For Herpes
Some risk factors for herpes may include:
-Having unprotected sex
-Having sex with multiple partners
-Kissing someone with a herpes virus that is active
-Abuse of cigarettes, alcohol, and drugs
-Spreading the virus by touching a cold sore and then touching something else
-Having an autoimmune disorder or illness, such as hepatitis or HIV/AIDS
-Poor eating habits that cause nutritional deficiencies
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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 .
Can Genital Herpes Be Prevented
The only way to prevent genital herpes and other STDs is abstinence. This means not having sex . If someone decides to have sex, using a latex condom every time can prevent most STDs.
But condoms can’t always prevent the spread of genital herpes. This is because the virus may be in the skin near the genitals .
People also can lower their risk of getting an STD by:
- getting tested with any new partners before having sex
- only having sex with one partner
People who are sexually active should get tested for STDs every year or more often if recommended by their health care provider. To find a testing site near you, visit the CDC’s National HIV and STD Testing Resources.
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How Can I Reduce My Risk Of Herpes Simplex
You can reduce your risk of contracting HSV-1 by avoiding physical contact with someone who has a cold sore. People can still spread HSV-1 when cold sores arent present, but its less likely.
If someone has an active HSV-1 infection, avoid:
- Sharing utensils, cups, lip balms or other personal care products.
- Touching the skin near their mouth.
If youre sexually active, you can take these steps to protect yourself and others from the herpes virus and other STIs:
- Be monogamous with one sexual partner or limit your number of partners.
- Get tested for STIs and complete any prescribed treatment.
- Tell your sexual partners if you have genital herpes so they can get tested.
- Use condoms during intercourse and dental dams during oral sex.
Wash your hands often if you have an outbreak or are around someone with symptoms.
If your sexual partner has genital herpes, these actions can lower your risk of getting the virus:
- Dont have sex when your partner has active symptoms. Condoms may not cover all sores, so you may still get the virus.
- Make sure your partner takes antiviral medication as prescribed.
- Wait to have sex until scabs fall off active lesions.
Avoid Spreading The Virus
The following may reduce the risk of spreading the herpes simplex virus:
If you have sores on your face:
Do not kiss anyone
Do not have oral sex
Do not share items such as silverware, cups, towels, and lip balms
If you have tingling, burning, itching, or tenderness where you had a herpes sore, keep that area of your body away from others.
You can prevent spreading the sores to other parts of your body by:
Washing your hands after touching a cold sore.
Using a cotton-tip swab to apply herpes medicine to a cold sore also helps.
When you have sores or symptoms do not have sex with uninfected partners.
If you do not have sores or symptoms, use a latex condom to lower the risk of spreading the virus. You should know that even with a condom, it is possible to spread the virus if it lies on nearby skin that the condom does not cover.
If you are pregnant tell your doctor if you or your partner has genital herpes. You may need to take medicine at the end of your pregnancy to prevent passing the virus to your baby.
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Genital Herpes Is Spread By Skin
The virus can be spread when someone with HSV has an episode or an outbreak characterised by having a sore, blister, ulcer or skin split . It can also be spread between episodes, when there is no sore, blister, ulcer or skin split present called asymptomatic viral shedding.
During viral shedding the virus is on the skin surface and can be spread through genital skin-to-skin contact, or from the mouth or face to genital skin during contact.