How To Diagnose Genital Herpes

Is Genital Herpes Related To Shingles

Shingles, also called herpes zoster, is caused by the varicella zoster virus , which causes chickenpox earlier in life. The natural history of varicella zoster infection is similar to genital herpes infection in that VZV also becomes latent in the sensory nerve roots. Later in life the virus may exit, causing shingles.

Recurrences in shingles cause blister lesions in a single area of skin called a dermatome. Shingles is not a sexually transmitted infection and is independent from genital herpes.

How Can I Best Learn To Cope With Herpes Simplex

Some people feel distressed or embarrassed about their herpes simplex infection. Its important to understand that the herpes virus is common. For most people, herpes doesnt significantly interfere with daily life.

To cope with negative feelings, you may consider:

• Connecting with others through support groups or online forums.
• Sharing your feelings with a trusted friend or loved one.
• Speaking with a therapist.

Counselling For Genital Herpes

If you have just found out that you have genital herpes, it is likely you will have a lot of questions. A diagnosis of genital herpes often comes as a shock.

For many people who have genital herpes, the physical symptoms are outweighed by the emotional stress relating to the diagnosis. There are many misconceptions about genital herpes, including the belief that it is associated with promiscuity.

Seeing a counsellor may be a good idea to discuss any concerns you may have. Counselling offers a way of dealing with your concerns.For more information see the NZ Herpes Foundation or talk with one of their trained counsellors on 0508 11 12 13 free call 0508 11 12 13 or 09 433 6526 .

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Best Subscription For Herpes Test: Letsgetchecked

The LetsGetChecked home kits can test for both HSV-1 and HSV-2. This test kit may be best for people who require regular testing as the companys subscription options can offer significant discounts.

A person receives a collection kit with all the tools they need to collect their samples at home. This includes needles, a prepaid envelope, alcohol swabs, and a tube. The tests come in discreet packaging so that other people will not know what the person has received.

The person also has access to an instruction video on the company website that explains how they should take their test. LetsGetChecked suggests that people take a blood sample before 9 a.m. and return it to the laboratory on the same day.

The company states that it issues the results within 25 days.

Individuals who receive a positive result can contact a nurse through the company, and they may suggest a treatment plan.

LetsGetChecked offers a one-time purchase for $119. Anyone who requires regular testing can purchase a LetsGetChecked subscription and get discounts on its tests. For instance, a 3-monthly subscription will give a person a 30% saving on the cost of the kits.

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How Is Herpes Simplex Treated

Some people have few to no herpes outbreaks and choose not to have treatment. But many people prefer to use medications that shorten outbreaks and reduce symptoms.

During an outbreak, you may use an antiviral ointment or cream to help lessen your symptoms and help them go away faster, but it only works if you start it soon after you start an outbreak. Many people with HSV-2 take daily oral medications to keep outbreaks at bay.

Your provider may prescribe a topical medication or oral medication such as:

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Genital Herpes Is Common Shouldnt Cdc Recommend Testing For Everyone

CDC recommends herpes testing for people who have genital symptoms to confirm if they have it. Testing allows a healthcare provider to talk with patients about what to expect in the future. This includes talking about medications that help with symptoms. Providers can also tell patients how to lower the risk of transmitting herpes to sex partner.

CDC does not recommend herpes testing for people without symptoms in most situations. This is because of the limits of a herpes blood test and the possibility of a wrong test result. The chances of wrong test results are higher for people who are at low risk of infection.

Blood tests might be useful if:

• You have genital symptoms that could be related to herpes, or
• You have a sex partner with genital herpes, or
• Your provider found signs of herpes, but you still need a test to confirm it.

If you are sexually active, talk openly and honestly with your healthcare provider about what tests are right for you. These tips can help.

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.

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How To Diagnose Herpes

Genital herpes is typically diagnosed through examination by a medical professional and a blood test. If you suspect you have genital herpes , you can take an antibody test.

To test for 6 other common STIs like chlamydia, gonorrhea, hepatitis C, HIV, syphilis, and trichomoniasis, try the Everlywell home STD Test for women or the STD Test for men. After you collect your sample at home, it is received and analyzed at the lab, and the test results are sent to you quickly and discreetly via our secure, online platform.

How Do Counseling Messages Differ For Those With Genital Hsv

Genital HSV-1 infection is associated with less shedding and fewer recurrences compared to HSV-2 . Therefore, although transmission to sexual partners is possible, it is less likely than HSV-2 because of decreased risk of shedding, particularly more than a year after infection . Episodic therapy is recommended for recurrences. The risk-benefit ratio of suppressive therapy is unknown because there are fewer recurrences in genital HSV-1 infection. Suppressive therapy for genital HSV-1 infection has not been shown to reduce the risk of HSV-1 transmission to sexual partners.

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What Is Neonatal Herpes

Neonatal herpes can be a very serious infection. Babies generally contract the virus from their birthing parent during childbirth even if the parent doesnt have active lesions. They may also get HSV-1 if an adult with an active cold sore kisses them. Breastfeeding babies can also get HSV-1 from the breast if there are lesions present. But babies cant get herpes from breast milk, so its safe to pump and feed.

Herpes simplex can be more dangerous for young babies because they dont have a fully developed immune system. But most babies with neonatal herpes can recover fully with treatment.

The dangers of neonatal herpes are much higher if the infection spreads to the babys organs. If youre pregnant and have herpes, speak with your healthcare provider about how to lower the risk of passing the infection to your baby.

What Happens At A Sexual Health Clinic

The doctor or nurse at the sexual health clinic will:

• ask about your symptoms and your sexual partners
• use a small cotton bud to take some fluid from 1 of your blisters or sores for testing

The test cannot:

• be done if you do not have visible blisters or sores
• tell you how long you have had herpes or who you got it from

Symptoms might not appear for weeks or even years after you’re infected with the herpes virus.

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How Can I Prevent Genital Herpes

If you are sexually active, you can do the following things to lower your chances of getting genital herpes:

• Being in a long-term mutually monogamous relationship with a partner who does not have herpes.
• Using condoms the right way every time you have sex.

Be aware that not all herpes sores occur in areas that a condom can cover. Also, the skin can release the virus from areas that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes.

If your sex partner has/have genital herpes, you can lower your risk of getting it if:

• Your partner takes an anti-herpes medicine every day. This is something your partner should discuss with his or her healthcare provider.

What Happens If I Dont Receive Treatment

Genital herpes can cause painful genital sores and can be severe in people with suppressed immune systems.

If you touch your sores or fluids from the sores, you may transfer herpes to another body part like your eyes. Do not touch the sores or fluids to avoid spreading herpes to another part of your body. If you do touch the sores or fluids, quickly wash your hands thoroughly to help avoid spreading the infection.

If you are pregnant, there can be problems for you and your unborn fetus, or newborn baby. See Im pregnant. How could genital herpes affect my baby? for information about this.

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What Questions Should I Ask My Doctor

You may want to ask your healthcare provider:

• What is the best treatment for me?
• What happens if I dont treat a cold sore?
• What are the side effects of antiviral medications?
• How can I reduce the risk of future outbreaks?
• Whats the best way to prevent getting another STI?
• How can I protect my partner from getting genital herpes?
• Should I lookout for signs of complications?

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.

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Is Herpes Simplex Related To Herpes Zoster

Herpes simplex and the varicella-zoster virus are related, but they arent the same. VZV causes chickenpox and shingles.

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.

References

What Is Genital Herpes

Genital herpes is a sexually transmitted infection that is caused by the herpes simplex virus the same type of virus that causes cold sores.

As many as 1 in 8 sexually active Australian adults have genital herpes.

If you think you have genital herpes, it is important to see a doctor as soon as possible to confirm the diagnosis and start treatment.

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Where Does The Herpes Virus Live In The Body

The herpes simplex viruses are latent, meaning they can live in the body without causing symptoms. After the initial infection, the virus gets into the nerve roots and spreads to the sensory nerve ganglia, the junctions where nerves from different parts of the body come together. For the genital area, the ganglia are adjacent to the spinal cord in the lower back. For orofacial herpes , the ganglia are located behind the cheek bone.

Myth #: People Cannot Spread Herpes To Others Unless They Have Sores Or Blisters

Fact: People can spread herpes to others at any time, including when they do not have any symptoms.

People with herpes may experience outbreaks and remissions. During an outbreak, a person has active sores or blisters, but in remission, they may have no symptoms at all.

The virus is usually more contagious when a person has an outbreak, but it can also spread when it is in remission.

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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.

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How Soon Do Symptoms Appear

Symptoms tend to come on suddenly anywhere from two days to two weeks after youve been exposed to the virus.

The appearance of symptoms is called an outbreak. After your initial outbreak is treated, you may have subsequent outbreaks during the next year and occasionally throughout the rest of your life.

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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 .

Testing For Genital Herpes

If you think you may have genital herpes you should make an appointment with your GP or local sexual health services.

If there are symptoms present such as blisters, sores and ulcers, your doctor or nurse may be able to make a diagnosis straight away.

If you have visible blisters, your doctor or nurse may take a swab for testing, to check if this is herpes and what type. This swab can also test for another STI which causes blisters called syphilis.

The genital herpes swab tests are very reliable, though if the ulcer is too dry then it may be less likely to find a positive result.

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I Had Lesions When I Was Evaluated But My Culture Was Negative Does This Mean That I Dont Have Herpes

Not necessarily. Although lesions can be caused by something other than herpes, false negative herpes tests can occur if the samples are not taken appropriately, if there is a long transport time between the clinic and the laboratory, or if cultures were taken late in the course of the lesions. Lesions that occur early in the course of a herpes outbreak are much more likely to have positive cultures than cultures taken after the lesions crust over.

How To Avoid Genital Herpes

Using condoms reduces the risk of contracting all sexually transmitted infections including genital herpes.

Genital herpes can be passed on even when there are not blisters present.

However, the blisters and sores are highly infectious, so if you or a partner have cold sores or genital herpes:

• avoid kissing when you, or a partner, have cold sores around the mouth
• avoid oral sex when you, or a partner, have mouth or genital sores

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How Is Herpes Treated

Herpes cannot be cured, but it can be managed. Medications are available that can prevent or shorten the duration of herpes outbreaks. There is a medicine that you can take on a daily basis that can help prevent outbreaks and also lower your risk of spreading the virus to others. Talk to your healthcare provider about your options. Antiviral medications such as acyclovir, famciclovir and valacyclovir can suppress outbreaks and shorten the duration of symptoms and active shedding of virus.

Will I Have To Pay For The Test Out Of Pocket

Youll have to check with your insurance network to see whether at-home STI tests are covered.

Insurance does typically cover them, but sites like Everlywell recommend verifying the purchase with your insurance.

Additionally, some networks may reimburse you for your purchase.

However, most at-home testing sites arent currently partnered with any insurance companies, which means youll have to reach out yourself.

If you dont have insurance, youll likely have to pay for the test out of pocket. Some sites like Priority STD dont accept insurance, so its a flat rate of $99 regardless of your coverage.

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