How To Get Diagnosed With Herpes

Symptoms Of Genital Herpes

Many people who have genital herpes are unaware that they have the virus because they have no symptoms, mild symptoms, or mistake the symptoms for other conditions such as jock itch, yeast infections, razor burn or allergic reactions to detergents. The infection can be diagnosed by taking a swab from the sores or through blood tests. Those with symptoms may experience a tingling sensation or itching in the genital area within a few days of having sex with an infected person. A cluster of blisters may appear and burst, leaving painful sores often lasting two to three weeks. A fever, headache and muscular pain may occur during the first attack.

After the sores from the first attack heal, the virus goes into a dormant stage, but recurrent outbreaks can occur. Some people have only one or two recurrences in a lifetime, while others have them frequently. Recurrences are typically shorter in duration and less severe than the first episode. Stress, menstrual cycle, illness, fever, surgery, exposure to sun, having sex, pregnancy, and the use of some medications can play a role in the frequency and severity of outbreaks. Herpes can continue to be transmitted to others, even between recurrences when the infected person has no symptoms.

Women’s symptoms can include:

• tender lumps in the groin

Men’s symptoms can include:

• tender lumps in the groin

For both men and women, the sores will usually occur on or near the area where the virus was transmitted.

What If I Have A Herpes Outbreak While Pregnant

If you have a herpes outbreak while pregnant, treatment with acyclovir or valacyclovir is recommended. These drugs are generally considered to be safe during pregnancy. Oral medication is used for treatment unless the outbreak is severe.

If you have an outbreak or prodromal symptoms at the time of delivery, a C-section is recommended over vaginal delivery.

How Long Do Sores From Herpes Simplex Last

If youre infected with HSV-1, commonly known as oral herpes, you may notice tingling or burning around your mouth in the days before a cold sore appears. These blisters break open and ooze fluid before forming a crust. Usually, sores last for seven to 10 days.

If youre infected with HSV-2, commonly known as genital herpes, your first outbreak may last between two to four weeks. Recurrent outbreaks usually last between three to seven days.

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What You Need To Know

• Fifty percent to 80 percent of U.S. adults have oral herpes.
• Oral herpes can be spread through intimate contact with someone who is infected.
• Oral herpes can be difficult to diagnose. Often confused with many other infections, it can only be confirmed with a virus culture called PCR, blood test or biopsy. PCR is the preferred test for diagnosing herpes infections.
• The best treatment for oral herpes is antiviral oral medication. Symptomatic treatment may include antiviral ointment, over-the-counter topical anesthetics or over-the-counter anti-inflammatory agents.

Whether you call it a cold sore or a fever blister, oral herpes is a common infection of the mouth area that is caused by herpes simplex virus type 1 . Fifty percent to 80 percent of U.S. adults have oral herpes. According to the National Institutes of Health, about 90 percent of adults have been exposed to the virus by age 50.

Once infected, a person will have herpes simplex virus for the rest of his or her life. When inactive, the virus lies dormant in a group of nerve cells. While some people never develop any symptoms from the virus, others will have periodic outbreaks of infections.

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.

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Herpes And Female Fertility

Herpes can impact female fertility only in an indirect way: a herpes infection may reduce your ability to get pregnant by making it more difficult to have unprotected sex. During an active herpes outbreak, having unprotected sex is not recommended, as the virus could spread. Fortunately, people with herpes can resume having unprotected sex after the outbreak has passed.

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How To Test For Herpes

If you suspect you have herpes, the first thing you should do is contact your healthcare provider. Your healthcare provider can examine your blisters or sores to check for herpes. If you do have an HSV infection, your healthcare provider may recommend a treatment plan for you.

The Center for Disease Control recommends a genital herpes test if you have symptoms of herpes or a sexual partner who has genital herpes . Note that some people have asymptomatic herpes and donât show symptoms, but the CDC does not recommend asymptomatic screening for herpes .

If you would like an easy at-home option to test for 6 other common STIs, try the Everlywell home STD Test for women or the STD Test for men which checks for chlamydia, gonorrhea, hepatitis C, HIV, syphilis, and trichomoniasis. Once your sample is received and analyzed at the lab, the test results are sent to you quickly and discreetly via our secure, online platform.

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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

How Does Genital Herpes Affect Pregnancy

Herpes simplex virus doesnt affect fertility or your ability to conceive. Pregnant women diagnosed with HSV-2 should start a daily antiviral at 36 weeks of pregnancy as prescribed, to prevent outbreaks during delivery. If you have an active infection at the time of childbirth, you can pass the herpes virus to your baby. Neonatal herpes puts a baby at risk for blindness, brain damage, skin infections and death. Your healthcare provider will perform a cesarean section to lower this risk.

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How Can I Reduce My Risk Of Herpes Simplex

Preventing HSV-1

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.

Preventing HSV-2

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.

Remedies For Throat Herpes

Antiviral medications are often prescribed for treating throat herpes, including the gold standard, acyclovir . Sometimes valacyclovir and famciclovir are used foscarnet is also prescribed for people resistant to other antiviral drugs. Pain medication may also be prescribed to help soothe the throat.

Alternative therapies like laser treatment are now being used to help treat strep throat. One study found that patients with recurring HSV-1 significantly increased the time it took for a new outbreak, from 3 weeks for the placebo group to 37.5 weeks for those treated with laser therapy.

Specific plant-based therapies have also shown some success in helping treat the symptoms of the herpes simplex virus. For example, aloe vera may be effective in preventing the actions of HSV-2, while pigeon pea has shown antiviral effects on both HSV-1 and HSV-2.

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How To Read Your Results

Your HSV test results will likely be reported as negative or positive :

• Negative. The herpes virus was not found. However, you may still have an HSV infection if your results were negative. It may mean the sample didnt have enough virus to be detected. If you still have symptoms of herpes, you may need to order another test.
• Positive. HSV was found in your sample. It may mean you have an active infection or contracted the virus in the past .

If your test results are positive for HSV, talk with a doctor about your next steps.

How Can I Avoid Another Outbreak Of Genital Herpes

As the herpes virus stays in the nerves near where the infection first appeared, it will come back in the same area. Recurrent infections can be triggered by:

• ultraviolet light
• a weakened immune system for example if youre going through chemotherapy or HIV .

Obviously, a lot of these things are pretty difficult to avoid though. But the risk of genital herpes can be reduced by:

• Using a condom every time you have sex . The condom needs to cover the infected area.
• Not sharing sex toys .

This page was last reviewed in February 2018

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How Is Genital Herpes Treated During Pregnancy

You should take acyclovir or valaciclovir tablets, as above.

If its your first outbreak of genital herpes, your baby may be more at risk because you havent had time to develop immune protection against the virus, which also helps protect the baby.

Some women experiencing an outbreak of genital herpes might be advised to have a caesarean. This would prevent the herpes virus passing from mother to baby during a vaginal birth. But most women in Australia with genital herpes do give birth safely to healthy babies vaginally.

Its often recommended that women who have ever had genital herpes take antiviral tablets prior to the birth, even if the herpes isnt active at the time.

Talk to your doctor or midwife about the best course of action for your situation.

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Why You Should Go To A Sexual Health Clinic

You can see a GP, but they’ll probably refer you to a sexual health clinic if they think you might have genital herpes.

Sexual health clinics treat problems with the genitals and urine system.

Many sexual health clinics offer a walk-in service, where you do not need an appointment.

They’ll often get test results quicker than GP practices and you do not have to pay a prescription fee for treatment.

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Can I Treat Herpes Simplex At Home

Avoiding known triggers, such as illness or stress, can help reduce how often you have herpes outbreaks.

How can I ease my symptoms during an outbreak of HSV-1 ?

• Over-the-counter creams such as L-lysine, benzocaine or docosanol .
• Applying ice to blisters or sores.

How can I ease my symptoms during an outbreak of HSV-2 ?

• Apply an ice pack to your genitals. Wrap the ice pack in a washcloth or apply it over your underwear.
• Keep your genitals dry. Wear cotton or other nonsynthetic underpants and avoid tight-fitting clothes. Moist sores take longer to heal.
• Soak in a warm bath.
• Take nonsteroidal anti-inflammatory drugs to relieve pain.
• Topical 1% or 2% lidocaine may be used as a topical analgesic.

How Can You Treat Herpes

Medical News Today declares that no medication can eradicate the herpes virus. However, a doctor may give an antiviral drug, such as acyclovir, famciclovir, or valacyclovir, which are the most effective treatments for individuals infected with HSV. These medications may help to decrease the intensity and frequency of symptoms, but they cannot cure the illness.

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Where Can I Get Tested For Herpes

You can get tested for herpes and other STDs at your doctors office, a community health clinic, the health department, or your local Planned Parenthood health center.

STD testing isnt usually part of your regular checkup or gynecologist exam you have to ask for it. Be honest with your nurse or doctor so they can help you figure out which tests are best for you. Dont be embarrassed: Your doctor is here to help you, not to judge you.

Where To Get Support

If you think you may have caught herpes, book an appointment with your local sexual health clinic, or visit your GP. The HVA provides comprehensive information about all aspects of the condition and runs a helpline offering support and advice. Ella Dawson’s website also contains information from a personal perspective, including So you’ve just been diagnosed with herpes.

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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?

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.

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When Should You See A Doctor

If this is your first time experiencing cold sores, you may be alarmed. However, these painful blisters are usually best treated at home with the above-mentioned remedies. If you experience repeated breakouts, schedule an appointment with your primary care provider about possible antiviral medications such as acyclovir , famciclovir , and valacyclovir . These medicines help reduce the chances of recurring outbreaks, though there is no 100% guarantee they will stop forever.

If youd like to know more about cold sore treatment options, contact Valleywise Health today. Our primary care physicians are friendly, knowledgeable and ready to assist you.

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How Do You Know This Sore On My Lip Is Not Hsv

A cold sore does not always indicate the presence of an STD. The herpes simplex virus type 1 causes the majority of cold sores, which typically affect the lips and are not spread via sexual contact. Cold sores, while less frequent, may be caused by another kind of herpes simplex virus known as HSV-2.

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More Questions From Patients:

Many people with genital herpes have no symptoms, or have very mild symptoms that go unnoticed.

The first time genital herpes symptoms appear is called the âfirst episodeâ or âinitial herpes.â Initial herpes symptoms are usually more noticeable than later outbreaks.

Symptoms of genital herpes in men may include

• burning when you pee if you have sores

• trouble peeing if you have sores covering your urethra

• itching or pain around your genitals

During initial herpes, symptoms may also include

• swollen, tender glands in the pelvic area, throat, or under the arms

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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.
• 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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