Pimples Test Negative For All These Tests
What do I do now?
Once you successfully identify the nature of your sores, which should be an easy task now that you know what herpes looks like, the management is not that complex either. Since pimples are a hygiene issue, it only means a more thorough cleaning with effective products such as acne ointments, antibacterial soap and creams, oil ointments for inflammation, and patting with a warm, wet cloth a few times a day.
On the contrary, if you have even a little doubt that your sores may be herpes, you should visit your primary care physician and get an anti-viral prescription. Herpes may be incurable but anti-viral is more than enough to stop it from affecting your quality of life at all. Early identification is the key to a better life.
I am Jeannette, the medical writing specialist here at Family Medicine Austin. I have over five years of experience working with a range of medical and healthcare across the U.S.
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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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:
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Sexuality In Midlife And Beyond
The physical transformations the body undergoes with age have a major influence on sexuality. This Special Health Report, Sexuality in Midlife and Beyond, will take you through the stages of sexual response and explain how aging affects each. Youll also learn how chronic illnesses, common medications, and emotional issues can influence your sexual capabilities. Finally, youll find a detailed discussion of various medical treatments, counseling, and self-help techniques to address the most common types of sexual problems.
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What To Do If You Suspect You Have Genital Herpes
If you suspect you have herpes or have been exposed to herpes, follow these tips:
- Schedule an appointment to get tested
- Refrain from sexual activity during an outbreak
- Let your partner know youve been exposed or suspect you have herpes so they can get tested too
- Learn as much as you can about herpes and safe sex practices that help reduce transmission to others
If you do have herpes, its important to know that its treatable, but it cant be cured. Once you have herpes, you have it for the rest of your life.
Antiviral medications can help shorten your outbreak and prevent future outbreaks. Two examples of antivirals used to treat genital herpes are acyclovir and valacyclovir .
We know the thought of having an STD can be overwhelming or even embarrassing, but with treatment, you can take back control and shorten your outbreaks. Were experienced when it comes to STD testing, and our compassionate and nonjudgemental team offers treatments as well as guidance for improved safe sex.
To schedule an appointment at our office in our Long Beach, California, use our convenient online booking tool. You can also give us a call at 562-247-3038.
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Myth: Without A Visible Outbreak Herpes Isnt Contagious
Since outbreaks arent always obvious, its not always clear when youre contagious. There are a few days a year when herpes is active and possibly transmitted without any symptoms present, explains Wyand. This is known as viral shedding. This doesnt happen on most days, but its tricky, because theres no real way to know.
All this sounds really scary, but what it boils down to is the importance of practicing safe sex. While the risk of transmission will never be zero, there are some steps you and your partner can take to significantly reduce the risk of transmission: avoiding sex during an outbreak, using condoms. The partner with herpes can also go on suppressive therapy .
Dr. Rosser agrees that condoms are your best friends for any kind of sex. People still look at me like I have two heads when I suggest condoms for oral sex, she says. But if theres any question, then use them.
Communication is not only essential when it comes to having great sex, adds Dr. Rosser, but also when preventing the spread of herpes. If youre infected, be honest and consideratelet your partner know.
Check If Its A Cold Sore
A cold sore usually starts with a tingling, itching or burning feeling.
Over the next 48 hours:
Cold sores should start to heal within 10 days, but are contagious and may be irritating or painful while they heal.
Some people find that certain things trigger a cold sore, such as another illness, sunshine or menstrual periods.
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Maternal And Neonatal Herpes
If a woman is infected with the HSV during pregnancy, it is possible for the virus to be passed on to the newborn baby, normally during delivery. Although this is rare, the resulting neonatal herpes can pose serious risks to newborns.
Signs that a pregnant woman is infected with the herpes simplex virus are the same as those in non-pregnant people. The risk of neonatal herpes is highest in cases where the pregnant woman develops herpes for the first time in the late stages of pregnancy, as the body is unlikely to have the necessary antibodies for combatting the virus. Women with HSV in a latent form, i.e. who have had the virus previously without recurrence, have a very low risk of passing the virus onto the newborn baby.
Good to know: When acute/florid HSV infection is present around the time of the expected date of delivery, a Cesarean birth will usually be recommended before the waters break to avoid the transmission of infection from mother to child.
Signs that a newborn baby has neonatal herpes include:
- Blue skin and tongue
If there is a suspicion of neonatal herpes, a doctor or midwife should be contacted as a matter of urgency. Treatment will typically involve the use of antiviral drugs administered intravenously over several weeks.
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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Whos At Risk For Stds
Anyone who is sexually active is at risk for an STD, regardless of gender, race, social class, or sexual orientation. That said, teenagers and young adults acquire STDs more easily than older people. By age 25, half of sexually active adults get an STD. Having multiple sex partners also raises the risk. The CDC has noted that some STDs are on the rise in men who have sex with men, including syphilis and LGV.
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Are There Oral Herpes Home Remedies
- Drink plenty of fluids to prevent dehydration.
- Avoid physical contact with the lesions and any lesion secretions.
For mild infections, self-care may be adequate for treatment. Other treatments termed âhome remediesâ are not considered cures but can ease or hasten recovery. These remedies include aloe vera gel, cornstarch paste, and tea or mint leaves. A cool compress may reduce pain. There is no cure for the infection. People with severe infection symptoms, especially children, should be evaluated by a medical caregiver.
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 dont know they have herpes can still spread the virus to others.
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Myth: Herpes Can Be Transmitted Through The Blood
Herpes cannot be transmitted through the blood, though it can be detected through a blood test.
In fact, people with a history of herpes simplex virus type 1 or 2 can safely donate blood as long as:
- All lesions and infected cold sores are dry and healed
- They wait at least 48 hours after finishing a round of antiviral treatment
Valacyclovir Vs Acyclovir Vs Famciclovir: The Facts
Medically reviewed by Patrick Carroll, MD
There are several drugs used to treat herpes, all of which are antiviral medications. Some of the most popular, effective and widely used herpes medications currently available are valacyclovir , acyclovir and famciclovir . All of these drugs work through a similar mechanism, and all have their place in treating cases of HSV-1 and HSV-2.
In this guide, comparing valacyclovir vs. acyclovir vs. famciclovir to explain which one is the best choice for treating and managing the virus.
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Is It Safe To Breastfeed If I Have Genital Herpes
Yes as long as there isnt an open lesion on your chest or breast. If you have an active outbreak while breastfeeding, its possible to spread the infection to your nipples through touch. Careful hand-washing can prevent this spread. You shouldnt nurse from a breast that has herpes sores. You can pump breast milk until the sores heal. Dont give your baby expressed breast milk if the pump comes into contact with an open sore.
What Causes Or Triggers A Recurrence
You may not always be able to tell when youre having a herpes outbreak. However, some common early warning signs that signal an impending attack, can include tingling, itching, and pain. This can happen 1 or 2 days before blisters start to show.
If you have HSV-2, you might have four or five outbreaks a year. How often outbreaks occur varies a lot from person to person. Outbreaks may also decrease over time.
People with HSV-1 tend to have fewer outbreaks.
In time, some people can pinpoint things that trigger an outbreak, such as:
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How Will My Healthcare Provider Know If I Have Genital Herpes
Your healthcare provider may diagnose genital herpes by simply looking at any sores that are present. Providers can also take a sample from the sore and test it. If sores are not present, a blood test may be used to look for HSV antibodies.
Have an honest and open talk with your healthcare provider about herpes testing and 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 when you got the infection.
What Can Be Mistaken For Herpes
Noticing a sign of Herpes can be worrying, but dont panic. It is easy to mistake Herpes for something else. Here, we explain the other potential causes for Herpes-like symptoms and how to find out if it is Herpes, or not.
The Herpes Simplex Virus, also known as Herpes, is often misunderstood yet an extremely common infection. The symptoms of Herpes usually form as sores and blisters in the oral and/or genital area, depending on which type of Herpes it is. However, it is not always easy to differentiate the symptoms from other health or skin conditions.
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How Common Is Genital Herpes
Genital herpes infection is common in the United States. CDC estimated that there were 572,000 new genital herpes infections in the United States in a single year.1 Nationwide, 11.9 % of persons aged 14 to 49 years have HSV-2 infection .2 However, the prevalence of genital herpes infection is higher than that because an increasing number of genital herpes infections are caused by HSV-1. 3 Oral HSV-1 infection is typically acquired in childhood because the prevalence of oral HSV-1 infection has declined in recent decades, people may have become more susceptible to contracting a genital herpes infection from HSV-1. 4
HSV-2 infection is more common among women than among men the percentages of those infected during 2015-2016 were 15.9% versus 8.2% respectively, among 14 to 49 year olds. 2 This is possibly because genital infection is more easily transmitted from men to women than from women to men during penile-vaginal sex. 5 HSV-2 infection is more common among non-Hispanic blacks than among non-Hispanic whites . 2 A previous analysis found that these disparities, exist even among persons with similar numbers of lifetime sexual partners. Most infected persons may be unaware of their infection in the United States, an estimated 87.4% of 14 to 49 year olds infected with HSV-2 have never received a clinical diagnosis. 6
The age-adjusted percentage of persons in the United States infected with HSV-2 decreased from 18.0% in 19992000 to 12.1% in 2015-2016. 2
Recurrent Episodes Of Genital Herpes
Recurrences are usually less painful and shorter in duration than the first episode of genital herpes. Over time, episodes usually become less frequent and may eventually stop altogether. Infections caused by HSV1 are less likely to recur in the genital area than infections caused by HSV2.
Recurrences may be triggered by:
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How Is Genital Herpes Spread
If you do not have herpes, you can get infected if you come into contact with the herpes virus in:
- Saliva or genital secretions
- Skin in the oral area if your partner has an oral herpes infection, or skin in the genital area if your partner has a genital herpes infection.
You can get herpes from a sex partner who does not have a visible sore or who may not know he or she is infected. It is also possible to get genital herpes if you receive oral sex from a sex partner who has oral herpes.
You will not get herpes from toilet seats, bedding, or swimming pools, or from touching objects around you such as silverware, soap, or towels. If you have additional questions about how herpes is spread, consider discussing your concerns with a healthcare provider.
What Is The Difference Between Genital Herpes And Genital Warts
Both genital herpes and genital warts 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.
- Human papillomavirus 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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Treatment Of An Initial Outbreak
The first outbreak of genital herpes is usually much worse than recurrent outbreaks. Symptoms tend to be more severe and to last longer. Your provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. If your symptoms persist, treatment may be extended. An acyclovir ointment may also be prescribed for topical treatment of initial genital herpes.
Genital Herpes Treatment In Pregnancy
You may be offered antiviral treatment:
- to treat outbreaks in pregnancy
- from 36 weeks to reduce the chance of an outbreak during birth
- from diagnosis until the birth if you first get herpes after 28 weeks of pregnancy
Many women with genital herpes have a vaginal delivery. You may be offered a caesarean, depending on your circumstances.
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