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:
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.
Support And Advice For Genital Herpes
If you have just found out you have genital herpes, you may feel shocked and may have a lot of questions. It may help you to gather as much information as you can about herpes. This can help you to make fully informed decisions about your treatment, safe sex and preventing further recurrences. Talking to a counsellor about your concerns may also help.
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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.
Who Might Get Herpes Simplex
People of any age can contract herpes simplex. You are more likely to get the virus if you:
- Were assigned female at birth.
- Have had multiple sex partners.
- Started having sex at a young age.
- Have a history of any sexually transmitted infection .
- Have a weakened immune system.
- Dont use condoms for intercourse and dental dams for oral sex.
Who gets HSV-1, commonly known as oral herpes?
Anyone can get HSV-1. Most people contract HSV-1 during childhood. It spreads when an adult who has the virus has close contact with a child, such as when a family member kisses a child.
Who gets HSV-2, commonly known as genital herpes?
Genital herpes affects sexually active teens and adults of all genders and races. It can spread if you have multiple sexual partners and dont use condoms or dental dams.
People assigned female at birth are more at risk. Delicate vaginal tissue can tear, making it easier for the infection to get in. Black people who were AFAB are especially vulnerable, with an estimated 1 in 2 people AFAB between the ages of 14 and 49 infected with HSV-2.
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How To Protect Your Baby From Herpes Infection
About one in six Americans ages 14 to 49 has genital herpes, according to data from the Centers for Disease Control and Prevention. Genital herpes typically is caused by HSV-2, a herpes virus strain. But more than half of adults in America have been infected at some point in their lives with HSV-1, the herpes virus that commonly affects the mouth in the form of cold sores. HSV-1 also can cause genital lesions through oral sex. Both of these viruses can cause significant infections in newborns.
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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What Are The Different Types Of Herpes
There are two types of herpes simplex virus: HSV I and HSV II. HSV I commonly causes oral herpes, or cold sores. This virus can show up as an upper respiratory tract infection during early childhood. HSV II is the cause of most cases of genital herpes. However, it is possible for HSV I to cause genital herpes and HSV II to cause oral herpes.
Clinicians cannot tell the difference between the two types by physical examination alone, but there are differences between the two viruses. For example, genital herpes caused by HSV II is much more likely to recur. This diagnosis can be helpful in establishing a health care plan.
If Someone With Herpes Has No Sores Can It Still Be Passed On
If someone has herpes but no sores, can it still be passed on to another person? Spence*
Yes. Even when no sores are present, the herpes is still active in the body and can spread to others.
If you or your partner has herpes, reduce the risk of spread by:
- using a condom every time you have sex . The herpes virus can live outside of the area that a condom covers, though, so a condom may not always prevent the spread.
- avoiding sex during outbreaks
- making sure the infected person takes antiviral medicine every day as prescribed by the health care provider
- *Names have been changed to protect user privacy.
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Should You Get Tested
Its a good idea for the partners of people with genital herpes to have a blood test for herpes antibodies. This can help them to decide whether to use antiviral medication as protection, for example. Both partners may already have the same virus type. Then theres no reason to take medication to protect each other.
If one of the partners has HSV-1 or cold sores and the other one has HSV-2 or genital herpes, they could infect one another with the other virus. If one partner has herpes viruses in their body and the other doesnt, condoms are one way to prevent infection.
Can I Be Treated To Prevent Genital Herpes Transmission To My Partner
Yes. A large study showed that if one partner has herpes and the other partner is uninfected, treating the infected partner with suppressive therapy can prevent transmission of symptomatic herpes in over 90% of cases. This is an option for couples who are interested in having unprotected sex or who are planning to become pregnant.
If you are entering into a new relationship and are aware that you have herpes simplex infection, you owe it to your partner to notify them before having sex.
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Why Genital Herpes Comes Back
Genital herpes is caused by a virus called herpes simplex. Once you have the virus, it stays in your body.
It will not spread in your body to cause blisters elsewhere. It stays in a nearby nerve and causes blisters in the same area.
If you can, avoid things that trigger your symptoms.
Triggers can include:
- surgery on your genital area
- a weakened immune system for example, from having chemotherapy for cancer
How Common Is Genital Herpes
According to the Centers for Disease Control and Prevention, approximately 40 million to 50 million adults in the United States have genital herpes. HSV II infection is more common in women and in people who have had more than five sexual partners. Most people with HSV II do not know they have it, because it does not always cause symptoms.
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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:
- no apparent reason noted.
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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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 .
What Are The Symptoms Of Genital Herpes
Most women with genital herpes do not know they have it. But, if you get symptoms with the first outbreak of genital herpes, they can be severe. Genital herpes also can be severe and long-lasting in people whose immune systems do not work properly, such as women with HIV.
The first signs of genital herpes usually show up two to 12 days after having sexual contact with someone who has herpes. Symptoms can last from two to four weeks. There are other early symptoms of genital herpes:
- Feeling of pressure in the abdomen
- Flu-like symptoms, including fever
If you have any symptoms of genital herpes, see a doctor or nurse.
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Can Genital Herpes Be Prevented
The only way to prevent genital herpes and other STDs is to not have 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
Anyone who is sexually active should get tested for STDs every year . To find a testing site, visit the CDC’s National HIV and STD Testing Resources.
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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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.
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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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Prevention And Management Of Genital Herpes
Cortney M. Mospan, PharmD, BCACPAssistant Professor of Pharmacy PracticeEast Tennessee State University
David Cluck, PharmD, BCPS, AAHIVPAssistant Professor of Pharmacy PracticeEast Tennessee State University
US Pharm. 2016 41:30-33.
ABSTRACT: Genital herpes continues to be a relevant public-health concern because of its prevalence and its association with an increased risk of acquiring other sexually transmitted diseases. Genital herpes may present as vesicular lesions that can rupture and become painful however, more than 80% of individuals are asymptomatic, which makes it difficult to contain the spread of disease. The treatment of genital herpes serves to shorten symptom duration and improve quality of life, but it does not cure the disease. Strategies to prevent transmission include chronic suppressive therapy in serodiscordant couples, safe-sex practices, and avoidance of sexual intercourse during outbreaks. Currently available therapies are well tolerated and highly effective, and some newer therapeutic options are being investigated.
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.
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What You Need To Know
- Herpes simplex virus , also known as genital herpes, is most likely to be spread when an infected person is having an outbreak, but it can also be transmitted without any symptoms being present.
- Medications can help reduce your symptoms, speed up the healing of an outbreak and make you less contagious.
- If you know you have genital herpes before becoming pregnant, your physician will monitor your condition throughout your pregnancy. If you have an active outbreak at the time of delivery, cesarean section may be recommended.
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.
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