How To Prevent Herpes After Exposure

When Are Herpes Tests Accurate

In the table below, we summarize information about the timing of herpes testing.

One of the most important factors in any infectious disease testing is doing it at the right time. This means two things in the case of herpes:

• For the blood test to be accurate, the right amount of time needs to have passed
• The swab test should be done while symptoms are âfreshâ

For each available herpes test, we will mention:

• The earliest testing time

Get treated and/or tested for herpes

Same day treatment and testing

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Prevent The Spread Of Herpes

If you have herpes, . Talk about what it is and what you and your partner need to know and do to protect themselves. Avoid skin-to-skin contact during outbreaks and refrain from all sexual activity during these times. In between outbreaks, you should still because there is still the potential of spreading the virus.

This is an update of an article originally written by HealthCentral contributor Penelope James.

Preventing Herpes During Pregnancy

If you are an adult, the symptoms of herpes are usually manageable and rarely cause complications. However, herpes is transmitted to a baby before, during, or after childbirth, it can be dangerous.

Even with aggressive treatment, newborns who get herpes often die because they don’t have the immune defenses to fight off the infection, allowing it to spread to the liver, lungs, brain, and other parts of the body.

Neonatal herpes mainly occurs during childbirth as the baby comes into contact with lesions in the birth canal. Less commonly, the virus is passed while the baby is still in the womb or after birth when the newborn comes into contact with a herpes sore.

Since 85% of these infections occur during childbirth, the American College of Obstetricians and Gynecologists recommends that women with active recurrent genital herpes be given suppressive therapy starting at 36 weeks of pregnancy. Doing so can greatly reduce, but not entirely eliminate, the risk of infection.

After childbirth, mothers may need to limit contact with a newborn if an outbreak occurs. They also need to take extra care to wash their hands and any touched objects thoroughly and frequently.

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How Long Does It Take For Herpes To Show Up

Herpes simplex viruses come in two main types: type-1 that is also referred to as oral herpes and type -2 that is referred to as genital herpes. The first type causes sores around the mouth and lips. The second type causes these sores around the genital area. Both are distinct. This means that you cannot get oral herpes from a person who is infected with genital herpes.

HSV1 & HSV2 Incubation Periods: the initial incubation period for a herpes infection is between 2 and 12 days with an average of 4 days. When the vesicles break, leading to ulcers, it will take the person 2 to 4 weeks to heal.

HSV1 & HSV2 Window Periods: the seroconversion period of this STD is 3-6 weeks. This is the time needed for the person to produce antibodies that can be de detected by testing. The majority of infected individuals have reported detectable antibodies around 16 weeks post exposure.

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How Big Is The Risk Of Infection

The likelihood of being infected with genital herpes during sex depends on many factors, including how often you have sex, whether and how frequently you use condoms, and how long your partner has already been infected. Someone who has had the virus for a long time is less contagious than someone who has just been infected. In general, women have a higher risk of becoming infected than men. Having other sexually transmitted diseases such as HIV also increases the risk of transmission.

In studies with couples where one partner had genital herpes, the other partner became infected within one year in 5 to 10% of the couples. The people in these studies only rarely used condoms, though and if they did, it was mostly during an outbreak. One of these studies showed that infection occurred in an estimated 1 out of 1,000 sexual acts.

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What Are The Symptoms Of Herpes

Blisters are the most common symptom of herpes. They can occur in various parts of the body around the:

The blisters can often be itchy or tingle. They can also be painful, sometimes causing pain when you use the toilet. This can also affect your quality of life and ability to enjoy sex.

The blisters contain a clear liquid that bursts and scabs over. Blisters may take 1 to 2 weeks to heal, but the first outbreak may last longer. Symptoms may disappear on their own but can return.

If herpes is left untreated, it can increase the risk of getting other STIs, including HIV. As herpes has no cure, it is only advisable to test for it if you have symptoms. Early diagnosis can help manage the condition and reduce the risk of spread to sexual partners.

What Are The Symptoms Of Genital Herpes

Most individuals infected with HSV are asymptomatic or have very mild symptoms that go unnoticed or are mistaken for another skin condition. 9 When symptoms do occur, herpes lesions typically appear as one or more vesicles, or small blisters, on or around the genitals, rectum or mouth. The average incubation period for an initial herpes infection is 4 days after exposure. 10 The vesicles break and leave painful ulcers that may take two to four weeks to heal after the initial herpes infection. 5,10 Experiencing these symptoms is referred to as having a first herpes outbreak or episode.

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What Is Oral Herpes

More than half of American adults have oral herpes. Some estimates say up to 80% of American adults have oral herpes.

Oral herpes is primarily caused by HSV-1, although it is also possible to have an HSV-2 infection around the mouth.

A person with an oral herpes outbreak may first feel itching, burning, or tingling around the mouth, lips, or tongue. Later, cold sores or small blisters may develop in these areas or anywhere on the skin.

Roughly four to six days after these cold sores start leaking, they start healing by forming a crust. Outbreaks of oral herpes can last for two to three weeks, which can be shorter than the two to six weeks of a genital herpes outbreak.

People who develop symptoms of herpes may first experience tingling, itching, or burning, then notice sores or blisters forming around the mouth or genitals.

Symptoms tend to develop 220 days after exposure to the virus.

How Can I Make Sure I Dont Give Anyone Herpes

If you find out that you have herpes, try not to freak out. There are a few ways that you can stop it from spreading to your partners and other parts of your body.

• Talk with your doctor about taking herpes medication every day, which can lower your 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.

• Learn how to tell when an outbreak is coming, and stop having sex right when you notice these signs. You may feel a burning, itching, or tingling feeling that lets you know youre about to get sores.

• Dont have sex until your sores are totally gone, and the scabs heal and fall off.

• Dont touch your herpes sores, because you can spread the infection to other parts of your body or other people. If you touch a sore, wash your hands with soap and water right after.

• Dont wet contact lenses with spit this might spread your oral herpes to your eye.

• If you have a cold sore on your mouth, don’t kiss anyone especially babies, children, or pregnant women.

• Always tell your sexual partners that you have herpes before you have sex, so you can work together to prevent it from spreading. Telling someone you have an STD can be hard, but herpes is super common and doesnt lead to serious health problems. So try not to be too embarrassed or stressed out about it.

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How Is Genital Herpes Diagnosed

HSV nucleic acid amplification tests are the most sensitive and highly specific tests available for diagnosing herpes. However, in some settings viral culture is the only test available. The sensitivity of viral culture can be low, especially among people who have recurrent or healing lesions. Because viral shedding is intermittent, it is possible for someone to have a genital herpes infection even though it was not detected by NAAT or culture. 11

Type-specific virologic tests can be used for diagnosing genital herpes when a person has recurrent symptoms or lesion without a confirmatory NAAT, culture result, or has a partner with genital herpes. Both virologic tests and type-specific serologic tests should be available in clinical settings serving patients with, or at risk for, sexually transmitted infections. 11

Given performance limitations with commercially available type-specific serologic tests , a confirmatory test with a second method should be performed before test interpretation. If confirmatory tests are unavailable, patients should be counseled about the limitations of available testing before serologic testing. Healthcare providers should also be aware that false-positive results occur. In instances of suspected recent acquisition, serologic testing within 12 weeks after acquisition may be associated with false negative test results. 11

Providers are strongly encouraged to look at CDCs STI Treatment Guidelines for further diagnostic considerations.

There Are 2 Herpes Simplex Viruses That Can Cause Infection

• One causes most genital herpes.
• The other virus can also cause genital herpes but more often causes blisters of the mouth and lips.

The U.S. Centers for Disease Control and Prevention states that about 1 out of 6 people ages 14 to 49have genital herpes.

Women are more easily infected with herpes than men.

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Im Pregnant How Could Genital Herpes Affect My Baby

If you are pregnant and have genital herpes, prenatal care visits are very important. Some research suggest that a genital herpes infection may lead to miscarriage or make it more likely to deliver your baby too early. You can pass herpes to your unborn child before birth, but it more commonly passes during delivery. This can lead to a deadly infection in your baby . It is important that you avoid getting genital herpes during pregnancy. Tell your healthcare provider if you have ever had a genital herpes diagnosis or symptoms. Also tell them about any possible exposure to genital herpes.

If you have genital herpes, you may need to take anti-herpes medicine towards the end of your pregnancy. This medicine may reduce your risk of having signs or symptoms of genital herpes when you deliver. At the time of delivery, your healthcare provider should carefully examine you for herpes sores. If you have signs or symptoms of genital herpes at delivery, a C-section is likely to occur.

When Should You Get Tested

The best time to get tested for herpes varies, depending on whatâs happening.

If youâre exhibiting symptoms of an initial outbreak which include pain, itching and redness of the affected location fatigue, fever and chills and, ultimately, painful sores or ulcers itâs best to see a healthcare professional about getting tested.

However, if you think youâve been exposed to the virus and arenât yet exhibiting symptoms, HSV may take some time before being able to show results on a test. While the exact time frame is unknown and varies from person to person, two weeks is usually enough time to yield accurate test results.

Most people become concerned about being infected with the herpes virus after contact with a potentially infected person. Often, simple things like kissing someone with a visible cold sore or facial acne around the lips can cause concern about HSV-1.

For genital herpes, most people become concerned about potentially being infected after sexual contact with a person that shows symptoms of herpes. This can include oral sex with someone that has cold sores, which can potentially spread to the genitals.

Since herpes is asymptomatic in many people, you could be infected with the virus even if you dont have any symptoms.

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How To Prevent The Spread Of Herpes

Although herpes is a lifelong virus that cant be cured, it goes through periods of dormancy between outbreaks. This means that while the virus is still present, its not actively replicating.

During this time, you may not experience any signs or symptoms of having the disease even if youve had a previous outbreak before.

However, you can still spread the herpes virus to your sexual partners at any time, even if no sores are present. In addition, although rare, its possible to spread oral herpes to the genital region and vice versa.

For this reason, its extremely important to be mindful of the following preventive measures:

• Tell your partners that you have genital or oral herpes. This allows them to make informed decisions about their own sexual health, and its the responsible thing to do.
• If youre experiencing the signs and symptoms of an upcoming outbreak, avoid all sexual contact. Youre most likely to spread the virus to others during an outbreak.
• Its possible to spread the herpes virus even without an outbreak. If youre worried about spreading the disease to a partner, research shows that antivirals are effective at reducing this possibility.

Having oral or genital herpes doesnt mean that you can no longer have sex. However, its your responsibility to prevent the spread of herpes to your sexual partner.

If you have herpes, you can still take care of your sexual health through open communication and safer sex.

How Is Herpes Transmitted

Herpes simplex is highly contagious. It is primarily transmitted via contact with an infected person, either with saliva or through direct contact with fluids from herpes sores.

Herpes may be transmitted either through sexual contact or non-sexual contact. HSV-1 is much more common than HSV-2.

It is not possible to get herpes from:

• Holding hands or hugging
• Coughing or sneezing

The CDC estimates that around 48% of the U.S. population have HSV-1, which causes oral herpes, while around 12% have HSV-2, or genital herpes.

Herpes simplex viruses may be spread by:

• Less commonly, shared objects that touch the sores or saliva of someone with an active outbreak

In some cases, while not as common, herpes simplex can be passed from a pregnant person to their baby during birth.

Both types of herpes simplex can be asymptomatic. A person with no symptoms may still be able to spread the virus via saliva or other body fluids if it is actively shedding.

Viral infections never leave the body.

They may go dormant, during which time a person is not contagious.

Herpes simplex virus does not always reactivate, but is contagious from someone experiencing an outbreak, whether it is their first or one of many.

Most people are contagious a few days before sores appear and until the sores are fully crusted over and no longer producing liquid.

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Management Of Sex Partners

The sex partners of persons who have symptomatic genital herpes can benefit from evaluation and counseling. Symptomatic sex partners should be evaluated and treated in the same manner as patients who have symptomatic genital herpes. Asymptomatic sex partners of patients who have symptomatic genital herpes should be asked about a history of genital symptoms and offered type-specific serologic testing for HSV-2. For partners without genital herpes, no data are available on which to base a recommendation for PEP or PrEP with antiviral medications or that they would prevent acquisition, and this should not be offered to patients as a prevention strategy.

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.

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What Are The Symptoms Of Herpes Ii

Typically, the first signs of herpes II is a cluster of blister-like lesions in the genital area which spread and merge, break and crust over within four to 15 days. The fluid from these itching, painful sores is highly infectious. Other frequent symptoms are painful urination, urethral or vaginal discharge and swollen lymph nodes. The first exposure or primary episode consists of headache, fever, chills and muscular weakness. Recurrent episodes are less severe and are limited to the affected area.

What Are The Differential Diagnoses

Other medical conditions could be confused with genital herpes or cold sores. The conditions are severe, and it is wise to consult with a medical expert. Herpes could be distinguished from these conditions with a lab test or medical exam.

• Medical reactions: Medication might lead to sensitive reactions and allergies that could appear as rashes. Although medication-induced rashes do not appear in the genital area, they are common around the patient’s mouth and lips.
• Concurrent HSV-2 or HSV-1: If the patient has either type of herpes, they could also be infected with the other. The viruses are different, and having one does not prevent or cause the other.
• Pre-cancer or Cancer: Lesions around and in your genital area could be symptoms of cancer. The appearance of precancerous or cancerous shouldn’t have blisters that come with HSV lesions. However, your doctor should be able to tell the difference.
• Syphilis: Syphilis is an STD that manifests in genital sores that could be confused with herpes. Your OBGYN should be capable of telling the difference through visual lesions inspection.
• Canker sores: Usually, canker sores are red, raw, painful, and whitish in the middle. They are due to oral trauma and can appear in the mouth. While the painful sensation of cold sores and canker sores is alike, a lesion looks different.

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