What Is The Usual Treatment For Genital Herpes
The doctor may prescribe antiviral tablets to speed up healing and reduce the severity of a first episode. Aciclovir is the most commonly used antiviral drug for treating genital herpes. You dont need the tablets if the first episode is mild, or if you have almost recovered before you see the doctor.If you get more episodes later on, you will be less likely to be offered with antiviral tablets as outbreaks clear up without treatment.To prevent a recurrent outbreak with antiviral tablets, you need to start taking them within 24 hours of noticing the beginning of the outbreak. When you start after 24 hours, it is unlikely that the tablets will have much effect. This is why you should have a prescription or tablets ready, so that you can start to take them as soon as possible see dosing information below. Members can ask for our antiviral drug fact sheet see subscription form. And we offer self-help suggestions too.
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Herpes Causes And Risk Factors
Causes of herpes include acquiring the virus through sexual contact, coupled with immune system suppression and sometimes nutritional deficiencies.
HSV-1 is primarily transmitted by oral-oral contact. On the other hand, HSV-2 is considered a sexually transmitted disease and usually passed during oral or vaginal sex.
A scary finding is that more cases of genital herpes than ever before are now being caused by HSV-1 , and about 85 percent of people with genital herpes dont even know it. Studies show that about 50 percent of the new genital herpes infections in young adults are due to HSV-1 and about 40 percent in older adults. The fact that most people dont ever find out theyre infected is one of the reasons that transmission rates are steadily climbing.
Risk factors for acquiring herpes include:
- Kissing someone who has symptoms of an active herpes virus
- Engaging in any form of unprotected sex
- Having sex with multiple partners
- Spreading the virus through contact with cold sores on the eyes, secretions on the fingers, or ulcers/sores on buttocks and upper thighs
- Having certain other illnesses that lower immune function, such as HIV/AIDS, an autoimmune disorder or hepatitis
- Eating a poor diet that causes nutrient deficiencies and lowered immunity
- Smoking cigarettes, drinking high amounts of alcohol or abusing drugs
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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Prevention Of Genital Herpes
The best protection against STIs is to always use barrier protection such as condoms, female condoms and dams . Because herpes is spread by skin-to-skin contact, condoms will reduce the risk of transmission, but it will not protect sexual partners completely as condoms do not cover the entire genitals.
Using lubricant with a condom during sex will also reduce the risk of trauma to the genital skin. This has been shown to reduce HSV transmission, especially in the first six months of a sexual relationship. Silicone-based lubricants are recommended.
Remember that herpes transmission can occur when symptoms are present , but may also occur even if there are no genital symptoms through asymptomatic viral shedding.
For people who have frequent episodes of genital herpes, antiviral medication, taken daily, helps to reduce transmission of herpes to a sexual partner.
What Happens If Herpes Goes Untreated
The first outbreak of genital herpes can be the most severe and can cause complications such as vaginal yeast infections, urinating problems, and meningitis.
Treatment may not be necessary for subsequent outbreaks, but anyone experiencing very regular or severe outbreaks should speak with a doctor about preventive treatment.
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Symptoms Of Genital Herpes In Females
Getting a menstrual period can cause an outbreak of genital herpes.
Also, a person may mistake the symptoms of genital herpes for those of a yeast infection or bladder infection.
Genital herpes can spread in the following ways:
- receiving oral sex from a partner with a cold sore
- touching a herpes sore, then touching the genitals
- a baby can contract genital herpes during birth if the mother has the virus
People can sexually transmit the virus even if they have no visible symptoms.
It is not possible to contract genital herpes from toilet seats, bedding, swimming pools, or touching other objects. The virus can only spread from human-to-human contact.
How Is Genital Herpes Diagnosed
The health care provider usually makes a diagnosis from a physical examination. The health care provider asks questions about symptoms and sexual activity.
Sometimes a sample may be taken from the blisters and sent to a laboratory to confirm that HSV is in the blister or to rule out other illnesses. A blood test can be done to check for antibodies to HSV, which indicate a current or past infection.
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What Happens If Herpes Is Not Treated
Herpes can be painful, but it generally does not cause serious health problems like other STDs can.
Without treatment, you might continue to have regular outbreaks, or they could only happen rarely. Some people naturally stop getting outbreaks after a while. Herpes typically does not get worse over time.
The information on this page is adapted from the CDC and Planned Parenthood.
How Do Dermatologists Treat Herpes Simplex
There is no cure for herpes simplex. The good news is that sores often clear without treatment. Many people choose to treat herpes simplex because treatment can relieve symptoms and shorten an outbreak.
Most people are treated with an antiviral medicine. An antiviral cream or ointment can relieve the burning, itching, or tingling. An antiviral medicine that is oral or intravenous can shorten an outbreak of herpes.
Prescription antiviral medicines approved for the treatment of both types of herpes simplex include:
Taken daily, these medicines can lessen the severity and frequency of outbreaks. They also can help prevent infected people from spreading the virus.
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If You Have Genital Herpes Already Can It Be Spread To Other Parts Of The Body Such As The Arms Or Legs
No. Genital herpes cannot be transmitted to another part of your body such as your arm, leg or hand after the first infection occurs. If you have genital HSV II, you will not get HSV II at another site in your body. The immune system produces antibodies that protect other parts of your body from infection. However, there are cases where a person has multiple site infections from the same virus. This is usually acquired at the time of the first infection. For example, if someone has never had herpes but then has oral and genital sex with an infected partner, they can acquire the infection at both sites.
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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How To Treat Genital Herpes
There is no cure for genital herpes. It lays dormant in the body for long periods, then reappears as an outbreak of sores.
However, doctors can prescribe medications that reduce the likelihood of recurring outbreaks. These medicines may also lower the risk of transmitting the virus.
When a person has a genital herpes outbreak, they may be able to promote healing and lower the risk of transmitting the virus by:
- avoiding sexual contact with another person until the sores have healed
- keeping the sores clean and dry
- refraining from touching the sores whenever possible
- washing the hands immediately after touching the sores
- using barrier protection during sexual contact until told otherwise by a doctor
The first herpes outbreak is usually the worst subsequent outbreaks tend to become less bothersome.
Genital herpes does not typically cause serious health complications. However, it can make a person more vulnerable to contracting HIV.
If a person has genital herpes sores, viruses and bacteria, including HIV, have more opportunity to enter the body. Avoid scratching the sores, as this can lead to bacterial infection.
Also, having HIV can make genital herpes outbreaks more severe.
Herbal Remedies May Also Offer Relief
There is some research of varying quality that provides support for using certain botanical remedies for herpes. You may want to try one or more of these:
Long Dan Xie Gan Tan This Chinese herbal formula has been used to quell symptoms and reduce herpes outbreaks. Its English name is clear liver fire pills. In at least one study, the formulawas shown to inhibit the activity of HSV-1 and HSV-2.
Lemon Balm This herb, which is related to mint, has traditionally been used to improve brain function and also has antiviral properties. Records concerning the medicinal use of lemon balm date back more than 2,000 years.
Lemon balm can be prepared and drunk as a tea. It can also be applied to the skin to both prevent herpes to prevent outbreaks and reduce symptoms. Research has shown that lemon balm oil directly counteracts herpesviruses.
Ashwagandha Known to botanists as Withania somnifera, this plant plays a big role in traditional Indian medicine as a general health tonic. It goes by many names, including Ayurvedic ginseng, Indian ginseng, and winter cherry. Ashwagandha helps to support general well-being and reduce anxiety, as well as relieving herpes symptoms, says Gade.
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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.
Are Antiviral Medications Safe
Antiviral medications are considered to be very safe. They are nearly always well tolerated because the active ingredients only have an effect in cells that have been infected by the virus.
People who have kidney failure may need to take a lower dose because the medication is removed from the body through the kidneys.
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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.
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.
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I Sometimes Get Twinges And Pains Around My Buttocks Or Down One Leg What Does This Mean
Occasionally, herpes simplex virus can cause burning skin sensations, deep aches or sudden twinges in the genital area. When they occur in the thighs or buttocks, they are sometimes compared to sciatica. These symptoms are called prodromes or prodromal symptoms. They are a sign that the virus is trying to reactivate and there may be virus on the skin surface. Sometimes sores will follow, but very often your immune response overcomes the virus before visible signs appear. For email version or posted version of more information on treating genital herpes, select tips to prevent recurrences on the subscription form.
How Can I Prevent Genital Herpes
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 needed treatment.
- Tell your sexual partners if you have genital herpes so they can get tested.
- Use condoms, including 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.
- Make sure your partner takes antiviral medication as prescribed.
- Wait to have sex until scabs fall off.
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Pain Management For Postherpetic Neuralgia
Postherpetic neuralgia is a complication of shingles, which is caused by the chickenpox virus. The condition affects nerve fibers and skin, causing a burning pain that lasts long after the rash and blisters of shingles disappear. There is no known cure for postherpetic neuralgia, but the pain management experts at Novus Spine & Pain in Lakeland, Florida can help you manage the pain.
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.
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How Do You Treat Genital Herpes Sores
To ease symptoms:
. Also asked, what is the best ointment for genital herpes?
Acyclovir topical cream is used to treat cold sores on the lips and face. Acyclovir topical ointment is used to treat genital herpes lesions. There is no cure for herpes and acyclovir will not prevent you from developing symptoms in the future.
Also Know, how long do herpes sores last? As a general rule, the first ever herpes outbreak tends to be the most severe. In some cases, it can take 2 3 weeks to heal completely. Subsequent outbreaks are usually less severe and pass within a few days.
Accordingly, how do you get rid of a herpes outbreak overnight?
True home remedies
What can I put on herpes?
First, simple self-care may be enough to relieve most discomfort caused by genital herpes. Taking an over-the-counter pain reliever, such as aspirin, acetaminophen, or ibuprofen, can help ease the pain of herpes symptoms. Doctors sometimes recommend soaking the affected area in warm water.
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Which Genital Herpes Stage Is Safest For Sex
Genital herpes spreads mainly through sexual contact, and it can be contagious even between outbreaks due to asymptomatic shedding.
Theres no genital herpes stage that completely eliminates the possibility of infecting your partner with the virus, but herpes is more contagious in some stages than others. The primary infection stage and the blister stage are the two most highly contagious herpes phases. Its important to avoid all sexual and intimate contact during these times.
The latent stage of genital herpes, however, is the safest. Its still possible to transmit herpes to your partner with asymptomatic shedding, so you will still need to take precautions. But this stage is far less risky than others.
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Can Genital Herpes Come Back
Yes. Genital herpes symptoms can come and go, but the virus stays inside your body even after all signs of the infection have gone away. The virus becomes active from time to time, leading to an outbreak. Some people have outbreaks only once or twice. Other people may have four or five outbreaks within a year. Over time, the outbreaks usually happen less often and are less severe.
Experts do not know what causes the virus to become active. Some women say the virus comes back when they are sick, under stress, out in the sun, or during their period.
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