How To Stop Genital Herpes Outbreaks

What Are The Symptoms Of Herpes Simplex

Many people with the infection never experience any herpes symptoms. If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a repeat outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

People who do have herpes symptoms may experience:

• Cold sores around their lips, mouth or tongue. They may look crusty or like fluid-filled blisters.
• Tingling, itching or burning.
• Pain while urinating.

How Is It Diagnosed

Diagnosis usually involves observation of your oral condition or laboratory tests. Your doctor may look around the mouth or inside to look for typical signs. If he or she is not satisfied, you may be asked to get to the lab for tests which may include viral culture, DNA test or Tzanck test.

Patients who suspect have the cold sore on their lips should see a doctor.

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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Diet And Lifestyle Changes For Herpes Management

In addition to using medications, supplements, and topical treatments, it is possible to limit the frequency of herpes flare-ups with practical diet and lifestyle choices. While none of these options will have dramatic effects on your symptoms, they will help keep your body in balance and eliminate some of the stressors and triggers that precede most herpes outbreaks.

As mentioned earlier, two amino acids lysine and argenine have an effect on the herpes virus. Argenine is part of the viral growth and replication process, so its wise to limit the amount of argenine present in your diet, especially during an active herpes outbreak. High argenine foods to avoid include chocolate and coffee, nuts, seeds, and raisins, oatmeal, whole wheat bread, lentils, brown rice, and coconut. You might also want to stop eating citrus fruits during a flare-up, as citric acid can be irritating to sores on the lips and mouth.

On the other hand, lysine inhibits the functioning of argenine, thereby reducing viral replication so its a good idea to eat more foods that are high in lysine. To increase the amount of lysine in your diet, eat more cheese and egg yolks, chicken, fish, and beef, milk, yogurt, and cheese, brewers yeast, mango, papaya, apricot, avocado, apple, and sprouts. While not especially high in lysine, cruciferous vegetables like cabbage, brussels sprouts, and broccoli all contain large amounts of indole-3-carbinol, which may also be useful in suppressing the herpes virus.

What Does Lysine Have To Do With Herpes

One other function of lysine well, not so much a function as an effect is that it competes with another amino acid known as arginine for space in our cells. Each of our cells has little tiny doors on them through which certain substances may pass.

Think of those little doors as the holes in the childs toy where the objective is to put the round object through the round hole and the square object through the square hole. The round object will not go through the square hole and vice versa.

Lysine and arginine are like two different colored square blocks. They are both competing to get through the square doors on the cell walls. Only one can pass at a time, so if there are tons of lysine blocks and only a few arginine blocks duking it out at the cell door trying to be the one that gets through, by simple probability there will be more lysine blocks that will make it in than arginine before there is no more room.

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Can I Breastfeed If I Have Genital Herpes

Yes, you can breastfeed if you have genital herpes, but not if you have a herpes sore on one of your breasts. If you have genital herpes, it is possible to spread the infection to any part of your breast, including your nipple and areola.

If you have any genital herpes sores on one or both of your breasts:

• You can keep breastfeeding as long as your baby or pumping equipment does not touch a herpes sore.
• Do not breastfeed from the breast with sores. Herpes is spread through contact with sores and can be dangerous to a newborn baby.
• Pump or hand-express your milk from the breast with sores until the sores heal. Pumping will help keep up your milk supply and prevent your breast from getting overly full and painful. You can store your milk to give to your baby in a bottle for another feeding. But if parts of your pump also touch the sore while pumping, throw the milk away.

Herpes Drugs Dont Stop Herpes Shedding

Got Genital Herpes? Youre Still Infectious, Even if Drugs Cut Symptoms

Even when they dont have an active herpes outbreak, people who carry genital herpes viruses are at risk of infecting their sex partners. With the discovery of drugs that prevent herpes outbreaks, there was hope that the drugs would also prevent herpes transmission. But theres been troubling evidence that this may not be true.

Now University of Washington researcher Christine Johnston, MD, and colleagues show that people with no herpes symptoms often shed infectious genital herpes virus even while taking very high doses of anti-herpes drugs.

Short episodes of genital shedding occur frequently with antiviral therapy, even for high-dose regimens, Johnston and colleagues report. These breakthrough episodes are typically , last several hours, and occur at much the same rate irrespective of antiviral dose.

One in 5 Americans and Europeans carries HSV-2, the virus that causes most cases of genital herpes HSV-1 causes some cases. Most people have few, if any, of genital herpes painful symptoms: blisters on or around the genitals or rectum.

Theres no cure for herpes infections. Thats because herpes viruses travel up nerves to take up latent form in the nerve root. Powerful anti-herpes drugs acyclovir , famciclovir , and valacyclovir prevent most outbreaks in most people. But they dont eliminate virus hiding in nerve cells.

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Talk To Your Doctor About Antiviral Medications

There are two brands of antiviral medications available to treat herpes. Either can be used to take daily as a suppressive therapy or episodically when there is an outbreak. Discuss with your doctor how often you are experiencing outbreaks and your symptoms. Together you can decide which, if any, medication is best for you.

Try Taking The Supplement Lysine

In terms of taking supplements to prevent breakouts, I especially recommend L-lysine. This is the primary supplement for herpes, Gade says. L-lysine is an amino acid, a building block of protein. When you have an outbreak, it can be taken orally to shorten the outbreak in conjunction with an antiviral medication.

Lysine appears to be useful in reducing the number and the severity of outbreaks. The usual daily dose is between 1 and 3 milligrams.

Some studies suggest that taking lysine regularly may help prevent outbreaks of both cold sores and herpes sores. In Gades experience, patients have had no side effects using lysine. In some people, though, there have been reports of the supplement causing abdominal pain and diarrhea.

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How Do I Prevent A Herpes Outbreak

It used to be the case that there was no way to prevent a herpes outbreak. People would simply get them, and often at the worse times possible, like on a honeymoon or when they wanted to be intimate with a new partner. There are now methods to prevent these outbreaks, particularly with the use of antiviral drugs. However, it should be noted that not everyone has frequent outbreaks, and some people dont require these medications for prevention since they seldom have active expression of the disease.

One of the standard medications used to prevent a herpes outbreak is acyclovir, also known by the brand name Zovirax®. It can be prescribed when an outbreak occurs to shorten its cycle. Other people use it on a daily basis to reduce the number of outbreaks and sometimes completely prevent them. This is called chronic suppressive therapy for recurrent disease, and usually involves taking acyclovir twice daily. Guidelines on the medication suggest assessing its effectiveness after a year of use to determine if patients should continue the therapy.

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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Is There A Cure Or Treatment For Herpes

Theres no cure for the herpes virus yet. A herpes vaccine doesnt currently exist, as the herpes virus has more complicated DNA than most infections, creating challenges for researchers.

However, medication can help with symptoms, like sores, and outbreaks. Medication also lowers the risk of transmission to others. You can take most medications for herpes orally, though you may also apply some as a cream or receive them by injection.

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, dont 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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Other Impacts Of Genital Herpes

Its important to also remember that there are mental and social impacts of having an incurable STI. Many people with recurrent genital herpes symptoms may feel stigmatized or fearful of pursuing sexual relationships. But people should remember, while genital herpes is not curable, it is manageable, and the outbreaks often decrease over time.

Most people live healthy happy lives with genital herpes .

to track your sex life and herpes symptoms using custom tags.

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Foods To Avoid During A Herpes Outbreak

If youre one of the millions of people who have herpes, youre constantly on the hunt to find ways to alleviate symptoms and avoid outbreaks. Outbreaks can be caused by many different things, but one of the most common culprits is stress.

If youre experiencing frequent outbreaks, some people say there are foods to avoid, certain activities to avoid, and even supplements to take that can help reduce stress and help keep outbreaks at bay.

But are there really foods that you should avoid in order to prevent herpes outbreaks?

The answer to that question is a little bit complicated. Some people believe that certain foods can actually trigger outbreaks, while others say that certain foods can help reduce symptoms and prevent outbreaks. Lets dive into the bulk of it!

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What is a Trigger Behavior for Herpes?

When someone talks about a trigger, it means something that sets off an action or reaction. Triggers for herpes can be anything from thinking about the virus to being in the sun for too long, or even something as simple as smelling a particular scent. Its important to keep in mind that everyone is different, so what might be a trigger for one person might not be a trigger for another. Its always best to talk to a healthcare provider about what might be triggering your symptoms.

What Triggers Herpes Outbreaks?

However, some common triggers include:

Which Foods Should You Avoid During a Herpes Outbreak?

Foods High in Arginine

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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.

How Do You Get Herpes

The virus can be passed on by:

• having any skin-to-skin contact with the infected area

• vaginal, or oral sex without a condom or dental dam

• transferring the infection on fingers from someone else to your genitals

• sharing sex toys that aren’t washed or covered with a new condom each time they are used.

The virus is most infectious when you have blisters, but it can be passed on when someone has no symptoms. This is normally immediately before or after an outbreak.

If you have genital herpes while pregnant you can pass the virus on to your unborn baby. Itâs important to speak to your healthcare provider as soon as possible.

For more details on herpes in pregnancy read our âin detailâ tab.

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Lysine To Arginine Ratio In Food

The lysine and arginine content of a food is measured in milligrams and depends on the mass of the food.

If we wish to express the lysine/arginine ratio without considering the amount of the food containing them, we must use the lysine/arginine ratio.

This ratio expresses the number of milligrams of lysine per milligram of arginine in the food and it is obtained by dividing the number of milligrams of lysine by the number of milligrams of arginine.

Table 1 shows this ratio for a list of foods. In the first row of the table the ratio is 3. This number indicates that there are three milligrams of lysine in margarine for every milligram of arginine.

The ratio is less than 1 for foods that contain less lysine than arginine. These are the foods that should not be included in the diet of people with herpes.

Is Herpes Simplex Related To Herpes Zoster

Herpes simplex and the varicella-zoster virus are related, but they arent the same. VZV causes chickenpox and shingles.

Like HSV-1 and HSV-2, shingles can cause a painful, blistering rash. The shingles rash usually shows up on the back, side, abdomen , neck and face. It is often only on half of your body, following the pattern of your nerves. See your healthcare provider if you have a new rash and suspect you may have shingles.

A note from Cleveland Clinic

Herpes simplex is a virus. Once you have herpes, its a lifelong condition. A herpes infection can lead to outbreaks , but youll also have times when you have no symptoms. The main sign of herpes is sores that appear on the infected skin. Some people choose not to treat herpes, especially if symptoms are mild. Others take antiviral medications to reduce the severity and frequency of outbreaks.

Last reviewed by a Cleveland Clinic medical professional on 05/17/2022.

References

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How Can I Prevent Herpes Outbreaks

If you have lots of herpes outbreaks, your doctor may tell you to take medicine every day this is called suppressive therapy. It can help prevent future herpes outbreaks, and lower your chances of giving herpes to your partners.

Whether or not you take medicine to treat herpes, taking care of yourself by eating healthy foods, getting enough sleep, and avoiding stress might help keep future outbreaks from popping up.

No one knows for sure what triggers genital herpes outbreaks. Other infections, surgery, sex, your period, skin irritations, and stress may cause outbreaks. Sunburns, injuries to your lips, or other infections can cause oral herpes flare-ups. Try to avoid getting sunburned if you have oral herpes.

Genital herpes outbreaks usually happen less often and become shorter and weaker after a few years whether or not you get treated.