How To Tell If You Have Genital Herpes

What Is Neonatal Herpes

What You Need to Know About Genital 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.

What To Expect On This Page

We summarize in this article how to recognize genital herpes and why itâs important to talk to your doctor if youâre worried you may have it.

The most common symptom of herpes is skin lesions. These lesions can be confused with similar-looking lesions caused by a number of other conditions.

Using photographs to help you see what weâre saying, we describe herpes lesions and compare and contrast them with the lesions caused by these diseases:

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Can Genital Herpes Be Treated

Your physician can prescribe different medications to help reduce your symptoms and speed up the healing of an outbreak. These medicines work best when you start them soon after an outbreak occurs.

To reduce pain during an outbreak:

Sit in warm water in a portable bath or bathtub for about 20 minutes. Avoid bubble baths.
Keep your genital area clean and dry, and avoid tight clothes.
Take over-the-counter medications, such as acetaminophen or ibuprofen. Avoid aspirin.

Let your physician know if you are worried about your genital herpes. He or she can recommend a support group to help you cope with the virus.

What About Chlamydia The Most Common Std

Chlamydia is caused by bacteria, whereas herpes is caused by a virus. This is why chlamydia is easily treated and cured with antibiotics. However, many people have chlamydia and dont know it because they don’t have any symptoms. That’s why people who are at higher risk of chlamydia, including sexually active young women and men who have sex with other men, are advised to get a test for chlamydia every year.

If you don’t treat chlamydia, it can increase the chances of both men and women getting or giving HIV and AIDS, according to Medline Plus. Untreated chlamydia can also cause serious pelvic inflammatory disease in women, which can lead to infertility, and in men it can spread to the testicles and the tube that carries sperm, causing inflammation.

Screening for chlamydia is usually done by taking a urine sample or a swab from your genitals. Results of these tests are usually found quickly. Different testing methods are used for infections of the rectum and throat, and these take more time.

While the only way to completely avoid getting chlamydia or herpes is to not have sex, you can reduce your chances of getting both by being in a long-term, mutually monogamous relationship with a partner who is not infected with an STD and by using latex condoms every time you have sex.

How Can I Best Learn To Cope With Herpes Simplex

Some people feel distressed or embarrassed about their herpes simplex infection. Its important to understand that the herpes virus is common. For most people, herpes doesnt significantly interfere with daily life.

To cope with negative feelings, you may consider:

Connecting with others through support groups or online forums.
Sharing your feelings with a trusted friend or loved one.
Speaking with a therapist.

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How To Know If You Have Herpes

This article was medically reviewed by Lacy Windham, MD. Dr. Windham is a board certified Obstetrician & Gynecologist in Tennessee. She attended medical school at the University of Tennessee Health Science Center in Memphis and completed her residency at the Eastern Virginia Medical School in 2010, where she was awarded the Most Outstanding Resident in Maternal Fetal Medicine, Most Outstanding Resident in Oncology, and Most Outstanding Resident Overall.There are 11 references cited in this article, which can be found at the bottom of the page. This article has been viewed 842,512 times.

Research shows that around 1 out of every 6 people has some form of herpes.XTrustworthy SourceCenters for Disease Control and PreventionMain public health institute for the US, run by the Dept. of Health and Human ServicesGo to source The herpes simplex viruses are the viruses responsible for oral and genital herpes infections, and they can cause sores, itching, painful urination, and vaginal discharge. Although doctors can treat symptoms, ease pain, and reduce the possibility of spreading the virus, herpes cannot be cured. Studies show that you can find out if you have herpes by examining high risk behaviors, recognizing the symptoms, and getting tested by a medical professional.XTrustworthy SourceFamilyDoctor.orgFamily-focused medical advice site run by the American Academy of Family DoctorsGo to source

Pain And/or Itching In Or Around The Blisters

Lesions are usually very painful to touchespecially during the first herpes outbreak, which tends to be more severe. “The main thing that brings women into the office with herpes is pain,” said Dr. Shirazian.

Bumps that you find just by chance when sudsing up in the shower or toweling off probably aren’t herpes. “Herpes lesions will make themselves known and felt,” said Dr. Shirazian. They can also itch, especially as they begin to scab over and heal.

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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How to Tell Your Partner You Have Herpes

You must tell your partner you have genital herpes. If you pick the right time and say it the right way, there’s a good chance things will work out OK.

Think about how you want your partner to take the news. Do you want it to seem like a huge problem? Of course not, so don’t present it that way. If you say, “I have some awful news for you,” your partner will likely take it as awful news. Instead, be casual, direct, and unemotional.

Also avoid suggesting how they should react, especially in the negative. If you say, “You’re going to freak out when you hear this,” or “Don’t freak out, but…,” you are setting your partner up to panic either way.

Simply say you have genital herpes, and ask if they know what that means. Be prepared to present the facts.

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Where Do Symptoms Appear

When a person has genital herpes, the virus lies dormant in the bundle of nerves at the base of the spine. When the virus reactivates , it travels nerve paths to the surface of the skin, sometimes causing an outbreak.

Genital herpes, regardless of whether it is HSV-1 or HSV-2, does not cause symptoms on the mouth or face. For more on oral-facial herpes, see the oral herpes page.

What Else Should I Know

Genital herpes is a lifelong condition, but there are ways to manage it. If you have genital herpes:

Take medicines to stop outbreaks or make them less frequent and less severe.
Help reduce the risk of spreading genital herpes to others by taking medicines, always using a condom during sex, and avoiding sex during outbreaks.

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Follow Easy Hygiene Best Practices

Several hygiene best practices serve as easy preventative measures to avoid accidentally spreading the virus to your partner.

Keep the infected area clean and dry
Avoid touching sores
Wash your hands immediately after any possible contact with sores
DON’T pick at sores since this will cause infection
DON’T make choices that you know can trigger an outbreak

Is There Any Resistance To Genital Herpes Medication

Resistance to drugs that treat genital herpes even after 20 years of use is very rare. Herpes medications may not work as well in patients who are very immunosuppressed and have been treated with these drugs for a long time. Each individuals response to treatment may vary. In some cases, patients may need more drugs to suppress their viral outbreaks than others.

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How Does Genital Herpes Affect A Pregnant Woman And Her Baby

Neonatal herpes is one of the most serious complications of genital herpes.5,16 Healthcare providers should ask all pregnant women if they have a history of genital herpes.11 Herpes infection can be passed from mother to child during pregnancy or childbirth, or babies may be infected shortly after birth, resulting in a potentially fatal neonatal herpes infection. 17 Infants born to women who acquire genital herpes close to the time of delivery and are shedding virus at delivery are at a much higher risk for developing neonatal herpes, compared with women who have recurrent genital herpes . 16,18-20 Thus, it is important that women avoid contracting herpes during pregnancy. Women should be counseled to abstain from intercourse during the third trimester with partners known to have or suspected of having genital herpes. 5,11

Choose The Right Moment

Its good to initiate this conversation when you and your partner are alone and free from distractions. There may not be a perfect time, but some moments are better than others. Avoid times when other major conflicts or stressors are occurring.

Once youre alone and comfortable, broach the subject with your partner. Stay focused and use the following techniques to help you share the information clearly and succinctly.

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Is There A Cure Or Treatment For Herpes

There is no cure for herpes. Antiviral medications can, however, prevent or shorten outbreaks during the period of time the person takes the medication.11 In addition, daily suppressive therapy for herpes can reduce the likelihood of transmission to partners.11

There is currently no commercially available vaccine that is protective against genital herpes infection. Candidate vaccines are in clinical trials.

Can Genital Herpes Cause Other Problems

How Contagious is Herpes?

For most women, genital herpes does not usually cause serious health problems.

Women with HIV can have severe herpes outbreaks that are long-lasting. Herpes also may play a role in the spread of HIV. Herpes sores can make it easier for HIV to get into your body. Also, herpes can make people who are HIV-positive more likely to spread the infection to someone else.

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Put Genital Herpes In Context

People may have an irrational, inaccurate perception of genital herpes. Since its a sexually transmitted virus, they may group it in the dangerous STDs category of their mind, often beside diseases and viruses with much more severe symptoms.

Because of this, its often necessary to follow up the I have herpes part of the conversation with some quick statistics to provide context.

One way to do this is to let your partner know how common it is. According to the World Health Organization, when it comes to HSV-2, an estimated 11 percent of the world population ages 15 to 49 have the virus meaning you can correctly and accurately let your partner know that at least one in ten people is infected with the virus.

To put it in context, you can ask your partner to imagine that one in ten of the people they met that day have the exact same confession to make at some point, assuming they know theyre infected. Sometimes, this is all it takes to put genital herpes in context as a common type of virus.

How Can Herpes Be Prevented

Correct and consistent use of latex condoms can reduce, but not eliminate, the risk of transmitting or acquiring genital herpes because herpes virus shedding can occur in areas that are not covered by a condom.25,26

The surest way to avoid transmission of STDs, including genital herpes, is to abstain from sexual contact, or to be in a long-term mutually monogamous relationship with a partner who has been tested for STDs and is known to be uninfected.

Persons with herpes should abstain from sexual activity with partners when herpes lesions or other symptoms of herpes are present. It is important to know that even if a person does not have any symptoms, he or she can still infect sex partners. Sex partners of infected persons should be advised that they may become infected and they should use condoms to reduce the risk. Sex partners can seek testing to determine if they are infected with HSV.

Daily treatment with valacyclovir decreases the rate of HSV-2 transmission in discordant, heterosexual couples in which the source partner has a history of genital HSV-2 infection. 27 Such couples should be encouraged to consider suppressive antiviral therapy as part of a strategy to prevent transmission, in addition to consistent condom use and avoidance of sexual activity during recurrences.

Myth #: Your Sex Life Is Over

While theres no cure, herpes treatment is simple and can shorten or prevent outbreaks, so you can still have a love life.

People have a disproportionate fear of herpes in relation to any other STI, Grimes says. They feel like their sex lives are ruined forever and thats in no way the case.

If you have the virus, your doctor may prescribe a medication like Zovirax or Valtrex to keep on hand in case of a flare-up. And if you experience outbreaks often, your provider may recommend daily dosing. However you treat it, its worth remembering that herpes is a condition to manage it doesnt define you.

If you have to be perfect for your new partner, that partner will be looking a very, very long time to find a match! Grimes says. Everyone has something, and since one in six Americans between 14-49 have HSV-2, odds are very high that your next partner is in the same boat. The main issue is to have productive conversations around these issues.

So theres no reason for all the stigma and secrecy surrounding herpes, since its safe to assume more people have it than you think. And if youre diagnosed with the virus, your provider will help you find a treatment plan thats easy, effective, and fit for your lifestyle.

What Should I Do If I Have Genital Herpes

If you have genital herpes:

See a doctor or nurse as soon as possible for testing and treatment.
Take all of the medicine. Even if symptoms go away, you need to finish all of the antiviral medicine.
Tell your sex partner so they can be tested and treated if necessary.
Avoid any sexual contact while you are being treated for genital herpes or while you have an outbreak.
Remember that genital herpes is a lifelong disease. Even though you may not have a genital herpes outbreak for long periods of time, you can still pass the virus to another person at any time. Talk with your doctor or nurse about how to prevent passing the virus to another person.

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Myth: A Condom Protects 100% Against Genital Herpes

The herpes virus is always active in your body, even when no sores are present.

Wearing a condom is an important preventative measure if you or your partner has herpes, but it doesn’t guarantee complete protection. The herpes virus lives both inside and outside the area a condom covers, so it can still spread from one person to another.

If you’re concerned about contracting or transmitting herpes, don’t have sex if you or your partner has an active herpes outbreak. The virus is more likely to spread when active sores and ulcers exist. It’s also important that the infected person regularly take antiviral medicine to keep their infection under control.

Syphilis: A Greater Health Threat Than Herpes

Syphilis and genital herpes are both STDs that can cause sores in the genital area. Like oral herpes, syphilis can also cause mouth sores, which often clear without treatment. But despite these similarities in symptoms, the two diseases differ in their causes syphilis is caused by a bacteria and herpes by a virus and the health risks they pose.

For most people the exceptions being infants and people who have weakened immune systems or who are chronically ill herpes is more of an annoyance than a dangerous disease. But untreated syphilis can lead to severe complications, including bone, joint, liver, heart, and brain damage.

There are four stages of syphilis, according to the CDC, each with different signs and symptoms. In the primary stage, a painless sore or sores develop where the bacteria first entered the skin or mucous membrane. In the secondary stage, you may develop a skin rash, swollen lymph nodes, fever, and other flu-like symptoms. In the latent stage of syphilis, there are no signs or symptoms, and in the tertiary stage, the bacterial infection can damage the heart, brain, and other organs of the body.

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