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When To Talk With A Doctor

Talk with a doctor if you notice any sores on or around your genitals. Other STIs, like syphilis, can look like herpes but need different treatment. Treatment is needed to prevent complications and transmission.

Your doctor will let you know whether you should test for herpes or another STI, and they can help you get treatment if needed.

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Understanding Herpes With H Hunter Handsfield Md

Herpes expert H. Hunter Handsfield, MD, explains the basics about genital herpes, including the difference between genital HSV-1 and HSV-2 infection, testing options and the importance of knowing virus type, and the three-prong strategy for prevention. See more herpes videos at sexualhealthTV.com.

Have a question about herpes youd like Dr. Handsfield or our other experts to answer? Visit our Ask the Experts page to learn how.

Topical Otc Treatments For Genital Herpes

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Several over-the-counter topical options are available for genital herpes treatment, but evidence suggests they arent all effective.

Start with a few simple DIY topical compresses. Research shows that topical therapy can effectively alleviate symptoms of genital herpes outbreaks and even contribute to the prevention of outbreaks when used promptly.

Here are a few tried-and-true natural compress ideas to get you started:

  • -Dry, warm compress using warmed rice in a sock
  • -Cold compress using an ice pack or soft washcloth filled with ice
  • -Baking soda paste
  • -Crushed garlic cloves mixed with olive oil
  • -Topical apple cider vinegar using one-part ACV and three-parts warm water

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When researching at-home herpes tests, we considered online reviews, privacy protocols, result times, result accuracy, and budget.

We prioritized affordable pricing and accessibility to digital results. Additionally, we kept an eye on user ratings and reviews to ensure that most people received accurate results and were happy with their experience.

What Are The Treatments For Cold Sores

You can’t cure HSV or a cold sore, but you can alleviate the pain it causes by avoiding spicy or acidic foods, applying ice, and using over-the-counter remedies. Look for medicines that contain numbing agents such as phenol and menthol to reduce cracking and soften scabs. Abreva is an over-the-counter topical remedy used to help speed healing and minimize pain from a cold sore. It must be used many times a day to speed the healing.

If your cold sore is especially painful or irritating, your doctor may prescribe an anesthetic gel to alleviate pain or an antiviral oral medication to speed healing or prevent recurrence. The antiviral medicines available for treatment include acyclovir , famciclovir , and valacyclovir . These oral medications are more effective when started within the first 48 hours of the outbreak. Valacyclovir is more expensive, but is better absorbed in the digestive tract and therefore more reliable. Acyclovir and another antiviral medication called penciclovir also come in a topical form.

Cold sores can become complicated by a bacterial infection, so it is also important to keep them clean by washing gently with soap and water as needed.

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Specifics About Herpes Medication

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  • Scientifically speaking, Valacyclovir & Acyclovir are both equally effective. Valacyclovir stays in your body longer so you only have to take it once a day, whereas Acyclovir must be taken twice a day
  • Valacyclovir & Acyclovir are the most effective prescription antiviral drugs approved by the FDA for herpes treatment both to treat and prevent outbreaks that occur on the mouth and/or genitals
  • There are two ways to take these antiviral medications:

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What Causes Cold Sores

Cold sores are caused by the herpes simplex virus, which spreads through contact with an active sore or the fluid in the blisters that may form. Herpes on the lip or nearby is commonly called “herpes labialis” or “oral herpes.” It’s usually caused by herpes simplex virus type 1 , but can also be caused by herpes simplex virus type 2 . Herpes simplex virus type 2 , commonly called “genital herpes,” is typically responsible for genital lesions. You can contract HSV-1 from kissing or sharing objects that have come into contact with the virus.

How Do I Know If I Should Get Tested

If you are sexually active or engaging in activities that have the potential to increase your risk of contracting a sexually transmitted disease like sharing needles, you should get tested.

In fact, according to the , Getting tested for STDs is one of the most important things you can do to protect your health.

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How Effective Is Herpes Medication

Antiviral herpes medication will not cure oral or genital herpes infections. However, suppressive therapy significantly ameliorates its symptoms. The Centers for Disease Control and Prevention determined that this treatment can reduce genital herpes outbreaks by 70%-80% in patients that frequently experience them.

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Treatment For Genital Herpes

There are three antiviral medications that are FDA-approved for the treatment of genital herpes:

  • Acyclovir: The oldest antiviral medication for herpes is acyclovir. It has been available since 1982 in a topical form and sold since 1985 in pill form. Acyclovir has been shown to be safe in persons who have used it continuously for as long as 10 years.
  • Valacyclovir: A newer drug, valacyclovir, actually uses acyclovir as its active ingredient. This medication delivers acyclovir more efficiently so that the body absorbs much of the drug, which has the advantage of taking the medication fewer times during the day.
  • Famciclovir: Famciclovir uses penciclovir as its active ingredient to stop HSV from replicating. Like valacyclovir, it is well absorbed, persists for a longer time in the body, and can be taken less frequently than acyclovir.

Antiviral medication is commonly prescribed for patients having a first episode of genital herpes, but they can be used for recurrent episodes as well. There are two kinds of treatment regimens: episodic therapy and suppressive therapy.

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How To Treat Cold Sores

Without treatment, a cold sore typically lasts for up to two weeks, but if you have a very weak immune system, it can take longer for it to heal. Here are some options for shortening the duration of a cold sore:

OTC cold sore medicine — An over-the-counter, antiviral cold sore cream or fever blister treatment like Abreva can reduce the severity of a cold sore and shorten its duration. Cold sore cream works best when you start using it within 24 hours after the onset of cold sore symptoms.

OTC pain relievers — If the sore is very tender and painful, take an over-the-counter pain reliever like acetaminophen or ibuprofen.

Prescription medication — A prescription cold sore medicine like Valtrex can also shorten the lifespan of a cold sore, and it can even help prevent future outbreaks.

Lysine — An amino acid that comes in both oral supplement and topical cream form, lysine has been shown to help cold sores heal faster. Research shows that oral doses of at least three grams per day may help prevent and treat cold sores, but some people shouldn’t take this supplement. Talk to your healthcare provider about whether taking lysine for a cold sore is right for you.

Cold sore patch — A variety of patches are available to treat cold sores. A cold sore patch hides the sore, protects it from injury, helps prevent spreading, and helps reduce scab formation.

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Why We Chose It: If you think you may have herpes symptoms for the first time, blood tests are not accurate. Its best to see a doctorand PlushCare offers that from home because PlushCare is a telemedicine provider.

  • Accepts insurance from several major companies

  • A doctor may be able to diagnose you with herpes without testing, which is faster and less expensive than other options

  • Meeting with a doctor allows you to ask questions and get educated about your sexual health concerns

  • PlushCare is a telemedicine provider. It may be a good option for people who also need other online or at-home healthcare

  • A doctor visit is required to access testing

  • Youre not actually buying a herpes test. If your doctor doesnt think you need one, you may not be offered one

When you use PlushCare for STD testing, youre not purchasing an at-home herpes test. Instead, you are making a virtual appointment with a doctor to discuss your concerns about herpes and other STDs. Then, if the doctor thinks a test is warranted, he or she will write an order for a test and send you to fill it. Results are usually communicated to the doctor within 3-5 days, and then the doctor will follow up with you by telehealth and provide treatment or further testing as appropriate.

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When Should I Get Tested

The best time to get tested for herpes if you havent had an initial outbreak is 12 days after exposure. This is because your body will have had time to produce antibodies that can be detected on a test.

A blood test can determine whether you have these antibodies.

Swabs, on the other hand, can detect the virus directly from an active herpes lesion.

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Keep The Area Clean And Dry

Its important to keep dry any areas affected by genital herpes sores. Moisture triggers irritation and can make outbreaks even worse. Try drying outbreaks with a hairdryer on low heat settings instead of a towel. It also helps to wear cotton underwear, since cotton is gentle and absorbs moisture much better than synthetic fabrics.

Options For Oral Pain Relief

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You can treat your sensitive mouth sores with an antiseptic rinse that can help treat gum irritation, cheek bites and denture irritation. Need to treat canker sores? Try a canker sore treatment like a sore patchthat can keep food and drink from irritating the area. Some products are mint-flavored to help freshen your breath. Choose your canker sore relief from options that include fast pain relief, strong protection and soothing healing.

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What Does A Cold Sore Look Like

A typical cold sore may start out as a small bump thatâs itchy or tender. Over a day or two, the lesion grows and blisters form. The blisters often break open and weep a clear liquid. Soon after, the sore may begin to scab over. The scab may be large, thick, and yellowish-brown or dark-colored. The scabs can crack and bleed, and if they fall off or you pull them off, theyâll return until the sore is fully healed.

For many people, cold sore symptoms start before the sore starts to form. Initial cold sore symptoms often include a tingling or itching sensation within 48 hours of the sore appearing.

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