What Are The Treatments For Herpes

Treatment If The Blisters Come Back

Go to a GP or sexual health clinic if you have been diagnosed with genital herpes and need treatment for an outbreak.

Antiviral medicine may help shorten an outbreak by 1 or 2 days if you start taking it as soon as symptoms appear.

But outbreaks usually settle by themselves, so you may not need treatment.

Recurrent outbreaks are usually milder than the first episode of genital herpes.

Over time, outbreaks tend to happen less often and be less severe. Some people never have outbreaks.

Some people who have more than 6 outbreaks in a year may benefit from taking antiviral medicine for 6 to 12 months.

If you still have outbreaks of genital herpes during this time, you may be referred to a specialist.

I Had Lesions When I Was Evaluated But My Culture Was Negative Does This Mean That I Dont Have Herpes

Not necessarily. Although lesions can be caused by something other than herpes, false negative herpes tests can occur if the samples are not taken appropriately, if there is a long transport time between the clinic and the laboratory, or if cultures were taken late in the course of the lesions. Lesions that occur early in the course of a herpes outbreak are much more likely to have positive cultures than cultures taken after the lesions crust over.

Are There Side Effects From Treating Genital Herpes With Antiviral Drugs

Antiviral drugs are very well-tolerated by most people because they target the virus, not healthy cells. Side effects are rare. Specialist guidelines state that regular kidney function tests for people taking aciclovir long-term are no longer required. The drug has now been used for without problem for over thirty years treating genital herpes. It can be used in pregnancy, indeed it is even recommended that women take it from week 36. See our pregnancy page.

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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.

Is There Anything I Can Do To Relieve The Symptoms Myself

In some women, genital herpes blisters cause pain when urinating . Many of them find it soothing to pee while sitting in warm, shallow water . You can do this using special tubs that fit into toilet bowls. They are available at a reasonable price, for instance from pharmacies or on the internet. It’s best not to use soaps or bath additives because they can irritate the affected area even more. Other things you can do to avoid irritating it further include wearing loose-fitting clothes and underwear made out of fabrics that have a smooth surface.

Painkillers such as ibuprofen are an option if the blisters become very painful.

Topical antiviral treatments such as creams or ointments don’t provide any relief, but they can increase the risk of viral resistance. Experts advise against using topical treatments for genital herpes.

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Types Of Antiviral Drugs

There are three oral antivirals recommended for the treatment of oral or genital herpes:

Preventing genital herpes recurrence is important as it reduces the risk of HIV. According to the CDC, having an active genital herpes infection increases the risk of HIV by 200% to 300%.

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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Treatment Of Acute Herpes Zoster

A meta-analysis of five randomized controlled trials considered the time to complete resolution of acute herpes zoster pain.1 When treatment was initiated within 48 hours, complete resolution of pain occurred sooner than with placebo . This also was true when treatment was initiated between 48 and 72 hours .

A single RCT2 compared valacyclovir with acyclovir . This study found that the mean times to complete resolution of pain were 44 days for valacyclovir and 51 days for acyclovir when treated within 48 hours .2 When treatment was initiated between 48 and 72 hours after the onset of symptoms, the mean times to complete resolution of pain were 36 days for valacyclovir and 48 days for acyclovir .

Another RCT3 compared two dosage regimens of famciclovir with placebo in 419 adults treated within 72 hours of symptom onset. Famciclovir slightly accelerated the rate of lesion healing compared with placebo .

In a single RCT4 with 55 patients, famciclovir was shown to have equal effectiveness to acyclovir . This small and possibly underpowered study found that there was no significant difference regarding the median time to full lesion crusting, the rate of full crusting at day 28, the median time to resolution of acute pain, or the rate of acute pain at 28 days.

Should I Take Antiviral Pills For My Herpes

Antivirals are always an option, not a requirement. Luckily since humans have had herpes since the beginning of time and antivirals were invented in the 1970s. So the decision whether to take them or not is up to you.

If you choose to take them, you can be reassured that they are safe. Even in early pregnancy, aciclovir has not shown any problems. The compound works on virus, not on humans. It works while it is in the body and is expelled in the urine very quickly. This is why aciclovir tablets are taken at least twice a day .

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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.

What Are The Symptoms Of Genital Herpes

The symptoms of genital herpes vary a lot. Most people have very mild symptoms or none at all.

Symptoms can vary from a mild area of irritation to more painful blisters or sores and generally feeling unwell. Common symptoms may include:

• sometimes sores on the cervix

If you are having a first episode of genital herpes, you are more likely to also feel generally unwell and have fever, headache and general bone and muscle aches.

This may last for several days, during or after which reddened areas may appear on your genitals. These may develop into painful blisters. The blisters then burst, generally to leave sores that gradually heal, usually without scarring.

The severity of this first episode varies between people, but for some it may be severe and last for up to 3 weeks if not treated. These symptoms should quickly resolve with treatment. There is effective treatment available if symptoms are problematic.

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Can I Treat Herpes Simplex At Home

Avoiding known triggers, such as illness or stress, can help reduce how often you have herpes outbreaks.

How can I ease my symptoms during an outbreak of HSV-1 ?

• Over-the-counter creams such as L-lysine, benzocaine or docosanol .
• Applying ice to blisters or sores.

How can I ease my symptoms during an outbreak of HSV-2 ?

• Apply an ice pack to your genitals. Wrap the ice pack in a washcloth or apply it over your underwear.
• Keep your genitals dry. Wear cotton or other nonsynthetic underpants and avoid tight-fitting clothes. Moist sores take longer to heal.
• Soak in a warm bath.
• Take nonsteroidal anti-inflammatory drugs to relieve pain.
• Topical 1% or 2% lidocaine may be used as a topical analgesic.

How To Prevent Herpes

Its advised to avoid sexual and oral contact with someone who is currently experiencing a herpes outbreak, but its also important to remember that herpes is transmittable even when it is dormant. The risk during latent periods is lower, but its not zero.

While barrier methods can reduce your risk of contracting or transmitting an STI, there is still a risk that you could get herpes during sexual contact if youre with someone who has it.

If you develop herpes, there are certain precautions you can take to reduce transmission to others. These include:

• using barriers, like condoms and dental dams, during sex
• avoiding sexual contact or kissing while youre having a herpes outbreak
• taking medications, such as those listed above these may be associated with lower risk of herpes transmission, though its best to speak with your doctor

If you do develop herpes, inform your sexual partner.

Its important to tell your doctor if youre pregnant and develop herpes, as the virus can spread to the infant during vaginal delivery. Herpes can be dangerous for newborns. Inform your doctor as soon as possible so that they can help you plan and take precautions to help prevent transmission to your baby.

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What Are Recurrences Of Herpes And How Likely Are They

Recurrences are repeat symptoms which appear at or close to the place where the infection was first noticed in the same dermatome . These are often fairly minor and may be no more than a small spot that heals in a few days. They may be accompanied by sensations itches or nerve twinges. They are unlikely to be as severe as first symptoms and may be almost unnoticed.

How Should This Medicine Be Used

Topical acyclovir comes as a cream and an ointment to apply to the skin. Acyclovir cream is usually applied five times a day for 4 days. Acyclovir cream may be applied at any time during a cold sore outbreak, but it works best when it is applied at the very beginning of a cold sore outbreak, when there is tingling, redness, itching, or a bump but the cold sore has not yet formed. Acyclovir ointment is usually applied six times a day for 7 days. It is best to begin using acyclovir ointment as soon as possible after you experience the first symptoms of infection. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use topical acyclovir exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

Your symptoms should improve during your treatment with topical acyclovir. If your symptoms do not improve or if they get worse, call your doctor.

Acyclovir cream and ointment are for use only on the skin. Do not let acyclovir cream or ointment get into your eyes, or inside your mouth or nose, and do not swallow the medication.

Acyclovir cream should only be applied to skin where a cold sore has formed or seems likely to form. Do not apply acyclovir cream to any unaffected skin, or to genital herpes sores.

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Complementary And Alternative Medicine

Some people use natural therapies to treat herpes, either on their own or to support standard medical care. The research supporting their use is generally weak, with little evidence that they can reduce either the severity or duration of an outbreak. Even so, many people swear by their effectiveness and consider them a vital part of managing herpes outbreaks.

Complementary and alternative therapies sometimes used to treat herpes include:

• Propolis: This is a sticky substance produced by bees that may help speed the healing of genital herpes. A 2017 study found that people who used propolis ointment experienced better healing by the 10th day of treatment compared to those who used a sham ointment.
• Algae extract: Lab studies suggest that algae extract can inhibit the growth of HSV-2 in test tubes. Whether it can do so in humans has yet to be proven.
• Acupuncture: A 2022 review of research on the use of acupuncture to treat symptoms of herpes zoster concluded that acupuncture had a good effect on , quickly reduced patient pain, shortened the course of the treatment. While this suggests that acupuncture may be useful in easing genital herpes pain, this has yet to be proven.

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 Far Away Is A Cure For Herpes

Theres currently no cure for herpes, but that might change in the future.

According to 2020 research published in Nature, scientists from the Fred Hutchinson Cancer Research Center removed 90 percent of the HSV-1 virus from cells in mice using gene editing.

However, it takes time to transition potential treatments from animals to humans. In a 2020 news article, one of the researchers that authored the Nature paper estimated that it would be at least 3 years before human trials.

Scientists are also researching the possibility of creating a vaccine to prevent herpes. A 2022 study outlined a new approach to developing an mRNA vaccine for herpes. The vaccine mentioned in the study worked well in mice and guinea pigs.

The researchers say that theyre aiming to conduct human trials before the end of 2022, and the vaccine could be available within the next 10 years.

Can The Virus Be Transmitted During Childbirth

According to

• lack of appetite
• shooting pain at the site of the infection

You may notice some tingling, burning, or itching at the site of the infection before small, painful blisters appear. There could be one blister or a small cluster. These blisters will eventually burst and crust over before they begin to heal.

The blisters that develop during a primary infection may take to fully heal. These blisters can still transmit the virus until theyve healed completely.

Sores often itch, and genital sores may cause pain during urination.

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How Do I Test For Herpes

If you think you have symptoms of genital herpes or have been at risk of infection, you should speak to a healthcare professional.

There are different tests available. If you have symptoms, the most common test is to take a swab from a blister. The fluid can be tested for the herpes simplex virus. A herpes blood test exists but is not routinely available.

If you have genital herpes you should be tested for other STIs. Its important that you tell your recent sexual partner/s so they can also get tested and treated. Many people who have herpes do not notice anything wrong, and by telling them you can help to stop the virus being passed on.

What Are The Different Types Of Herpes

There are two types of herpes simplex virus: HSV I and HSV II. HSV I commonly causes oral herpes, or cold sores. This virus can show up as an upper respiratory tract infection during early childhood. HSV II is the cause of most cases of genital herpes. However, it is possible for HSV I to cause genital herpes and HSV II to cause oral herpes.

Clinicians cannot tell the difference between the two types by physical examination alone, but there are differences between the two viruses. For example, genital herpes caused by HSV II is much more likely to recur. This diagnosis can be helpful in establishing a health care plan.

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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.