What Can Trigger Genital Herpes Outbreaks

Treatment Of An Initial Outbreak

Herpes (oral & genital) – causes, symptoms, diagnosis, treatment, pathology

The first outbreak of genital herpes is usually much worse than recurrent outbreaks. Symptoms tend to be more severe and to last longer. Your provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. If your symptoms persist, treatment may be extended. An acyclovir ointment may also be prescribed for topical treatment of initial genital herpes.

How Do I Know If I Have Genital Herpes

Most people with genital herpes have no symptoms or have very mild symptoms. Mild symptoms may go unnoticed or be mistaken for other skin conditions like a pimple or ingrown hair. Because of this, most people do not know they have a herpes infection.

Herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. This is known as having an outbreak. The blisters break and leave painful sores that may take a week or more to heal. Flu-like symptoms also may occur during the first outbreak.

People who experience an initial outbreak of herpes can have repeated outbreaks, especially if they have HSV-2. However, repeat outbreaks are usually shorter and less severe than the first outbreak. Although genital herpes is a lifelong infection, the number of outbreaks may decrease over time.

Ask a healthcare provider to examine you if:

You notice any symptoms or
Your partner has an STD or symptoms of an STD.

STD symptoms can include an unusual sore, a smelly genital discharge, burning when peeing, or bleeding between periods .

What Should I Know If I Am Pregnant And I Have Genital Herpes

Its normal to be concerned about the health of your baby when you have any type of STI. HSV can be transmitted to your baby if you have an active outbreak during a vaginal delivery.

Its important to tell your doctor that you have genital herpes as soon as you know youre pregnant.

Your doctor will discuss what to expect before, during, and after you deliver your baby. They can prescribe pregnancy-safe treatments to ensure a healthy delivery. They may also opt to deliver your baby via cesarean.

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.

Do Condoms Help Prevent The Spread Of Genital Herpes

Yes. To prevent transmission of herpes, we recommend that condoms be used 100% of the time. Many patients will shed the virus and be contagious when they dont have symptoms. Studies have shown that asymptomatic shedding occurs between 1% and 3% of the time in patients with HSV II genital infections. Many new herpes infections occur from partners who are shedding the virus asymptomatically, so condoms are highly recommended.

Condoms may not be an attractive option for monogamous couples or for couples who desire to become pregnant. Couples may opt to have serological tests to determine if either partner has an asymptomatic infection. In close monogamous relationships, the risks of transmission can be weighed against other relationship issues, such as intimacy and pregnancy.

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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.

Dating Sites For People With Herpes And What Foods Can Cause A Herpes Outbreak

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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.

Is Herpes Simplex Related To Herpes Zoster

An All Natural OTC Topical Product for Genital Herpes Outbreak Symptoms

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 Are Genital Herpes Diagnosed

Other STIs, like syphilis, cause similar symptoms. In addition to a physical exam, your healthcare provider will take a fluid sample from the blisters to test for the herpes virus. If your blisters are healed or you dont have blisters, a blood test can check for HSV-2 antibody, a marker that shows you have been exposed to the virus.

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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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Foods High In Arginine

Hazelnuts, walnuts, sesame flour, chocolate, black tea, coconut, oats, whole wheat, gelatin, peanuts, soybeans and wheat germ are foods rich in arginine. These foods also contain lysine, but the arginine content exceeds the lysine content.

Coconut water and coconut oil do not contain arginine and can be included in your diet.

If you are interested in the diet for herpes sufferers, you should know which foods are high in lysine and low in arginine.

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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.

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Treatment The First Time You Have Genital Herpes

You may be prescribed:

antiviral medicine to stop the symptoms getting worse you need to start taking this within 5 days of the symptoms appearing
cream for the pain

If you have had symptoms for more than 5 days before you go to a sexual health clinic, you can still get tested to find out the cause.

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.

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Who Might Get Herpes Simplex

People of any age can contract herpes simplex. You are more likely to get the virus if you:

Were assigned female at birth.
Have had multiple sex partners.
Started having sex at a young age.
Have a history of any sexually transmitted infection .
Have a weakened immune system.
Dont use condoms for intercourse and dental dams for oral sex.

Who gets HSV-1, commonly known as oral herpes?

Anyone can get HSV-1. Most people contract HSV-1 during childhood. It spreads when an adult who has the virus has close contact with a child, such as when a family member kisses a child.

Who gets HSV-2, commonly known as genital herpes?

Genital herpes affects sexually active teens and adults of all genders and races. It can spread if you have multiple sexual partners and dont use condoms or dental dams.

People assigned female at birth are more at risk. Delicate vaginal tissue can tear, making it easier for the infection to get in. Black people who were AFAB are especially vulnerable, with an estimated 1 in 2 people AFAB between the ages of 14 and 49 infected with HSV-2.

Meet Nearby People With Herpes

Herpes Spreads, Even Without Symptoms

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Key Foods That Cause Herpes Outbreaks

Some of the top questions that I see happening in our private community are around preventing outbreaks. You guys are asking is there something that is in my diet that is triggering this or is the someway I can control my outbreaks with nutrition. Basically, what can I do to prevent these dang things from interrupting my life? Ok so the YAASSSS you can. This is good news, right? Trust me, Im like you and I want to do everything I can to prevent an outbreak and keep that sucker dormant. Before we dive in and cover the top foods that cause outbreaks I want to make sure we cover the main reason why these foods are Xed off our list. It boils down to one simple protein called arginine. Arginine is an essential amino acid that is crucial to our overall health. It supports things like blood flow, circulation and helps the blood vessels relax. We clearly need arginine in our system. The problem occurs when we have an abundance of arginine in our body it can be like lighter fluid to a flame or miracle grow to a weed. We want to be aware of what foods are high in arginine and foods that trigger a herpes outbreak. We can combat the arginine with another essential acid called lysine. This The other biggie, why some of these foods are on our dont go there list, is because they lower our immune system. A low immune system equals a chance for the herpes virus to come out and play.

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Support And Advice For Genital Herpes

If you have just found out you have genital herpes, you may feel shocked and may have a lot of questions. It may help you to gather as much information as you can about herpes. This can help you to make fully informed decisions about your treatment, safe sex and preventing further recurrences. Talking to a counsellor about your concerns may also help.

How Can I Reduce My Risk Of Getting Genital Herpes

If you are sexually active, you can do the following things to lower your chances of getting genital herpes:

Be in a long-term mutually monogamous relationship with a partner who is not infected with an STD
Using latex condoms the right way every time you have sex.

Be aware that not all herpes sores occur in areas that are covered by a latex condom. Also, herpes virus can be released from areas of the skin that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes.

If you are in a relationship with a person known to have genital herpes, you can lower your risk of getting genital herpes if:

Your partner takes an anti-herpes medication every day. This is something your partner should discuss with his or her doctor.

How Common Is Genital Herpes

According to the Centers for Disease Control and Prevention, approximately 40 million to 50 million adults in the United States have genital herpes. HSV II infection is more common in women and in people who have had more than five sexual partners. Most people with HSV II do not know they have it, because it does not always cause symptoms.

How Hsv Is Transmitted

The herpes simplex virus spreads between people, usually through contact with saliva or direct contact with a blister. The most infectious time is in the first few days when the blister is forming. Sometimes, people can pass the virus to others when they have no symptoms. This is because the virus may be lying dormant in the skin cells of the lips.

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Get Plenty Of Sleep For Better Physical And Mental Health

Americans are notoriously sleep deprived, but if you have genital herpes, buck this unhealthy trend. Getting plenty of quality sleep affects every aspect of your life your physical and mental health, performance at school or work, and appearance.

To improve your sleep , follow some quick tips from the Centers for Disease Control and Prevention.

How Do People Get Genital Herpes

Sexual Health – Herpes

Infections are transmitted through contact with HSV in herpes lesions, mucosal surfaces, genital secretions, or oral secretions. 5 HSV-1 and HSV-2 can be shed from normal-appearing oral or genital mucosa or skin. 7 ,8 Generally, a person can only get HSV-2 infection during genital contact with someone who has a genital HSV-2 infection. However, receiving oral sex from a person with an oral HSV-1 infection can result in getting a genital HSV-1 infection. 4 Transmission commonly occurs from contact with an infected partner who does not have visible lesions and who may not know that he or she is infected. 7 In persons with asymptomatic HSV-2 infections, genital HSV shedding occurs on 10.2% of days, compared to 20.1% of days among those with symptomatic infections. 8

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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.