Monday, September 19, 2022

What Kind Of Doctor To See For Herpes

What Real Patients Say About Dr Aliabadi

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

Dr. A has always made me feel comfortable and I am so glad I am having her deliver my baby. She always makes time for me, even when Im worried and want to come in last minute for a check-up.

Ramini P.

Dr. A is as good as it gets. The level of dedication, passion, and vest she has for her patients are beyond. Every visit with her makes u feel taken care of on all levels.

Heather K.

Each visit with her is reassuring, stress free and educational. She knows how to treat her patients especially if they are nervous and scared, her bed side manner is exemplary. Going to a gynecologist is one of the most difficult things, yet she makes it so easy and comfortable.

Sally M.

The quality of care by Dr. Aliabadi is impeccable. The assurance that I was receiving the highest quality medical care during my high risk pregnancy was worth every penny.

Sandra E.

Four years ago she was the first to detect cancer in my body. From that point on she did everything in her power to set me up with the best surgeon, oncologist, treatment, and care. She still follows up with me and my family on a regular basis to make sure Im on the right path.

Pari V.

Went above and beyond caring for me while pregnant in a pandemic. Was always able to reach her and her staff no matter what day or time it was.

Mercedes L.

Genital Herpes Is Common Why Doesnt Cdc Recommend Testing Everyone For This Std

CDC does not recommend herpes testing for people without symptoms. This is because diagnosing genital herpes in someone without symptoms has not shown any change in their sexual behavior nor has it stopped the virus from spreading. Also, false positive test results are possible. Even if you do not have symptoms, you should talk openly and honestly about your sexual history with your doctor to find out if you should be tested for any STDs, including herpes.

Although CDC does not recommend that everyone get tested for herpes, herpes testing may be useful in some situations. Herpes blood tests might be useful

  • If you have genital symptoms that could be related to herpes,
  • If you have a sex partner with genital herpes, or
  • If you want a complete STD exam, especially if you have multiple sex partners.

Please note that while a herpes blood test can help determine if you have herpes infection, it will not be able to tell you who gave you the infection.

Can Genital Herpes Be Prevented

Practising safe sex is the best way to help prevent genital herpes infection.

It is safest to:

  • always use condoms and dental dams, even when there are no sores or blisters present
  • avoid sex when there are sores or blisters present you are most infectious at this time
  • avoid sex with someone who has any blisters, sores or other symptoms of genital herpes
  • avoid oral sex when there is any sign of a cold sore

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Who Is At Risk For Developing Herpes Simplex Infections

Anyone can contract HSV, regardless of age. If youre exposed to HSV, youre likely to contract the virus.

Remember, HSV is very common. But because its often asymptomatic, plenty of people living with the virus never have an episode or realize theyve contracted HSV.

You may have a higher chance of contracting the virus if you:

  • have a sexual partner who lives with HSV
  • were assigned female at birth . suggests more AFAB folks than people assigned male at birth develop HSV, but this could also mean AFAB folks are more likely to experience symptoms.
  • are immunocompromised

Some older research suggests HSV-1 antibodies may offer AFAB folks some protection against contracting HSV-2. Still, many people living with one type of the virus do contract the other type later on. You wont contract the same type of the virus again, though, since it remains dormant in your body once you acquire it.

You may have a slightly higher chance of contracting genital HSV if you have sex without using condoms or other barrier methods. Keep in mind, though, that condoms and other barrier methods wont always cover the infection site, since sores can appear on the buttocks or inner thighs.

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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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Why Genital Herpes Comes Back

Genital herpes is caused by a virus called herpes simplex. Once you have the virus, it stays in your body.

It will not spread in your body to cause blisters elsewhere. It stays in a nearby nerve and causes blisters in the same area.

If you can, avoid things that trigger your symptoms.

Triggers can include:

  • surgery on your genital area
  • a weakened immune system for example, from having chemotherapy for cancer

Genital Herpes And Pregnancy

Women with herpes before pregnancy can usually expect to have a healthy baby and a vaginal delivery.

If you have genital herpes during pregnancy, there’s a risk your baby could develop a serious illness called neonatal herpes.

This can be fatal, but most babies recover with antiviral treatment.

The risk of your baby getting neonatal herpes is low if you have had genital herpes before.

It’s higher if you get genital herpes for the first time in pregnancy.

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Eye Herpes Vs Pink Eye

An ocular herpes simplex virus infection shares common signs and symptoms with another common eye infection called conjunctivitis , caused by bacteria, a virus, or allergies.As many as 25% of eye herpes cases go misdiagnosed as pink eye.6

While the two conditions are similar, there are slight differences that include:

  • Conjunctivitis usually occurs in both eyes
  • HSV eye infections typically only occur in one eye
  • Eye culture that is positive for an HSV infection
  • An adenovirus causes pink eye

Coping With Your Feelings

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Finding out that you have genital herpes may cause you to have negative thoughts or feelings about yourself or about sex, such as:

  • Feeling ashamed or embarrassed.
  • Being afraid of the consequences of the infection.
  • Being angry at the person who infected you.
  • Feeling frustrated with treatment or recurrent outbreaks.
  • Feeling scared to have sex.

A counselor or support groups for people with herpes may be helpful.

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Which Specialist Treats Herpes

Usually it will be a dermatologist who will detect the symptoms of oral herpes sores in the patient and who will analyse the wounds. In cases of genital herpes, a gynaecologist or urologist may be the one to make a diagnosis and recommend treatment. If you are worried about possible symptoms of herpes, you can also visit your nearest sexual health clinic.

Medical Management Of Genital Herpes

Doctors reported that a mean of 56% of their patients with genital herpes were currently receiving episodic anti-viral treatment, 18% were receiving suppressive therapy, and 26% were not taking prescription medication. In contrast, 20% of patients reported that they were currently receiving episodic treatment, 9% suppressive therapy, and 71% were not taking prescription medication for genital herpes. Use of prescription medication tended to increase with the number of recurrences experienced in the preceding year .

Among doctors who chose not to treat select patients with anti-viral therapy, cost was the primary rationale, followed by patient refusal and infrequent outbreaks . In contrast, patients who were not receiving anti-viral therapy thought that their outbreaks were not severe or frequent enough to warrant treatment . Cost was only mentioned by 9% of patients .

Doctors reported discussing suppressive therapy with 59% of patients, whereas only 25% of patients recalled such a discussion. Among patients, the likelihood of having a discussion about suppressive therapy with a doctor decreased with years since diagnosis and increased with the number of recurrences experienced in the preceding year .

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What Are The Causes Of Genital Herpes

Genital herpes is spread by skin-to-skin contact with someone who has the HSV virus, usually during genital or oral sex. It can also be spread through kissing, foreplay or non-penetrative sex.

  • HSV1 commonly causes cold sores on the lips or face.
  • HSV2 causes most genital herpes.

The HSV virus is most easily spread when there are blisters or sores, but it can still be passed even if a person has no current blisters or sores or other symptoms.

You cannot get genital herpes from things like hugging, swimming pools or toilet seats.

Is There A Cure Or Treatment For Herpes

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Theres no cure for the herpes virus yet. A herpes vaccine does not currently exist, because 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 reduces the risk of transmission to others. Most medications for herpes are taken orally, though they may also be applied as a cream or administered by injection.

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Does My Healthcare Provider Include A Blood Test For Genital Herpes When They Test Me For Everything

Herpes blood tests may or may not be part of the tests your healthcare provider gives you. They may choose tests based on several factors .

They will also evaluate you for signs or symptoms of herpes to choose which tests to use. This is why its important to talk openly and honestly with your provider during your visit. Ask them which infections they are and are not testing you for and why.

Additional Resources

Antiviral Medicine Can Be Taken Daily

For some people, taking an antiviral medicine every day works best because they have:

  • Frequent outbreaks

  • A partner who doesnt have the virus

Frequent outbreaks

Even if you treat an outbreak, you can have new outbreaks. Some people have several outbreaks a year. If you have six or more outbreaks a year, your dermatologist may recommend taking an antiviral medicine every day.

Taken daily, this medicine can reduce how often you have an outbreak. Studies show its safe to take daily and can reduce outbreaks by 70% to 80%.

A partner who doesnt have the virus

If your partner doesnt have the virus that causes genital herpes, taking an antiviral medicine every day can decrease the risk of passing the virus to your sexual partner.

Even when taking medicine, you can still give your partner the virus. You can reduce this risk by skipping sex when you have sores and wearing a condom when you dont.

If you decide to take medicine daily, youll likely take it every day for at least one year. At the end of one year, your dermatologist should re-evaluate you to see if you still need to take an antiviral every day.

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Herpes Simplex Virus Or Sexoligst

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Learn More About Herpes Treatments

Could a Fever be a Sign of Genital Herpes?

Interested in learning more about how herpes is treated? From common infections like HSV-1 and HSV-2 to the varicella-zoster virus, most types of herpes are treated through antiviral medications such as valacyclovir. Think you might have herpes? Don’t hesitate to call your healthcare provider about getting an HSV test.

Our Valacyclovir 101 guide covers all there is to know about this common and highly effective antiviral drug, from dosage guidelines and brand names to side effects, mechanism of action, interactions and more.

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standardshere.

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How Does Someone Get Eye Herpes

HSV-1 and VZV are both common infections, with 90% of the general population exposed during childhood. Since most herpes cases are asymptomatic, many people are unaware they are infected.5

Type 1 herpes is transmitted through saliva or skin-to-skin contact with someone who is shedding the virus.

After the initial infection, the viruses that cause eye herpes can lay dormant in the body for long periods. Most cases of eye herpes are a reactivation of a dormant infection that can be triggered and reactivated by:

  • Certain medications

What Happens During An Outbreak

Genital herpes outbreak is typically preceded by a prodrome an early sign of the illness which includes an itching or burning sensation on the area where the virus is present. You may also experience discomfort in your buttocks, lower back, thighs, or knees. During an initial outbreak, you may have flu-like signs and symptoms such as swollen lymph nodes in your groin, headache, muscle aches and fever.

Within the next few hours, blisters will appear and may be accompanied by swelling or other flu-like symptoms. The genital herpes symptoms will last 3-4 weeks, the blisters break and leave painful sores that may take a week or more to heal. You may feel itching, burning, or tingling on the affected area. In the next several days, the sores will crust over and eventually heal. Generally, the sores wont leave lasting scars.

Repeat outbreaks are usually shorter and less severe than the first outbreak. Although the infection stays in the body for the rest of your life.

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.

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How Is Genital Herpes Treated During Pregnancy

  • Oral antiviral medications may be used during pregnancy.
  • One serious concern with genital herpes in pregnancy is transmission of the infection to the baby during delivery. In an infant, genital herpes infection can spread through the bloodstream and have serious consequences.
  • Cesarean delivery is performed for women who go into labor while there is an active outbreak of genital herpes in order to prevent infection of the baby during birth.
  • The American College of Obstetricians and Gynecologists recommends that pregnant women with recurrent genital herpes be offered oral antiviral medication at or beyond 36 weeks until delivery in order to increase the chances of being able to deliver vaginally.

Genital Herpes Is Spread By Skin

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The virus can be spread when someone with HSV has an episode or an outbreak characterised by having a sore, blister, ulcer or skin split . It can also be spread between episodes, when there is no sore, blister, ulcer or skin split present called asymptomatic viral shedding.

During viral shedding the virus is on the skin surface and can be spread through genital skin-to-skin contact, or from the mouth or face to genital skin during contact.

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What Is Neonatal 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.

How Is The Herpes Virus Transmitted

There are two types of the herpes virus: type 1 and type 2 . Infections of the mouth area are usually caused by HSV-1, while most cases of genital herpes are caused by HSV-2. That being said, there can be cross-over and both types can infect either area.

People get herpes infections by coming into direct contact with the skin of someone who is already infected with the virus. Cold sores, for example, can be contracted by kissing someone with a herpes infection in that area. Genital herpes is transmitted during sexual contact with someone who has a genital herpes infection. While people are more likely to acquire the virus to from someone with a visible sore, it can also be transmitted from an infected person who does not have a visible sore and may not know that he or she is infected.

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