Friday, March 22, 2024

What To Do For Genital Herpes

Dos And Donts In Managing Genital Herpes:

What You Need to Know About Genital Herpes
  • DO take medication as directed.
  • DO keep the infected area clean and dry.
  • DO avoid touching the sores. If you touch them, wash your hands immediately to avoid spreading the infection to another part of your body or to someone else.
  • DO tell sexual partners if you have symptoms for the first time.
  • DONT pick at the sores. This may cause them to become infected.
  • DONT allow the sores to be in direct contact with another person.
  • DONT have sex during an outbreak to avoid infecting your partner.

How Is Herpes Simplex Diagnosed

Healthcare providers may diagnose herpes simplex based on how the sores look. Your provider may take a sample from the sore. Laboratory analysis of the sample can confirm or rule out the herpes virus.

If you dont have sores, your healthcare provider can use a blood test to check for HSV-1 and HSV-2 antibody, a marker showing youve been exposed to the virus. The blood test doesnt show an active infection . But it informs your provider whether youve been exposed to the herpes virus in the past. If this is your first infection, you may not test positive for herpes if there hasnt been enough time for your body to develop antibodies. The HSV-1and HSV-2 antibody test may be repeated in eight to 12 weeks.

Causes And Risk Factors Of Genital Herpes

Two types of viruses cause genital herpes herpes simplex type 1 and herpes simplex type 2 .

Usually, HSV-1 causes oral herpes, which becomes visible in the form of cold sores, or fever blisters, on the face, close to the mouth. Most people contract an oral herpes infection during their childhood or young adult years from nonsexual contact with the saliva of an infected person.

HSV-1 mainly spreads through direct contact with cold sores or saliva. Having oral herpes, or cold sores, does not mean that you have genital herpes. But if you have oral herpes, you can spread it from your mouth to another persons genitals if you perform oral sex on them.

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Does A Cold Sore On My Mouth Mean I Have Genital Herpes

No, a cold sore on your mouth usually means you have herpes simplex virus type 1 . You can get HSV-1 by kissing someone or sharing utensils, towels, razors, or lipstick with someone who has HSV-1.

HSV-1 cannot turn into HSV-2 , but you can get a cold sore on your mouth from HSV-2 if you give oral sex to someone with HSV-2. Cold sores caused by HSV-1 or HSV-2 are contagious. You can spread it to other people or other parts of your body if you touch an open sore and then touch another part of your body. That means if you have a cold sore and give oral sex to someone, that person will get the herpes virus on his or her genitals.

Avoid touching your cold sore as much as possible. If you touch your cold sore, wash your hands right away to avoid spreading the infection to other parts of your body or other people.

What Else Should I Know

Painless rash/blisters

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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When It Is Clearly Not Genital Herpes

Youtube video that helps distinguishing the herpes infectionfrom other similar-looking skin conditions:

Practical tips by expert doctor on our YouTube channel.

The following are some conditions that cause skin imperfections around the genital area. They do not necessarily look like genital herpes or pose a diagnostic problem. However, they are common conditions and many patients ask if their skin lesions are related to herpes.

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Can I Breastfeed If I Have Genital Herpes

Yes, you can breastfeed if you have genital herpes, but not if you have a herpes sore on one of your breasts. If you have genital herpes, it is possible to spread the infection to any part of your breast, including your nipple and areola.

If you have any genital herpes sores on one or both of your breasts:

  • You can keep breastfeeding as long as your baby or pumping equipment does not touch a herpes sore.
  • Do not breastfeed from the breast with sores. Herpes is spread through contact with sores and can be dangerous to a newborn baby.
  • Pump or hand-express your milk from the breast with sores until the sores heal. Pumping will help keep up your milk supply and prevent your breast from getting overly full and painful. You can store your milk to give to your baby in a bottle for another feeding. But if parts of your pump also touch the sore while pumping, throw the milk away.

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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.

What Are The Causes Of Genital Herpes

Understanding 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.

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How Can I Reduce My Risk Of Herpes Simplex

Preventing HSV-1

You can reduce your risk of contracting HSV-1 by avoiding physical contact with someone who has a cold sore. People can still spread HSV-1 when cold sores arent present, but its less likely.

If someone has an active HSV-1 infection, avoid:

  • Sharing utensils, cups, lip balms or other personal care products.
  • Touching the skin near their mouth.

Preventing HSV-2

If youre sexually active, you can take these steps to protect yourself and others from the herpes virus and other STIs:

  • Be monogamous with one sexual partner or limit your number of partners.
  • Get tested for STIs and complete any prescribed treatment.
  • Tell your sexual partners if you have genital herpes so they can get tested.
  • Use condoms during intercourse and dental dams during oral sex.

Wash your hands often if you have an outbreak or are around someone with symptoms.

If your sexual partner has genital herpes, these actions can lower your risk of getting the virus:

  • Dont have sex when your partner has active symptoms. Condoms may not cover all sores, so you may still get the virus.
  • Make sure your partner takes antiviral medication as prescribed.
  • Wait to have sex until scabs fall off active lesions.

What Are The Symptoms Of Genital Herpes

Most individuals infected with HSV are asymptomatic or have very mild symptoms that go unnoticed or are mistaken for another skin condition. 9 When symptoms do occur, herpes lesions typically appear as one or more vesicles, or small blisters, on or around the genitals, rectum or mouth. The average incubation period for an initial herpes infection is 4 days after exposure. 10 The vesicles break and leave painful ulcers that may take two to four weeks to heal after the initial herpes infection. 5,10 Experiencing these symptoms is referred to as having a first herpes outbreak or episode.

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What Are The Symptoms Of Herpes Simplex

Many people with the infection never experience any herpes symptoms. If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a repeat outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

People who do have herpes symptoms may experience:

  • Cold sores around their lips, mouth or tongue. They may look crusty or like fluid-filled blisters.
  • Tingling, itching or burning.
  • Pain while urinating.

Management Of Sex Partners

Is this herpes?

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.

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Symptoms Of Genital Herpes

Many people who have genital herpes may not be aware they have the infection, because they may not have any symptoms.

The first episode of herpes can cause considerable pain and distress. Symptoms of the first episode may include:

  • flu-like symptoms such as feeling unwell, headaches and pains in the back and legs, with or without enlarged glands in the groin
  • small blisters around the genitals these break open to form shallow, painful ulcers, which scab over and heal after one to two weeks
  • small cracks in the skin with or without an itch or tingling
  • redness or a distinct rash
  • some people also have considerable pain and swelling in the genital area, and hence may have additional pain and difficulty passing urine.

Genital Herpes Is Spread By Skin

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 Are Genital Herpes Infections Like

The first herpes infection is usually the worst one. Genital herpes infections come back over and over again. The first time, you may have one sore or many sores. The sores are painful. Some may be hidden inside the urethra. The urethra is the tube that carries urine from your bladder. The sores make urination painful. Some people also have a fever, a sore throat, deep tiredness and body aches. These problems might last three weeks.

After the first infection, HSV sores can come back any time. They often come back when you are sick with something else and when your immune system isnt strong enough. Genital herpes might come back 4 to 6 times a year at first. After a few years, the herpes sores hurt less. They come back less often.

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What Do I Need To Know About Dating With Herpes

An All Natural OTC Topical Product for Genital Herpes Outbreak Symptoms

Some people feel like their love lives are over when they find out they have herpes, but its just not true. People with herpes have romantic and sexual relationships with each other, or with partners who dont have herpes.

Talking about STDs isnt the most fun conversation youll ever have. But its super important to always tell partners if you have herpes, so you can help prevent it from spreading.

Theres no one way to talk about having an STD, but here are some tips that may help:

  • Keep calm and carry on. Millions of people have herpes, and plenty of them are in relationships. For most couples, herpes isnt a huge deal. Try to go into the conversation with a calm, positive attitude. Having herpes is simply a health issue it doesnt say anything about you as a person.

  • Make it a two-way conversation. Remember that STDs are super common, so who knows? Your partner might have herpes too. So start by asking if theyve ever been tested or had an STD before.

  • Know your facts. Theres a lot of misinformation about herpes out there, so read up on the facts and be prepared to set the record straight. Let your partner know there are ways to treat herpes and avoid passing it on during sex.

  • Tell your past partners too, so they can get tested.

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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.

    Is There A Cure Or Treatment For Genital Herpes

    There is no cure for genital herpes. However, daily use of antiviral medicines can prevent or shorten outbreaks. Antiviral medicines also can reduce the chance of spreading it to others.

    Though several clinical trials have tested vaccines against genital herpes, there is no vaccine currently available to prevent infection. One vaccine trial showed efficacy among women whose partners had HSV-2, but only among women not infected with HSV-1. Efficacy was not observed among men whose partners had HSV-2. Another trial testing the same vaccine showed some protection from genital HSV-1 infection, but none from HSV-2.

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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.

    How Does Genital Herpes Affect A Pregnant Woman And Her Baby

    Is this herpes??

    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

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    What Do I Do If I Find Out I Have Herpes

    Its normal to have lots of different feelings after you find out that you have herpes. You might feel mad, embarrassed, ashamed, or upset at first. But youll probably feel a lot better as time goes by, and you see that having herpes doesnt have to be a big deal. People with herpes have relationships and live totally normal lives. There are treatments for herpes, and theres a lot you can do to make sure you dont give herpes to anyone you have sex with.

    Millions and millions of people have herpes youre definitely not alone. Most people get at least one STD in their lifetime, and having herpes or another STD is nothing to feel ashamed of or embarrassed about. It doesnt mean youre dirty or a bad person it means youre a normal human who got a really common infection. The reality is that herpes can happen to anybody who has ever been kissed on the lips or had sex thats a LOT of people.

    Herpes isnt deadly and it usually doesnt cause any serious health problems. While herpes outbreaks can be annoying and painful, the first flare-up is usually the worst. For many people, outbreaks happen less over time and may eventually stop completely. Even though the virus hangs around in your body for life, it doesnt mean youll be getting sores all the time.

    And tell anyone you have sex with that you have herpes. Its not the easiest conversation, but its an important one. Here are some tips:

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