What Treatment Options Are There
Currently, there is no treatment to cure herpes however, there are medications to treat symptoms and control outbreaks.
Three antiviral medications are approved by the Food and Drug Administration for the treatment of herpes: acyclovir, famciclovir, and valacyclovir. All of these medications, which are taken orally, work by attacking the herpes virus and disrupting its ability to multiply. Each of these medications can be used during a recurrence to help speed the healing process of an outbreak.
All three drugs are FDA-approved for daily, suppressive therapy to help reduce the frequency of outbreaks. Acyclovir is also available in the form of an ointment, but the medication has been proven to be much more effective for genital herpes when taken orally as a pill. Valacyclovir, when taken daily by a person with recurrent genital herpes, can reduce the risk of transmission to a partner.
Using medication to treat genital herpes is not required. However, if a person would like to use antivirals, speaking with a healthcare provider can help determine which treatment may be right for them.
For more information on treatment and alternative therapies, see the treatment page.
Symptoms Of Genital Herpes
Many people who have genital herpes are unaware that they have the virus because they have no symptoms, mild symptoms, or mistake the symptoms for other conditions such as jock itch, yeast infections, razor burn or allergic reactions to detergents. The infection can be diagnosed by taking a swab from the sores or through blood tests. Those with symptoms may experience a tingling sensation or itching in the genital area within a few days of having sex with an infected person. A cluster of blisters may appear and burst, leaving painful sores often lasting two to three weeks. A fever, headache and muscular pain may occur during the first attack.
After the sores from the first attack heal, the virus goes into a dormant stage, but recurrent outbreaks can occur. Some people have only one or two recurrences in a lifetime, while others have them frequently. Recurrences are typically shorter in duration and less severe than the first episode. Stress, menstrual cycle, illness, fever, surgery, exposure to sun, having sex, pregnancy, and the use of some medications can play a role in the frequency and severity of outbreaks. Herpes can continue to be transmitted to others, even between recurrences when the infected person has no symptoms.
Women’s symptoms can include:
- tender lumps in the groin
Men’s symptoms can include:
- tender lumps in the groin
For both men and women, the sores will usually occur on or near the area where the virus was transmitted.
Learn How To Date With Herpes
Yes, you can still date, and quite successfully too. This is all about confidence, self-respect, and honesty. Once you have come to terms with the diagnosis, it will be easier to inform and reassure potential partners about it without scaring them away. Thats because, believe it or not, its your attitude and feelings about it that will come across the most.
Now heres the facts: You do have to inform your partners before intimacy happens. But it doesnt have to be as hard as it seems. There is a right way to tell someone you have herpes: Calmly, informatively, and aware. Let them know that having sex with you doesnt necessarily mean they will get it. Let them know the herpes transmission rates when using forms of protection like taking Valtrax and using condoms. Theyre surprisingly low.
Of course, if youd like to avoid having the talk, you can do that too by dating people who have herpes. Thats because there are herpes dating sites you can use, in particular Positive Singles, which you can read more about here.
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Genital Herpes Treatment In Pregnancy
You may be offered antiviral treatment:
- to treat outbreaks in pregnancy
- from 36 weeks to reduce the chance of an outbreak during birth
- from diagnosis until the birth if you first get herpes after 28 weeks of pregnancy
Many women with genital herpes have a vaginal delivery. You may be offered a caesarean, depending on your circumstances.
Herpes Might Not Have Any Symptoms
You or your partner may not have any herpes symptoms that you can see or feel, or the signs of herpes may be so mild you dont even notice them. Sometimes people confuse herpes symptoms with other things, like pimples, ingrown hairs, and the flu.
Herpes symptoms come and go, but that doesnt mean the infection goes away or that you cant spread it to other people. Once you have herpes, it stays in your body for life.
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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
Im Pregnant How Could Genital Herpes Affect My Baby
If you are pregnant and have genital herpes, prenatal care visits are very important. Some research suggest that a genital herpes infection may lead to miscarriage or make it more likely to deliver your baby too early. You can pass herpes to your unborn child before birth, but it more commonly passes during delivery. This can lead to a deadly infection in your baby . It is important that you avoid getting genital herpes during pregnancy. Tell your healthcare provider if you have ever had a genital herpes diagnosis or symptoms. Also tell them about any possible exposure to genital herpes.
If you have genital herpes, you may need to take anti-herpes medicine towards the end of your pregnancy. This medicine may reduce your risk of having signs or symptoms of genital herpes when you deliver. At the time of delivery, your healthcare provider should carefully examine you for herpes sores. If you have signs or symptoms of genital herpes at delivery, a C-section is likely to occur.
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How Painful Is Herpes Simplex
Some people experience very mild genital herpes symptoms or no symptoms at all. Frequently, people infected with the virus don’t even know they have it. However, when it causes symptoms, it can be described as extremely painful. This is especially true for the first outbreak, which is often the worst. Outbreaks are described as aches or pains in or around the genital area or burning, pain, or difficulty urinating. Some people experience discharge from the or .
Oral herpes lesions usually cause tingling and burning just prior to the breakout of the blisters. The blisters themselves can also be painful.
What You Need To Know
- Fifty percent to 80 percent of U.S. adults have oral herpes.
- Oral herpes can be spread through intimate contact with someone who is infected.
- Oral herpes can be difficult to diagnose. Often confused with many other infections, it can only be confirmed with a virus culture called PCR, blood test or biopsy. PCR is the preferred test for diagnosing herpes infections.
- The best treatment for oral herpes is antiviral oral medication. Symptomatic treatment may include antiviral ointment, over-the-counter topical anesthetics or over-the-counter anti-inflammatory agents.
Whether you call it a cold sore or a fever blister, oral herpes is a common infection of the mouth area that is caused by herpes simplex virus type 1 . Fifty percent to 80 percent of U.S. adults have oral herpes. According to the National Institutes of Health, about 90 percent of adults have been exposed to the virus by age 50.
Once infected, a person will have herpes simplex virus for the rest of his or her life. When inactive, the virus lies dormant in a group of nerve cells. While some people never develop any symptoms from the virus, others will have periodic outbreaks of infections.
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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.
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.
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How Can I Reduce My Risk Of Herpes Simplex
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.
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.
Get Back To Being You
You have herpes but you are NOT herpes and it does not define who you are as a person. You are a mom, dad, student, best friend or just a great all-around individual. Whoever you were before herpes, you are still that same person. Pick yourself up by the bootstraps and get back to doing what you are really good atbeing YOU. Sure, you may take some hits along the way but who doesnt? What doesnt kill you just makes you stronger, right? Well, herpes definitely isnt going to kill you.
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Pain And/or Itching In Or Around The Blisters
Lesions are usually very painful to touchespecially during the first herpes outbreak, which tends to be more severe. “The main thing that brings women into the office with herpes is pain,” said Dr. Shirazian.
Bumps that you find just by chance when sudsing up in the shower or toweling off probably aren’t herpes. “Herpes lesions will make themselves known and felt,” said Dr. Shirazian. They can also itch, especially as they begin to scab over and heal.
Can Cold Sores Be Prevented
The virus that causes cold sores is very contagious. To help prevent it from spreading to others:
- Keep your drinking glasses and eating utensils, as well as washcloths and towels, separate from those used by other family members and wash these items well after use.
- Don’t kiss others until the sores heal.
- Wash your hands well and often, especially after touching a cold sore.
Be especially careful not to touch your eyes. If HSV-1 gets into the eyes, it can cause a lot of damage.
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How Is Herpes Simplex Treated
Some people have few to no herpes outbreaks and choose not to have treatment. But many people prefer to use medications that shorten outbreaks and reduce symptoms.
During an outbreak, you may use an antiviral ointment or cream to help lessen your symptoms and help them go away faster, but it only works if you start it soon after you start an outbreak. Many people with HSV-2 take daily oral medications to keep outbreaks at bay.
Your provider may prescribe a topical medication or oral medication such as:
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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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.
What Happens During An Hsv Test
HSV testing is usually done as a swab test, blood test, or lumbar puncture. The type of test you get will depend on your symptoms and health history.
- For a swab test, a health care provider will use a swab to collect fluid and cells from a herpes sore.
- For a blood test, a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.
- A lumbar puncture, also called a spinal tap, is only done if your provider thinks you may have an infection of the brain or spinal cord. During a spinal tap:
- You will lie on your side or sit on an exam table.
- A health care provider will clean your back and inject an anesthetic into your skin, so you won’t feel pain during the procedure. Your provider may put a numbing cream on your back before this injection.
- Once the area on your back is completely numb, your provider will insert a thin, hollow needle between two vertebrae in your lower spine. Vertebrae are the small backbones that make up your spine.
- Your provider will withdraw a small amount of cerebrospinal fluid for testing. This will take about five minutes.
- Your provider may ask you to lie on your back for an hour or two after the procedure. This may prevent you from getting a headache afterward.
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What Happens If Herpes Is Not Treated
Herpes can be painful, but it generally does not cause serious health problems like other STDs can.
Without treatment, you might continue to have regular outbreaks, or they could only happen rarely. Some people naturally stop getting outbreaks after a while. Herpes typically does not get worse over time.
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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How To Treat Herpes
When managing herpes, respond quickly. People generally can feel early on when an outbreak is going to occurthey feel a tingling or sometimes an aching sensation, and a little tiny start of a blister, Dr. Brayer says. If you treat it right away you can sometimes block it from coming.
When you first sense a herpes outbreak, immediately:
- Take aspirin. Its an anti-inflammatory and will lessen the virus, she says.
- Apply ice to the area for 10 to 15 minutes to slow the virus and lessen pain.
- Start an antiviral medication. If youve had several outbreaks, ask your doctor for specific prescription meds that you should keep on hand, Dr. Brayer says. If you catch an outbreak early enough, sometimes you can take just one pill and it will stop.
Educate Yourself About Herpes
Other than a pamphlet and maybe the phone number to the county health department you probably wont get the answers you are looking for at the doctors office. You will have to educate yourself but be cautious as there is a LOT of misinformation on the web. You may find yourself only reading the information that you want to hear. Some herpes cure and relief sites are disguised as an informational one. If you do decide to join our site, Hw Hello, you can get real answers from real people who know a lot about herpes and are more than happy to help.
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