Friday, April 19, 2024

What To Do When You Have Genital Herpes

What Are Signs Of Genital Herpes In Women

Herpes Simplex Virus

Women who have the herpes virus may have nooutbreaks or signs of infection. Many do not know theyhave the virus. Once you are infected, the virus staysin your nerve cells for life. When the virus is not active,there is no sign of infection. When the virus becomesactive, a herpes outbreak occurs. Some womenmay not have any outbreaks or may have only oneoutbreak, while others may have multiple outbreaks.

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What Are The Symptoms Of Herpes Ii

Typically, the first signs of herpes II is a cluster of blister-like lesions in the genital area which spread and merge, break and crust over within four to 15 days. The fluid from these itching, painful sores is highly infectious. Other frequent symptoms are painful urination, urethral or vaginal discharge and swollen lymph nodes. The first exposure or primary episode consists of headache, fever, chills and muscular weakness. Recurrent episodes are less severe and are limited to the affected area.

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.

Womens symptoms can include:

  • tender lumps in the groin

Mens symptoms can include:

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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.

What Are The Different Types Of Herpes

Is This Genital 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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You Are Not Your Disease

The next trick is not judging yourself. After youve been diagnosed with herpes, it may be difficult to think about anything other than the fact that you have a disease. But thats all it isa disease. It isnt who you are.

One of the toughest things to remember when dating with herpes is that mostly its just dating. Dating is an activity fraught with the potential for drama, pain, and heartbreak for pretty much everyone. Herpes is just one factor in the equation.

With few exceptions, people dont date solely because they want to have sex. They date because they like each other and find each other interesting and attractive. When those other things are true, a herpes diagnosis often doesnt seem like that big a deal.

If you like someone enough, herpes can be just something you have to work with. Just like you have to work with a partners snoring or their affection for mornings.

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.

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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.

The information on this page is adapted from the CDC and Planned Parenthood.

What Are The Types Of Herpes Viruses

What You Need to Know About Genital Herpes

Herpes is a group of contagious viruses. All of these viruses cause blisters and sores. Some of the more common herpes viruses include:

  • Type 1: HSV-1, or oral herpes, causes cold sores to form on lips, gums, tongue and inside the mouth. It can cause genital herpes in some cases This type usually spreads through saliva when you kiss someone with open herpes sores. You can also get HSV-1 by sharing items like toothbrushes, lipsticks or eating utensils.
  • Type 2: HSV-2 causes genital herpes.
  • Herpes zoster: This virus causes chickenpox and shingles.

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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.

How Long Do Sores From Herpes Simplex Last

If youre infected with HSV-1, commonly known as oral herpes, you may notice tingling or burning around your mouth in the days before a cold sore appears. These blisters break open and ooze fluid before forming a crust. Usually, sores last for seven to 10 days.

If youre infected with HSV-2, commonly known as genital herpes, your first outbreak may last between two to four weeks. Recurrent outbreaks usually last between three to seven days.

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What Happens If I Dont Get Treated

Genital herpes can cause painful genital sores and can be severe in people with suppressed immune systems.

If you touch your sores or the fluids from the sores, you may transfer herpes to another part of your body, such as your eyes. Do not touch the sores or fluids to avoid spreading herpes to another part of your body. If you do touch the sores or fluids, immediately wash your hands thoroughly to help avoid spreading your infection.

If you are pregnant, there can be problems for you and your developing fetus, or newborn baby. See Im pregnant. How could genital herpes affect my baby? above for information about this.

What Is The Treatment

Help! Is this herpes? Blister outbreak

Antiviral medication can be prescribed when herpes first develops, or if the blisters are painful or happen often. The antiviral treatments will not cure herpes, but can help to reduce discomfort and how long it takes for a sore to heal.The medication works best if it is started as soon as possible. It can also decrease the chance of spreading it to others by preventing the virus from multiplying.

To ease discomfort when you have symptoms, try the following:

  • Take acetaminophen or Ibuprofen to help with the pain
  • Wear loose-fitting clothing and cotton underwear
  • Soak in warm water baths
  • Keep the infected area dry, e.g., use a blow dryer on a cool setting after bathing instead of rubbing the area with a towel
  • Apply an ice-pack, wrapped in a clean cloth, to sores
  • Drink plenty of fluids to keep urine diluted . If urinating hurts, pour warm water over your genitals while urinating or pee when you are in a warm shower or bath
  • Do not use medicated or non-medicated ointments or creams, unless they are prescribed by your health care provider
  • Avoid breaking blisters and any sexual contact until symptoms have resolved

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How Do You Avoid Getting Or Passing On Genital Herpes

If either you or your partner has a herpes outbreak , its best to wait until the symptoms have cleared up before having sex.

Using a new male or female condom or dental dam every time you have vaginal, or oral sex will reduce the risk of herpes being passed on.

Herpes can also be transmitted by sharing sex toys. To reduce your risk, either avoid sharing your sex toys or make sure that they are washed and covered with a new condom between each use.

Use a new dental dam or latex gloves for rimming and fingering or use latex gloves for fisting, especially if you get herpes on your hands.

Talking about your sexual health with your partners, and letting each other know about any infections that you have, can help you make decisions about safer sex together. Reducing your number of sexual partners can help you reduce your risk of getting sexually transmitted infections, like genital herpes. If you are having sex with multiple partners, its even more important to use condoms and to have regular STI checks.

Condoms are the best form of protection against STIs and pregnancy. Other contraceptives including the contraceptive pill will not prevent herpes, and neither will PrEP.

How Is Genital Herpes Treated

There is no cure for genital herpes. However, it is possible to reduce the symptoms using anti-viral medicine. This is most effective when started within 72 hours of the first symptoms.

Medicines can help control outbreaks if they are frequent or severe. Anti-viral medicine can reduce the risk from passing the virus on to a sexual partner.

The symptoms can also be helped by:

  • gently bathing the area with a warm salt solution
  • pain medicine, such as paracetamol or ibuprofen
  • local anaesthetic ointment or cream
  • urinating while sitting in a warm bath, if urination is painful

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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.

Is Oral Herpes A Std

It Might Be Good to Have Herpes | Trained Immunity

Although HSV-1 isn’t technically an STD, you can potentially catch the virus through sex. If you receive oral sex from a person with HSV-1, there’s a risk that the virus could make its way into your body through their saliva. When you acquire HSV-1 through oral sex, it leads to genital herpes rather than cold sores.

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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.

Can I Have Sex After Genital Herpes Exposure

The incubation period for genital herpes is 2-12 days. Testing for HSV too early can result in a negative test result, even if you have the virus. If you suspect you’ve been exposed to genital herpes:

  • Stop all sexual activity until you receive a formal diagnosis from your healthcare provider.
  • Make an appointment with your doctor 1-2 weeks after the exposure – unless symptoms appear sooner.
  • See a doctor immediately if you begin to experience symptoms. â
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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.

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

    GRAPHIC IMAGES

    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.

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    Do Herpes Pop Like Pimples

    When an outbreak of genital herpes does occur, it usually presents as a patch of small red or white bumps or red ulcers. These lesions are often painful. Genital herpes may also appear on the buttocks or mouth in some cases. The pus-filled blisters will eventually burst, leaving an ulcer-like sore on the skin.

    What Are The Complications

    Complications are rare, but some people especially those with weakened immune systems, such as people with HIV, may have trouble fighting the virus and get a secondary infection in the eye, fingers, joints, throat, colon, liver, lungs or brain.

    If you are pregnant, and you or your partner have a history of herpes, it is important to inform your health care provider. There are steps that can be taken to help prevent the virus being passed to the baby. This is most likely to happen if the mother has a primary first outbreak in the third trimester. Herpes can cause serious complications for the baby, including death. Women who have genital herpes before they become pregnant are at very low risk of passing it to their infant.

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    More Questions From Patients:

    Many people with genital herpes have no symptoms, or have very mild symptoms that go unnoticed.

    The first time genital herpes symptoms appear is called the first episode or initial herpes. Initial herpes symptoms are usually more noticeable than later outbreaks.

    Symptoms of genital herpes in men may include

    • burning when you pee if you have sores

    • trouble peeing if you have sores covering your urethra

    • itching or pain around your genitals

    During initial herpes, symptoms may also include

    • swollen, tender glands in the pelvic area, throat, or under the arms

    Things that increase your risk of getting genital herpes include:

    • Having more than one sex partner.
    • Having a high-risk partner or partners .
    • Having unprotected sexual contact .
    • Starting sexual activity at a young age. The younger people are when they start having sex, the greater their risk is of getting genital herpes.
    • Having a weakened immune system.
    • Being a woman. Women are more likely than men to become infected when exposed to genital herpes. And their symptoms tend to be more severe and longer-lasting. Women also are at a greater risk of having complications from a genital herpes infection.

    Having herpes, especially if you have open sores, also increases your risk for becoming infected with HIV if you are exposed to HIV.

    Any child with genital herpes needs to be evaluated by a doctor to see if it is the result of sexual abuse. For more information, see the topic Child Abuse and Neglect.

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