Symptoms Of Genital Herpes In Females
Getting a menstrual period can cause an outbreak of genital herpes.
Also, a person may mistake the symptoms of genital herpes for those of a yeast infection or bladder infection.
Genital herpes can spread in the following ways:
- receiving oral sex from a partner with a cold sore
- touching a herpes sore, then touching the genitals
- a baby can contract genital herpes during birth if the mother has the virus
People can sexually transmit the virus even if they have no visible symptoms.
It is not possible to contract genital herpes from toilet seats, bedding, swimming pools, or touching other objects. The virus can only spread from human-to-human contact.
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 Are The Types Of Herpes Viruses
Herpes is a group of contagious viruses that 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 your lips, gums, tongue and inside of your 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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Cycle And Duration Of A Herpes Outbreak
When an individual is first infected with herpes and exhibit active symptoms, the duration of the primary outbreak will be the worst and most painful and can take 3 to 6 weeks to resolve. Subsequent recurrent outbreaks will be less severe, typically lasting 3 to 14 days and the frequency will become farther and farther apart with each recurring attack.
A typical cycle and duration of a herpes outbreak may look like the following:
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Recognize The Early Symptoms
You might not be able to stop an outbreak, but you might be able to reduce the severity and length of it. Many people have warning signs of an outbreak, including itching, tingling, genital pain, or shooting pain in the legs, hips, or buttocks, according to the Centers for Disease Control and Prevention . These signs can occur hours or days before the outbreak, so knowing them gives you the chance to treat the outbreak before it happens.
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What Is The Difference Between Genital Herpes And Genital Warts
Both genital herpes and genital warts are STIs, are spread through skin-to-skin contact, and are caused by a virus. But the viruses that cause genital herpes and genital warts are different:
- Herpes simplex virus is the virus that causes genital herpes.
- Human papillomavirus is the virus that causes genital warts.
There is no cure for either genital herpes or genital warts. But, different medicines can help manage the symptoms of herpes and treat the complications of HPV infections that can cause genital warts.
Stds Are Treatable In Nearly Every Man And Woman
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of sexually transmitted infections . We understand the challenges that STDs such as chlamydia, herpes, gonorrhea, and ureaplasma create for our patients, their relationships, and their self-esteem. We help you find an effective treatment for your symptoms that may be caused by STD, UTI or another cause.
Urologists are doctors specializing in the treatment of infections in men and women caused by sexually transmitted diseases as well as bladder infections . By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman with urinary problems and bladder control problems.
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How Does Genital Herpes Affect Pregnancy
Genital herpes doesnt affect fertility or your ability to conceive. Pregnant women diagnosed with herpes genitalis should start a daily antiviral at 36 weeks of pregnancy to prevent outbreaks during delivery. If you have an active infection at the time of childbirth, you can pass the herpes virus to your baby. Neonatal herpes puts a baby at risk for blindness, brain damage, skin infections and death. Your healthcare provider will perform a cesarean section to lower this risk.
Talk To Your Doctor Before Using Herbal Methods Or Supplements
There are a few herbal methods and supplements that have shown some success in treating herpes outbreaks. For example, some studies have shown the amino acid lysine is helpful for some people with herpes, according to ASHA, but other studies have not been able to produce the same results. Also, some herbal treatments and supplements can have side effects or interfere with other medications. Talk with your doctor about whether these methods might work for you.
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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.
Do Herpes Outbreaks Always Occur In The Same Spot
Since the same group of nerves goes to the genitals, thighs, lower abdomen, rectum and buttocks, it is possible to get a recurrent outbreak of genital herpes anywhere in these areas. Each outbreak may not be in the exact same place as the first outbreak. This does not mean that the herpes has spread.
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How Does Genital Herpes Affect A Pregnant Woman And Her Baby
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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How Is Genital Herpes Diagnosed
HSV nucleic acid amplification tests are the most sensitive and highly specific tests available for diagnosing herpes. However, in some settings viral culture is the only test available. The sensitivity of viral culture can be low, especially among people who have recurrent or healing lesions. Because viral shedding is intermittent, it is possible for someone to have a genital herpes infection even though it was not detected by NAAT or culture. 11
Type-specific virologic tests can be used for diagnosing genital herpes when a person has recurrent symptoms or lesion without a confirmatory NAAT, culture result, or has a partner with genital herpes. Both virologic tests and type-specific serologic tests should be available in clinical settings serving patients with, or at risk for, sexually transmitted infections. 11
Given performance limitations with commercially available type-specific serologic tests , a confirmatory test with a second method should be performed before test interpretation. If confirmatory tests are unavailable, patients should be counseled about the limitations of available testing before serologic testing. Healthcare providers should also be aware that false-positive results occur. In instances of suspected recent acquisition, serologic testing within 12 weeks after acquisition may be associated with false negative test results. 11
Providers are strongly encouraged to look at CDCs STI Treatment Guidelines for further diagnostic considerations.
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Is Genital Herpes Related To Shingles
Shingles, also called herpes zoster, is caused by the varicella zoster virus , which causes chickenpox earlier in life. The natural history of varicella zoster infection is similar to genital herpes infection in that VZV also becomes latent in the sensory nerve roots. Later in life the virus may exit, causing shingles.
Recurrences in shingles cause blister lesions in a single area of skin called a dermatome. Shingles is not a sexually transmitted infection and is independent from genital herpes.
Dear Scared And Desperate:
If you are now going from infrequent outbreaks to continuous outbreaks, there is something additionally going on. The presence of Seborrheic Dermatitis suggests again that there may be an immunologic problem that has been gone on undiagnosed. This may predisposing you to the constant outbreaks of herpes. Rather than just assume that this is recurrent herpes, and because you have 1 or 2 recurring all the time, which by the way, is uncommon, I would suggest a full work up to determine what is going on immunologically to lead to this sudden increase in the severity of your illness.
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Symptoms Of Genital Herpes
Primary Genital Herpes Outbreak
For people with symptoms, the first outbreak usually occurs in or around the genital area 2 days to 2 weeks after sexual exposure to the virus. The first signs are a tingling sensation in the affected areas and groups of small red bumps that develop into blisters. Over the next 2 to 3 weeks, more blisters can appear and rupture into painful open sores. The lesions eventually dry out, develop a crust, and heal rapidly without leaving a scar. Blisters in moist areas heal more slowly than those in dry areas. The sores may sometimes itch, but itching decreases as they heal.
About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, and fever. Swollen glands may occur in the groin area or neck. Some women may have difficulty urinating and may, occasionally, require a urinary catheter. Women may also experience vaginal discharge.
Recurrent Genital Herpes Outbreak
In general, recurrences are much milder than the initial outbreak. The virus sheds for a much shorter period of time compared to an initial outbreak of 3 weeks. Women may have only minor itching, and the symptoms may be even milder in men.
I Had Lesions When I Was Evaluated But My Culture Was Negative Does This Mean That I Dont Have Herpes
Not necessarily. Although lesions can be caused by something other than herpes, false negative herpes tests can occur if the samples are not taken appropriately, if there is a long transport time between the clinic and the laboratory, or if cultures were taken late in the course of the lesions. Lesions that occur early in the course of a herpes outbreak are much more likely to have positive cultures than cultures taken after the lesions crust over.
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How Does Herpes Simplex Spread
Herpes spreads through close contact with a person who has the infection. The virus can be found in skin and saliva. If you have herpes simplex, you are most likely to pass the virus to another person when you have sores. But you can infect someone else even if you have no symptoms. Healthcare providers call this asymptomatic viral shedding.
People may get HSV-1 through
- Touching a persons skin near the mouth.
- Sharing food utensils, lip balm or razors.
- If you receive oral sex from someone who has a cold sore, it may spread a herpes infection to your genitals.
People may get HSV-2 through
- Oral sex with someone whos infected.
- Skin-to-skin contact without ejaculation.
- Touching open sores, including while breastfeeding.
- Childbirth by a mother or gestational parent who has an active infection.
You cant get genital herpes from objects like toilet seats. But you could pass genital herpes through shared sex toys.
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
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Why Do Genital Herpes Outbreaks Occur
Everyone reacts differently to infection with HSV-2 , the most common virus that causes genital herpes. Many people develop no symptoms at all.
Some men and women develop mild symptoms that go unnoticed for the most part. Others develop extremely painful outbreaks with numerous herpetic sores. There are some known triggers for genital herpes symptoms:
- Friction during sexual intercourse irritates the skin and exacerbates symptoms. Using water-based lubricants can help reduce skin irritation.
- Although it is known that sunlight and the common cold trigger oral herpes outbreaks, there is no evidence that they trigger outbreaks of genital herpes.
- Hormonal changes in women during the menstrual cycle can trigger an outbreak of genital herpes.
- People with weak immune systems and are more likely to suffer frequent herpes outbreaks.
- Herpes outbreaks are more common following illness, trauma, or surgery.
Remember, not everyone has the same triggers.
Treatment For Genital Herpes
There is no medication to cure your body of the herpes virus. Treatment is aimed at easing symptoms, reducing the frequency of recurrences and reducing transmission.
Symptoms can be improved by:
- ice packs to the affected area
- pain-relieving medication such as paracetamol
- antiviral medication such as acyclovir, famciclovir and valaciclovir. These can reduce the severity of an episode if taken early enough . Topical antivirals usually used for cold sores on the lips or face are not suitable for use on the genitals.
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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.
The herpes virus is spread by skin-to-skin contact with a person who has the herpes virus:
- Most often, from herpes sores or blisters
- Less often, from normal looking skin where the virusfirst entered the body
- The herpes virus enters the body through the:
- Lining of the mouth
- Regular skin that has small cracks or cuts
People with a weak immune system can get a herpesinfection more easily. A weak immune system is causedby some diseases and by somemedicines used to treat serious diseases.
People who dont know they have herpes can still spread the virus to others.
Your Vitamin D Deficiency
VitaminD is important for herpes treatment and prevention.It helps your body to absorb nutrients. Without it, you may develop softer andweaker skin. Lack of vitamin D can make you more vulnerable to viralinfections. In the case of herpes , that could mean more frequentoutbreaks. The lower your vitamin D levels are, the worse your herpes outbreaksare. In those cases, the symptoms will last longer and heal more slowly.