When To See A Doctor
If you experience signs of a herpes outbreak, either with cold sores around the mouth or with herpes blisters around the genitals, you should see your doctor.
If it is a first outbreak, a medical provider can give you an accurate diagnosis.
If it is a recurring outbreak, a healthcare provider may be able to prescribe medication to shorten the frequency of outbreaks.
While there is no cure for oral or genital herpes, some prescription and OTC treatments may relieve discomfort.
What Are The Symptoms
If you think you might have contracted an STI , see your doctor. JustHerpes.com cannot provide diagnosis and you shouldnt attempt to diagnose yourself. You can also get tested by ordering an STD test online and then having it done confidentially near you.
Generally speaking, here is what you might expect during your first outbreak:
Symptoms during the first 24 hours
During this interval, you might remain symptom-free. However, you might experience symptoms like a strange tingling, pain, itching, and swelling of the affected area.
- A first herpes outbreak is considered to be the most severe.
- It can be accompanied by fever, swollen lymph nodes, fatigue, and a tingling sensation or pain in the affected area.
Symptoms lasting hours to days
During this stage, you might have prodromal symptoms the ones that means an outbreak is coming. Those might include:
- General aches and pains
- A general feeling of being unwell
- Swelling of lymph nodes. Lymph nodes are small pea-sized structures that are present in your groin, axilla, and areas of the neck. During your first herpes outbreak, you might experience swelling of lymph nodes in your groin area.
Symptoms lasting days to weeks
Once youre through the initial stages of infection, you might then start to see blisters characteristic of HSV. The blisters have an inflamed and red base. They last several days, crust, and heal without leaving scars.
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Tips For Managing Herpes Symptoms
The symptoms of herpes can be painful and uncomfortable. Fortunately, there are a few things you can easily do at home to help ease these symptoms, including:
- Apply an ice pack or warm compress to the affected area.
- Take over-the-counter pain relievers, such as acetaminophen.
- Keep the affected area clean and dry to reduce the risk of infection.
- Avoid tight clothing that may irritate genital sores.
- Dont pop blisters or pick at scabs that form over the sores.
- Ask your healthcare provider to recommend a painkilling cream.
Taking proper care of your skin and overall health while experiencing an outbreak can help to prevent complications like infection and assist in faster healing for your sores. Keep in mind that you are especially contagious during an outbreak, so its best to avoid intimate contact, such as kissing or sex, until the sores heal.
Transmission Of Genital Herpes
Genital herpes is a sexually transmitted disease spread by skin-to-skin contact. The risk of infection is highest during outbreak periods when there are visible sores and lesions. However, genital herpes can also be transmitted when there are no visible symptoms. Most new cases of genital herpes infection do not cause symptoms, and many people infected with HSV-2 are unaware that they have genital herpes.
To help prevent genital herpes transmission:
- Use a condom for sexual intercourse.
- Use a dental dam for oral sex.
- Limit your number of sexual partners.
- Be aware that nonoxynol-9, the chemical spermicide used in gel and foam contraceptive products and some lubricated condoms, does not protect against STDs.
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Quickest Way To Stop The Herpes Outbreak
Luckily, your doctor can prescribe you an antiviral like acyclovir or valocyclovir . These can be a godsend and swiftly stop the outbreak within a day or two of use. Your doctor can even discuss the possibility of taking the antiviral every day to prevent future recurrences. Many people choose not to take drugs that can be harsh on the liver on a regular basis, and just use them as needed. If youre in pain, you want to do whats available, and these types of drugs are the simply quickest way to stop the outbreak, so ask your doctor about them.
For future reference, drugs like Valtrex work best when you catch the outbreak early. Then theres a better chance youll stop the flare-up. Its not hard to do once you are aware of the prodromal symptoms, such as tingling and tenderness.
Early Genital Herpes Symptoms
Not everyone with genital herpes will have symptoms. But in some people, early signs of genital herpes may appear two to 12 days after sexual contact with someone who has the virus.
These symptoms can include:
- Tingling in an area that will soon develop lesions
- Burning sensation in an area that will soon develop lesions
- Itching in the genital area
- An uncomfortable feeling in the genital area
- Burning or tingling during urination
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How Long Does A Herpes Outbreak Last
The herpes virus family include many types of infections, including HSV-1 and HSV-2, which may be sexually transmitted.
The viruses that cause different types of herpes are similar, but not the same.
An outbreak of herpes is uncomfortable.
This article explores different types of herpes, how oral herpes and genital herpes are treated, and how to know when you should see a doctor.
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.
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Contact Dermatitis Can Be Mistaken For Herpes
Contact dermatitis is a skin condition that can cause an itchy rash, cracked, dry, or scaly skin, bumps and blisters, leathery patches, or swelling, burning, or tenderness, according to the Mayo Clinic. Its not an STD, but when it appears in the mouth or genital area, it may be mistaken for herpes.
However, unlike herpes, contact dermatitis can happen anywhere on the skin and is caused by direct contact with an irritant or an allergen. It is not caused by a virus.
Contact dermatitis usually occurs within days of exposure to an irritant or allergen. Common causes include poison ivy and reactions to medication, cosmetics, detergents, and jewelry. The skin rash from contact dermatitis usually goes away in two to four weeks.
The best way to prevent contact dermatitis is to identify whats causing it and avoid touching that item or substance again. Allergy testing can help identify the cause.
While contact dermatitis is generally not a serious condition, it can be itchy and uncomfortable. When the rash is present, try using cool, wet compresses or anti-itch creams to soothe it. Antihistamine pills can help reduce the itchiness. Avoid scratching the area: Doing so can make symptoms worse and could open the door to a bacterial or fungal infection. If your itching is severe, you should see your primary care provider or a dermatologist for topical steroid medication.
Colds Fever And Immunity Busters
Getting another illness like the common cold can bring on herpes outbreaks because your immune system is busy fighting the new thing.
A fever is popularly known to cause HSV-1 outbreaks, or cold sores, giving them the name fever blisters.
Those with compromised or taxed immune systems will have more frequent herpes outbreaks. After all, thats the reason things like UV light, which affects immunity, and fighting off other illnesses are outbreak triggers at all.
An immune system compromised by receiving chemotherapy can lead to more outbreaks, as can an immune system weakened by HIV.
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Suppressive Therapy For Recurrences
To suppress outbreaks, treatment requires taking pills daily on a long-term basis. Acyclovir and famciclovir are taken twice a day for suppression. Valacyclovir is taken once a day. The doses for these antiviral drugs are reduced in people with impaired renal function.
Suppressive treatment can reduce the frequency of outbreak recurrences by 70% to 80%. It is generally recommended for people who have frequent recurrences . Because herpes recurrences often diminish over time, you should discuss annually with your provider whether you should stay with drug therapy or discontinue it.
There is some evidence that valacyclovir may help prevent herpes transmission, particularly in situations where one heterosexual partner has HSV-2 and the other partner does not. However, this drug does not completely prevent transmission. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences.
Staying Safe While Avoiding Panic And Stigma
It can be tempting to freak out a little bit when you realize that herpes is both super-common and something you arent routinely getting tested for. So how do you process that information?
The first step is practicing the same safe sex that you know helps protect you from other STIs. Your best bet here is a barrier method like internal and external condoms for any penetration and physical shields such as dental dams for any oral play. Even though this wont fully protect you from herpes , it will reduce how much of your skin touches your partners.
This is why screening for herpes infection in the absence of any symptoms wouldnt really do much to cut back on casesthe advice would be the same: Practice safe sex with barrier methods. I agree right now with the recommendations not to screen people, but I think if we had a better diagnostic strategy, I would be much more in favor of routine screenings, Dr. Johnston says. It is important for people to know their status so they can protect themselves and their partners.
If you think you have herpes, see a doctor such as your ob/gyn or dermatologist , or go to your local health clinic. A medical expert can evaluate your symptoms, take samples for testing, and eventually offer treatment options if you need them.
You will likely be started on antiviral medications to help you heal faster and make you less contagious, Dr. Bard says.
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Symptoms Of Oral Herpes
Oral herpes is most often caused by HSV-1, but can also be caused by HSV-2. It usually affects the lips and, in some primary attacks, the mucous membranes in the mouth. A herpes infection may occur on the cheeks or in the nose, but facial herpes is very uncommon.
Primary Oral Herpes Infection
If the primary oral infection causes symptoms, they can be very painful, particularly in children. Symptoms include:
- Tingling, burning, or itching around the mouth are the first signs.
- Red, fluid-filled blisters that may form on the lips, gums, mouth, and throat.
- Blisters that break open and leak. As they heal, they turn yellow and crusty, eventually turning into pink skin. The sores last 10 to 14 days and can be very uncomfortable.
- Blisters that may be preceded or accompanied by sore throat, fever, swollen glands, and painful swallowing.
Recurrent Oral Herpes Infection
A recurrent oral herpes infection is much milder than the primary outbreak. It usually manifests as a single sore, commonly called a cold sore or fever blister . The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat.
Other Triggers For Genital Herpes Outbreaks
Other triggers of genital herpes may include:
- Sexual intercourse. Some people find that the friction of sexual intercourse irritates the skin and brings on symptoms. Using a water-based lubricant can help reduce irritation. Don’t use one that contains the spermicide nonoxynol-9, however. Nonoxynol-9 can irritate mucous membranes, such as the lining of the . Oil-based lubricants are a no-no, too. They weaken latex, making condoms more likely to break. Even if the friction of intercourse seems to be a trigger for symptoms, it probably won’t cause a flare-up every time you have sex.
- Colds and sunlight. The common cold and sunlight seem to trigger outbreaks of oral herpes , but no proof exists that they trigger genital herpes outbreaks.
- Hormones. Hormonal changes, like those that occur in the menstrual cycle, can affect genital herpes outbreaks. No one knows why.
- Surgery, weak immune system. Trauma to the body, such as having surgery, may make herpes symptoms appear. It’s possible that having a weakened immune system does, too. People whose immune systems are weakened by HIV, for example, tend to have outbreaks more often than people with normal immune functioning.
Remember that triggers may not be the same for everyone, and doctors are not certain how much lifestyle affects outbreaks of herpes symptoms. If you think something in particular triggers symptoms, ask your doctor what you should do about it.
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How Soon Will I Get My First Outbreak
If youve come into contact with the virus but havent had an outbreak, theres no absolutely certain answer.
A newly infected person will typically have their first outbreak two weeks after contact. However, it can begin within hours of contact or even take a couple of years.
In as many as half of people having primary outbreaks, there are no clinically evident symptoms. In the rest, the symptoms may appear anytime between a few hours to weeks after contact. However, in most, the symptoms start during the first 24 hours of contact.
When To Call A Doctor
If you havent been diagnosed with genital herpes, call your doctor if you have:
- Painful blisters or sores in the genital or pelvic area.
- Burning or pain while urinating, or you cant urinate.
- Reason to think youve been exposed to genital herpes.
If you have been diagnosed with genital herpes, call your doctor if you are having frequent outbreaks or if you cant pass urine or are constipated.
If you are pregnant and have genital herpes, or if you think you have genital herpes, tell your doctor.
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Subsequent Genital Herpes Outbreaks
Subsequent HSV-2 outbreaks typically last about a week from onset of symptoms to complete healing of sores. People sometimes experience symptoms that warn of an impending outbreak. These include an itching, burning or tingling sensation in the genital area where the sores form.
Over time, many people say they experience fewer and less severe genital herpes outbreaks than they did after first contracting the virus, though they are still infected.
Is That Spot A Pimple Or A Cold Sore
Acne is most common in teens and young adults, but people of all ages can and do get it, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Among teenagers, it is more common in boys. Among adults, it is more common in women. For most people, acne tends to clear up by the time they reach their thirties, but some people in their forties and fifties still have it.
Acne occurs when hair follicles under the skin become clogged with oil or dead skin cells, causing lesions commonly known as pimples or zits. Acne usually occurs on the face but can also appear on the back, chest, and shoulders.
Acne can cause inflammation, swelling, redness, heat, or pain. Different types of acne include:
- Whiteheads: Clogged follicles that stay beneath the skin and cause a white bump.
- Blackheads: Clogged follicles that appear black and reach the surface of the skin.
- Papules: Lesions that are inflamed and usually appear as small, pink bumps on the skin.
- Pustules or pimples: Papules topped off by white or yellow pus-filled lesions that may be red at the base.
- Nodules: Large, painful, solid lesions that are deep within the skin.
- Severe nodular acne : Deep, painful lesions that are filled with pus.
Hormones, stress, medications, and diet are among the factors that may trigger acne outbreaks or make them worse.
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