Monday, September 19, 2022

Why Isn’t My Herpes Outbreak Going Away

How Herpes Is Treated

WHO claims 3.7 billion people infected with herpes virus

There is no cure for herpes.

  • The health care provider may prescribe antiviral medicine to help speed up the healing process. It also shortens the time when the virus can spread from the herpes sores.
  • Pain may be treated with medicine such as Tylenol or Motrin or by applying an ice pack wrapped in a towel to the affected area.
  • If sores are in the mouth, avoid foods high in acid, like citrus fruits and juices.
  • The infected area should be kept clean and dry.
  • Wash hands often and avoid touching the sores to prevent spreading the virus.
  • It is important to stay healthy by getting enough rest, having proper nutrition and exercise and managing stress well.

Are Canker Sores Caused By The Herpes Virus

Canker sores are not caused by the herpes virus or by any other virus. In fact, the cause of canker sores is unknown, although they may be triggered by a minor injury in your mouth from dental work or brushing too hard, an allergy, a vitamin B deficiency, stress, or a food intolerance. Some medical conditions, such as celiac disease and inflammatory bowel disease, may also cause canker sores, and they often occur in families, so it’s possible genetics or environment play a part, too.

Canker sores typically appear as small, round, or oval whitish sores with a red border, according to the Mayo Clinic. They typically occur on the tongue, inside the cheeks, inside the lips, or on the gums. The medical term for a canker sore is aphthous ulcer. Canker sores can be quite painful, but they usually heal within about two weeks without leaving any scarring.

Unlike cold sores, which usually occur outside the mouth, canker sores occur only inside the mouth. Like cold sores, canker sores are recurrent, but they are not contagious: You cant give a canker sore to another person. Canker sores occur more often in teenagers and young adults, and they are more common in women than men.

Alternative And Complementary Therapies

Although its not known for certain what triggers herpes outbreaks, they are often associated with fatigue, stress, and illness. Mind-body interventions that reduce stress, such as meditation and yoga, may therefore be helpful in reducing outbreaks.

Getting adequate sleep and following a nutritious diet are also important for maintaining a healthy immune system and helpful for managing life stresses.

Certain supplements and herbal remedies have been tried for preventing herpes outbreaks or easing the symptoms of an outbreak. To date, however, theres insufficient data to conclude that any of them is safe and effective for this use.

If you wish to try a complementary therapy for genital herpes, speak to your doctor first to make sure the product you want to try wont interfere with any medications or other therapies youre currently using.

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Syphilis: A Greater Health Threat Than Herpes

Syphilis and genital herpes are both STDs that can cause sores in the genital area. Like oral herpes, syphilis can also cause mouth sores, which often clear without treatment. But despite these similarities in symptoms, the two diseases differ in their causes syphilis is caused by a bacteria and herpes by a virus and the health risks they pose.

For most people the exceptions being infants and people who have weakened immune systems or who are chronically ill herpes is more of an annoyance than a dangerous disease. But untreated syphilis can lead to severe complications, including bone, joint, liver, heart, and brain damage.

There are four stages of syphilis, according to the CDC, each with different signs and symptoms. In the primary stage, a painless sore or sores develop where the bacteria first entered the skin or mucous membrane. In the secondary stage, you may develop a skin rash, swollen lymph nodes, fever, and other flu-like symptoms. In the latent stage of syphilis, there are no signs or symptoms, and in the tertiary stage, the bacterial infection can damage the heart, brain, and other organs of the body.

How Will My Healthcare Provider Know If I Have Genital Herpes

Myths and Misconceptions About STD Risk

Your healthcare provider may diagnose genital herpes by simply looking at any sores that are present. Providers can also take a sample from the sore and test it. If sores are not present, a blood test may be used to look for HSV antibodies.

Have an honest and open talk with your healthcare provider about herpes testing and other STDs.

Please note: A herpes blood test can help determine if you have herpes infection. It cannot tell you who gave you the infection or when you got the infection.

Read Also: What To Do For Herpes Sores

How Can I Prevent Genital Herpes

If you are sexually active, you can do the following things to lower your chances of getting genital herpes:

  • Being in a long-term mutually monogamous relationship with a partner who does not have herpes.
  • Using condoms the right way every time you have sex.

Be aware that not all herpes sores occur in areas that a condom can cover. Also, the skin can release the virus from areas that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes.

If your sex partner has/have genital herpes, you can lower your risk of getting it if:

  • Your partner takes an anti-herpes medicine every day. This is something your partner should discuss with his or her healthcare provider.

Does My Healthcare Provider Include A Blood Test For Genital Herpes When They Test Me For Everything

Herpes blood tests may or may not be part of the tests your healthcare provider gives you. They may choose tests based on several factors .

They will also evaluate you for signs or symptoms of herpes to choose which tests to use. This is why its important to talk openly and honestly with your provider during your visit. Ask them which infections they are and are not testing you for and why.

Additional Resources

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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.

How Do You Manage A Herpes Outbreak

Herpes Simplex 1 & 2: Symptoms, Transmission and Treatment

Antiviral medications are effective at managing herpes symptoms and partially controlling further outbreaks.

Youll likely be recommended acyclovir, valacyclovir , or famciclovireach of which has been proven to help manage genital herpes infections in clinical trials . These are all pills taken orally. For those who have frequent outbreaks, these antiviral medicines can reduce how often they occur by 70-80%.

Many people on antiviral therapy report never experiencing herpes symptoms . These drugs work by preventing the virus from spreading within your body, although medication cant prevent spreading to other people .

For oral herpes, antiviral pills are often preferred over topical products as creams have to be applied multiple times a day, and research has found topical treatments less effective as pills . You can also use cold compresses and over-the-counter pain relievers, such as acetaminophen or ibuprofen, to manage discomfort.

Herpes outbreaks dont necessarily need treatment, but immediately addressing them can help shorten how long your symptoms last . The very first outbreak you have after being infected does require medical treatment, but any future outbreaks usually go away on their own.

Its still a good idea to have antiviral medication on-hand to use within the first 24 hours of symptoms since these drugs can shorten how long outbreaks last .

Read Also: What Are The Symptoms Of Having Herpes

Does Treatment Cure Herpes

No. Although herpes cannot be cured, it can be treated! For oral herpes, using a sun block on and around the borders of the lips and a hat can lessen the chance of cold sores from sun exposure. Oral medications, prescribed by your HCP, can be used to treat herpes infections, help prevent genital herpes recurrences, and decrease the chance of passing the infection to partners.

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.

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Does Herpes Make You Smell

It’s most common to have discharge when you’re having other symptoms like sores. This liquid also tends to happen along with a strong smell that many people with herpes describe as fishy. This smell usually gets stronger or more pungent after having sex. This discharge may have small amounts of blood in it.

How Do People Get Genital Herpes

Herpes Tests 101: Why Testing Positive for HSV

People can get infected with genital herpes when:

  • They receive oral sex from a partner who has oral herpes .
  • They touch a herpes sore and then touch their own genitals.
  • Their genitals touch the skin in the genital area of someone who is infected .

Genital herpes can spread even if there are no sores because the virus is still in the body. The virus sometimes sheds in the skin near the genitals. When the virus is shedding, it can infect another person.

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How Is Genital Herpes Spread

  • Saliva from a partner with an oral herpes infection
  • Genital fluids from a partner with a genital herpes infection
  • Skin in the oral area of a partner with oral herpes or
  • Skin in the genital area of a partner with genital herpes.

You also can get genital herpes from a sex partner who does not have a visible sore or is unaware of their infection. It is also possible to get genital herpes if you receive oral sex from a partner with oral herpes.

You will not get herpes from toilet seats, bedding, or swimming pools. You also will not get it from touching objects, such as silverware, soap, or towels.

If you have more questions about herpes, consider discussing your concerns with a healthcare provider.

How Often Do Outbreaks Occur

Half of the people who have herpes dont have any more outbreaks after the first occurrence of symptoms. This is especially true if the infecting herpes was HSV-1. Some people only get a few outbreaks, while others get many. People can have many outbreaks in a row and then go months or years without one. People with illnesses that weaken the immune system such as leukemia and HIV are more likely to get more outbreaks and have symptoms that are more painful and last longer.

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Coping With Your Feelings

Finding out that you have genital herpes may cause you to have negative thoughts or feelings about yourself or about sex, such as:

  • Feeling ashamed or embarrassed.
  • Being afraid of the consequences of the infection.
  • Being angry at the person who infected you.
  • Feeling frustrated with treatment or recurrent outbreaks.
  • Feeling scared to have sex.

A counselor or support groups for people with herpes may be helpful.

Is It Safe To Breastfeed If I Have Genital Herpes

An All Natural OTC Topical Product for Genital Herpes Outbreak Symptoms

Yes as long as there isnt an open lesion on your chest or breast. If you have an active outbreak while breastfeeding, its possible to spread the infection to your nipples through touch. Careful hand-washing can prevent this spread. You shouldnt nurse from a breast that has herpes sores. You can pump breast milk until the sores heal. Dont give your baby expressed breast milk if the pump comes into contact with an open sore.

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Valacyclovir For First Herpes Outbreaks

For first-time herpes outbreaks, valacyclovir is most effective when its used within 48 hours of symptoms appearing. Once valacyclovir has converted into acyclovir, it has a half-life of 2.5 to 3.3 hours in people with normal renal function. Meaning Valacyclovir stay in your system from 2.5 to 3.3 hours for normal people.

The standard dosage of valacyclovir for first-time herpes outbreaks is 1,000 mg two times per day over a period of 10 days. Valacyclovir usually starts treating herpes symptoms as soon as its in your system, but can take several days to produce a noticeable improvement.

It can take up to 10 days for herpes blisters to heal even with valacyclovir treatment. This makes it important to start treatment as soon as you notice herpes symptoms.

In some cases, your doctor might prescribe valacyclovir for a longer period than 10 days or at a different dosage. In this case, follow your doctors instructions and make sure you complete the full course of the medication, even if the herpes blisters heal before the end of the period.

The Early Warning Signs Of Genital Herpes

Once you learn to identify the early warning signs of a genital herpes outbreak, you can take action to avoid the worst outbreak symptoms.

The most common sign of genital herpes is the development of blisters around the genital area. Herpes simplex blisters are often itchy and painful.

Other symptoms may accompany the blisters to indicate early warning signs of genital herpes:

  • -Difficult or painful urination
  • -Wash your hands immediately after any possible contact with sores to prevent the spread of infection
  • -Take medication as directed by your healthcare professional
  • -Use natural treatments known to reduce discomfort and accelerate healing
  • -Use foods and supplements known to strengthen your immune system
  • -Use the Luminance RED on current outbreaks and in-between

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What Treatment Can I Get If I Have A Genital Herpes Outbreak In Pregnancy

If you have genital herpes, an antiviral drug called aciclovir is recommended. Aciclovir isnt licensed for use during pregnancy but is considered safe and hasnt been associated with an increased incidence of birth defects . Antiviral treatment is offered:

  • to treat outbreaks in pregnancy
  • from 36 weeks to reduce the chance of an outbreak during birth
  • from diagnosis until birth if a pregnant woman gets a primary infection after 28 weeks of pregnancy.

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Is Genital Herpes Infection Related To Hiv

Planned Parenthood

Herpes and HIV are caused by different viruses. But patients infected with these viruses are more likely to transmit either disease to their sexual partners. Patients with herpes are more vulnerable to HIV infection. People newly diagnosed with herpes should be tested for HIV infection and other sexually transmitted infections.

Patients who are infected with both herpes and HIV also may have a higher concentration of HIV viruses in their body because of the interaction between the herpes virus and the HIV virus. When HIV damages a persons immune system, the person may be more likely to shed herpes simplex virus asymptomatically.

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Is It Possible To Prevent Cold Sores

The best way to prevent a herpes simplex infection is to avoid physical contact with someone elseâs cold sores. Items that touch the lips but cannot be washed or sanitized, such as lipstick or lip balm, should not be shared. During an outbreak, frequent hand washing and sanitizing with 60% ethanol-based hand sanitizer will help reduce the spread of the virus to other parts of the body or to other people. Wash hands immediately after applying topical treatments to a cold sore. L-lysine and other supplements have not been shown to consistently reduce outbreaks.

To prevent future outbreaks,

How To Cope After Diagnosis

Many posters were occupied with the issue of passing on the infection. Yolandayw points out that you can minimise the risk of transmission by postponing sex until all the sores have healed. She also mentioned that condoms should be used. They won’t completely prevent transmission but they will help.

Ending on a positive note, many posters emphasised that there was light at the end of the tunnel. Learning of the diagnosis may feel stressful at first, but it’s a manageable condition and certainly nothing to be ashamed of. Lucy03934 has had genital herpes for 25 years. She’s been married for 18 years and has two sons – living proof that there is life after herpes.

Also Check: How To Test For Herpes Simplex Virus

The Bottom Line: Tests For Herpes Are More Worry Than Theyre Worth

If you do have symptoms, donât fret: If you know your status, youâre at an advantage in that you can talk with your doctor and find an antiviral drug that works for you. Medication can curtail the severity of your symptoms, as well as the number of outbreaks you get. Additionally, taking an antiviral daily will greatly reduce your chances of transmitting the virus to someone else. In case you missed it, thereâs also a very promising new drug for herpes on the horizon, which researchers say could be the most effective one yet.

How Does Herpes Simplex Spread

How Contagious is Herpes?

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.

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