Herpes Outbreak Frequency: How Often Do They Occur
People with symptomatic HSV-1 can have anywhere from several outbreaks per year to one every couple years or so, depending on the individual. Outbreaks tend to be worst during the initial herpes outbreak, as the body hasnt had time to produce its own immune response to herpes.
Oral HSV-1 outbreaks usually involve the development of cold sores around the lips and mouth. The sores usually begin as an itching, burning sensation before forming into small blisters over several days.
When cold sores caused by HSV-1 are open, they can weep out infectious fluid, leading to a high risk of transmission. Its best to abstain from kissing or sexual activity if you have an open cold sore, as theres a risk of infecting your partner with HSV-1 through direct oral contact. If your question is, “When is herpes contagious?” the answer is, “All the time.”Open cold sores are highly contagious, but even if you’re not experiencing an outbreak, it’s still possible to transmit herpes.
Our guide to kissing and cold sores goes into more detail about how you can reduce your HSV-1 transmission risk during an outbreak.
By acting quickly and treating a cold sore in the early stage, you may be able to limit its development and speed up the healing process. Our guide to how to get rid of a cold sore as quickly as possible and the list of foods to avoid during herpes outbreak covers simple tactics that you can use to quickly control an HSV-1 outbreak.
How Often Do Outbreaks Occur
The number of outbreaks someone has varies from person to person. The average number of outbreaks for a person with genital HSV-2 is four to five per year. The average for genital HSV-1 is less than one outbreak per year.
Usually, there are more outbreaks during the first year, and many people find that outbreaks become less severe and less frequent with time.
Herpes triggers are highly individual, but with time, many people learn to recognize, and sometimes avoid, factors that seem to reactivate HSV in their own bodies. Illness, poor diet, emotional or physical stress, friction in the genital area, prolonged exposure to ultraviolet light , surgical trauma, and steroidal medication may trigger a herpes outbreak.
The frequency of outbreaks can often be managed through effective stress management, and getting adequate rest, nutrition, and exercise. For people with frequent outbreaks, suppressive therapy with any one of the antiviral treatments can reduce outbreaks by as much as 80%.
What Is Herpes Simplex
Herpes simplex is a virus that causes skin infections. The infection lasts your lifetime, and it causes painful or itchy sores and blisters that come and go. Herpes simplex virus typically doesnt cause severe problems. But it can be dangerous in infants and people with weakened immune systems. There are two types of herpes simplex:
- Herpes simplex 1 tends to affect your mouth or face. It causes cold sores. HSV-1 spreads through contact with saliva .
- Herpes simplex 2 is a sexually transmitted disease . It causes sores on skin that comes in contact with the genitals of an infected person.
Sometimes a herpes infection can affect other parts of your body, such as your eyes or other parts of your skin.
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Outbreaks For Asymptomatic Hsv
The majority of herpes infections, of both HSV-1 and HSV-2, are asymptomatic. This means that you can be infected with the herpes virus and have viral DNA in your body without any visible symptoms.
People with asymptomatic herpes can still spread the virus to others while not having any cold sores or genital herpes lesions.
Sometimes, people with asymptomatic herpes might experience an initial outbreak of cold sores or genital herpes, only to have the virus disappear after the first outbreak. In this case, herpes is still present in the body, but simply remains inactive and doesnt produce further outbreaks.
It can be difficult to know whether or not you have asymptomatic HSV-1 or HSV-2, or simply have infrequent herpes outbreaks. However, if youre confident you have herpes but havent had an outbreak for several years, its likely that you have an asymptomatic infection.
Even if youre asymptomatic, its still important to take precautions against spreading herpes to other people. Herpes remains in the body even if you dont have any symptoms, and there is a risk that you could spread the virus through kissing, oral sex or other sexual activity.
If you have asymptomatic herpes, the best approach is to speak to your doctor about treatment options and the use of suppressive therapy to reduce your risk of infecting others.
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The Good News Is That You Really Can Finally Put An End To Those Painful And Embarrassing Genital Herpes Outbreaks Once And For All
Saying Bye Bye once and for all to those painful and embarrassing genital herpes outbreaks that youre currently experiencing right now, couldnt be easier!
All you need is to get yourself some Herpecillin and some Herpecillin Plus and youll never have yourself another genital herpes outbreak ever again. Guaranteed!
Both Herpecillin and Herpecillin Plus are made from a proprietary blend of all natural ingredients and because theyre both all natural.
There are no known side effects whatsoever.
Our original Herpecillin formula which is to be taken once daily is designed to strengthen your bodys immune system. Which will allow your own bodys defense mechanisms to fight off the actual physical symptoms and fight off those painful and embarrassing genital herpes outbreaks.
Now Herpecillin Plus is designed for those people who unfortunately suffer from very aggressive strains of the genital herpes virus and unlike our original Herpecillin formula which is designed to be taken everyday. Herpecillin Plus is to only be taken when you feel that youre about to experience another genital herpes outbreak.
Now fortunately most people know at least a few days beforehand when another genital herpes outbreak is about to occur.
As a matter of fact the main ingredient in Herpecillin Plus which is all natural has been proven to be 3 times more effective at preventing a genital herpes outbreak than the most prescribed antiviral medication Acyclovir.
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How Do I Test For Herpes
If you think you have symptoms of genital herpes or have been at risk of infection, you should speak to a healthcare professional.
There are different tests available. If you have symptoms, the most common test is to take a swab from a blister. The fluid can be tested for the herpes simplex virus. A herpes blood test exists but is not routinely available.
If you have genital herpes you should be tested for other STIs. Itâs important that you tell your recent sexual partner/s so they can also get tested and treated. Many people who have herpes do not notice anything wrong, and by telling them you can help to stop the virus being passed on.
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.
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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:
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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Characteristics Of Study Participants
A total of 377 participants were enrolled in 439 study sessions. The median age was 39 years and most participants were white . The nonwhite group included 29 participants identifying as Black, 3 as Asian, and 12 as Mixed or Other. Women comprised 62% of the study population 45 participants identified as MSM or WSW . Two-hundred-eighteen were HSV-2 seropositive and HSV-1 seronegative, while 159 were HSV-1 and HSV-2 seropositive. The median age at sexual debut was 17 years , and the median age at first genital herpes episode was 27 years . The median time since first genital herpes episode and the initiation of the study to evaluate HSV shedding was 7.4 years .
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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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.
What Are The Risk Factors For Herpes
Some risk factors for herpes may include:
-Having unprotected sex
-Having sex with multiple partners
-Kissing someone with a herpes virus that is active
-Abuse of cigarettes, alcohol, and drugs
-Spreading the virus by touching a cold sore and then touching something else
-Having an autoimmune disorder or illness, such as hepatitis or HIV/AIDS
-Poor eating habits that cause nutritional deficiencies
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Herpes May Be More Common Than You Think
The World Health Organization estimates that globally, 3.7 billion people younger than 50 have oral herpes and 417 million people aged 15-49 have genital herpes.
Dr. Maya Benitez says there has always been a stigma surrounding sexually transmitted diseases, especially herpes.
Stigma aside, itâs stressful to be diagnosed with something with no cure and no direct definitive treatment. And anxiety and stress can trigger outbreaks, says Dr. Benitez.
âIt is important for people to learn about the disease and understand it, so that if diagnosed, people will know how to live with it,â she says.
âThe likelihood of contracting herpes from toilet seats, bedding, or swimming pools, or from sharing objects such as silverware, soap, or towels is low, but it is possibleâ
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.
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Can Genital Herpes Come Back
Yes. Genital herpes symptoms can come and go, but the virus stays inside your body even after all signs of the infection have gone away. The virus becomes active from time to time, leading to an outbreak. Some people have outbreaks only once or twice. Other people may have four or five outbreaks within a year. Over time, the outbreaks usually happen less often and are less severe.
Experts do not know what causes the virus to become active. Some women say the virus comes back when they are sick, under stress, out in the sun, or during their period.
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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.
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Is Genital Herpes Contagious
Yes. When blisters or crusts are present, the virus can be passed by direct contact to others. But the virus can be just as contagious even when you cannot see any sores. Using condoms helps to prevent the spread of infectionbut condoms cannot protect you completely. Because HSV also causes cold sores on the mouth, a person with cold sores can spread HSV through mouth contact with the genital area of another person. The virus can also be carried on hands from the mouth to another area. You can even spread the virus to yourself by touching cold sores on your mouth and then touching other areas of your body.
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What Are The Signs Of Herpes In Children
The herpes virus can be spread to babies and children if they are kissed by someone that is infected and has active cold sores. Although rare, it is also possible to spread herpes to a child or infant by touch if a person touches their cold sore and then touches the baby or child.
Precautions can be taken to protect infants and other children from getting the virus. Avoid kissing children if you have a cold sore and ask other people not to as well. Wash your hands frequently if you have a cold sore and you are around children.
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How To Treat Herpes Scars
If you do end up with scarring from herpes sores, you may be able to reduce their appearance with home treatments. Keep in mind that many scars fade gradually on their own, even without treatment.
Be aware that evidence for the effectiveness of these treatments is mostly anecdotal. Theres little clinical evidence to support these claims.
Home treatments for herpes scars include:
- Vitamin E. You can purchase vitamin E in gel caps in the vitamin section of your drug store or online. Pierce the capsule with a needle and squeeze out the liquid. Rub the liquid on the scar, massaging gently for three to five minutes. Repeat this daily as long as you see results.
- Coconut oil. Some claim that coconut oil can help to reduce scarring over time, though research is mixed. To use coconut oil on your herpes scar, heat the oil in the microwave, making sure its not too hot. Gently massage the oil into the scar and the area directly around it. Repeat one to two times per day until youre satisfied with the change.
- Aloe vera. This cooling product may be commonly associated with burns, but it may also help ease scarring. Apply the gel directly to the scars. Leave it on for 30 minutes, then rinse with warm water and soap.
These home remedies for scarring usually wont get rid of a scar completely.
If the herpes scar is very noticeable and causes discomfort, you can talk with a dermatologist about scar-reducing procedures, such as dermabrasion or laser therapy, to reduce the signs of scarring.
How Do People Get Genital Herpes
People can get infected with genital herpes when the virus comes into contact with a break in the skin in or around the mouth or genital area. This can happen 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 can be in the skin near the genitals and infect another person during sexual contact.
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