^ Jump up to: a b c Kimberlin DW, Lin CY, Jacobs RF, et al. (August “Safety and efficacy of high-dose intravenous acyclovir in the management of neonatal herpes simplex virus infections”. Pediatrics. 108 (2): 230–38. doi:10.1542/peds.108.2.230. PMID 11483782.
Genital herpes can be more difficult to diagnose than oral herpes, since most HSV-2-infected persons have no classical symptoms. Further confusing diagnosis, several other conditions resemble genital herpes, including fungal infection, lichen planus, atopic dermatitis, and urethritis. Laboratory testing is often used to confirm a diagnosis of genital herpes. Laboratory tests include culture of the virus, direct fluorescent antibody (DFA) studies to detect virus, skin biopsy, and polymerase chain reaction to test for presence of viral DNA. Although these procedures produce highly sensitive and specific diagnoses, their high costs and time constraints discourage their regular use in clinical practice.
Genital herpes is usually acquired by direct (sexual) contact with the genitals, mouth or rectal area of an infected person. The virus can also be transmitted to a baby during delivery if the mother has genital herpes, resulting in serious illness in the newborn baby and sometimes even death.
Jump up ^ Brisson M, Edmunds WJ, Law B, et al. (2001). “Epidemiology of varicella zoster virus infection in Canada and the United Kingdom”. Epidemiol. Infect. 127 (2): 305–14. doi:10.1017/S0950268801005921. PMC 2869750 . PMID 11693508.
It is best to discuss a new diagnosis of Genital Herpes with your partner. Genital Herpes is most likely to be passed on just before, during or after an outbreak so you should not have sex during this period. When you do not have symptoms, however, there is still a small risk you can pass on the virus to a partner, although using a condom can lower this risk further. You might not need to tell previous partners but it may be helpful to discuss this with someone at your local sexual health clinic.
Any woman can ask for an abortion in the first three months (12 weeks) of pregnancy. If you are three to five months (13-20 weeks) pregnant, an abortion can be performed under certain circumstances. It is very important to act quickly, the earlier you seek help the better.
Cold sores break out on or around the lips, blistering to form angry red swellings that last about four or five days. Aside from feeling crusty and sore, they undermine your confidence because they are so visible to others. As a blogger on coldsoresbanished.com writes: “You are feeling down and depressed anyway – weary and worn out. Then, as if that’s not bad enough, a cold sore bursts out on your lip or mouth and you don’t want to talk, you don’t want to eat and you certainly don’t want to smile!”
Most people don’t experience symptoms when first infected and they can take months or years to develop. If symptoms do occur when first infected, they usually develop in four to seven days. Symptoms are normally more severe the first time than in re-occurring infections.4
Jump up ^ Whitley RJ (2005). “Changing dynamics of varicella-zoster virus infections in the 21st century: the impact of vaccination”. J. Infect. Dis. 191 (12): 1999–2001. doi:10.1086/430328. PMID 15897983.
These herpes viruses enter the body through small cuts, abrasions, or breaks in the skin or mucous membranes. The incubation period for herpes simplex infections is about three to six days. Transmission (spread) of the virus is person to person and more likely to occur if blisters or lesions are present. The majority enter after an uninfected person has direct contact with someone carrying the virus (either with or without noticeable lesions). Simply touching an infected person is often the way children get exposed. Adolescents and adults frequently get exposed by skin contact but may get their first exposure by kissing or sexual contact (oral and/or genital contact), especially for HSV-2. Statistical studies suggest that about 80%-90% of people in the U.S. have been exposed to HSV-1 and about 30% have been exposed to HSV-2. Usually, the contagious period continues until lesions heal. Some people (estimated from 30%-50%) occasionally shed herpes virus while having few or no associated symptoms or signs.
Evidence supports the use of acyclovir and valacyclovir in the treatment of herpes labialis as well as herpes infections in people with cancer. The evidence to support the use of acyclovir in primary herpetic gingivostomatitis is weaker.
There are a number of shingles vaccines which reduce the risk of developing shingles or developing severe shingles if the disease occurs. They include a live-virus vaccine and a non-live subunit vaccine.
Jump up ^ “Genital Herpes Dating Sites Review | Best Herpes Dating Sites for Genital HSV Singles in 2016”. genitalherpesdatingsites.org. Archived from the original on 2017-05-22. Retrieved 2017-02-20.
Jump up ^ Kaminester LH, Pariser RJ, Pariser DM, et al. (December 1999). “A double-blind, placebo-controlled study of topical tetracaine in the treatment of herpes labialis”. J. Am. Acad. Dermatol. 41 (6): 996–1001. doi:10.1016/S0190-9622(99)70260-4. PMID 10570387.
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.
The best way to prevent getting herpes is to not have sex with anyone who has the virus. It can be spread even when the person who has it isn’t showing any symptoms. If your partner has herpes, there is no way of knowing for sure that you won’t get it.
As with chickenpox and/or other forms of herpes, direct contact with an active rash can spread VZV to a person who has no immunity to the virus. This newly infected individual may then develop chickenpox, but will not immediately develop shingles.
When symptoms occur soon after a person is infected, they tend to be severe. They may start as small blisters that eventually break open and produce raw, painful sores that scab and heal over within a few weeks. The blisters and sores may be accompanied by flu-like symptoms with fever and swollen lymph nodes.
A person usually gets HSV-2 (herpes simplex type 2) through sexual contact. About 20% of sexually active adults in the United States carry HSV-2. Some people are more likely to get HSV-2. These people:
During the first outbreak (called primary herpes), you may experience flu-like symptoms. These include body aches, fever, and headache. Many people who have a herpes infection will have outbreaks of sores and symptoms from time to time. Symptoms are usually less severe than the primary outbreak. The frequency of outbreaks also tends to decrease over time.
The first symptom of genital herpes that you are likely to notice is the inflammation of your skin in the genital area, which may burn or itch. This symptom often occurs within 1-2 weeks of infection, during which time the virus multiplies in your cells and causes an outbreak. As the herpes episode progresses, blisters and ulcers develop. When the symptoms begin to subside, the ulcers form scabs, then they gradually disappear.
It is normal to be worried after finding out that you have genital herpes. But know that you are not alone. Millions of people carry the virus. Although there is no cure, genital herpes can be treated. Follow your health care provider’s instructions for treatment and follow-up.
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only.
In either case, the active virus is easily passed from one partner to another through sexual contact. Even wearing a condom may not protect the uninfected partner. The virus can be present on skin that remains uncovered.
After becoming infected with the herpes simplex virus (either HSV1 or HSV2), you may experience a tingling sensation in the affected areas—for instance, around the mouth, gums, genitals or rectal areas).
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Treatment. At the present time there is no cure for genital herpes. (A vaccine to prevent the development of herpes is under active development.) Antivirals such as acyclovir and valacyclovir help shorten episodes during the initial phase of infection, but do not cure it. Palliative treatment consists of measures to keep lesions clean and dry, to control pain with an analgesic, to promote healing with frequent sitz baths, and to prevent secondary bacterial infections.
Frequently asked questions. Gynecologic problems FAQ054. Genital herpes. American Congress of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Genital-Herpes. Accessed Jan. 19, 2017.
Oral herpes (HSV-1) infection (or exposure without noticeable infection) is common. About 65% of the U.S. population has detectable antibodies to HSV-1 by age 40. This article will focus on HSV-1, or oral herpes, not on HSV-2, also commonly known as genital herpes. Genital herpes is considered to be a sexually transmitted disease (STD). In addition, HSV-2 virus should not be confused with human papillomavirus (HPV), the cause of genital warts, and some cervical and other cancer types.
People with recurrent genital herpes may be treated with suppressive therapy, which consists of daily antiviral treatment using acyclovir, valacyclovir or famciclovir. Suppressive therapy may be useful in those who have at least four recurrences per year but the quality of the evidence is poor. People with lower rates of recurrence will probably also have fewer recurrences with suppressive therapy. Suppressive therapy should be discontinued after a maximum of one year to reassess recurrence frequency.
Antiviral medications, such as acyclovir, famciclovir, and valacyclovir, are the most effective medications available for people infected with HSV. These can help to reduce the severity and frequency of symptoms, but cannot cure the infection.
Since herpes in pregnant women may be transmitted to the baby at delivery, the obstetrician and midwife should be alerted to a history of past herpes infections so that this complication can be planned for and avoided.
The IFA procedure for measuring IgM antibodies to HSV-1 and HSV-2 will detect both type-common and type-specific HSV antibodies. Thus, detection of antibodies to both HSV 1 and HSV 2 may represent cross-reactive HSV antibodies rather than exposure to both HSV-1 and HSV-2.
HSV1 and HSV2 are genetically similar to each other. For this reason, having one form of the virus sometimes reduces risk of contracting the other form. This is because your body actively produces antibodies to fight the virus once you have it. However, it is possible to contract both forms.