If the abortion is done by a legal provider at a legal facility, problems after the procedure are rare. A trained counsellor will discuss your options and advise you on which family planning methods are suitable for you.
Sexual relationships and herpes People with recurrent genital herpes may reconsider some aspects of sexual intimacy. For example using non-genital forms of sexual contact when skin blisters or herpes ulcers are present. It also means considering, if, how and when you are going to tell a sexual partner (see Chapter 2: Genital Herpes and Relationships, page 23). Many people do not understand what it means to have genital herpes or realise how common it is. Most people react supportively when told and appreciate and respect your honesty. People who choose not to tell a sexual partner risk the burden of fear, guilt and secrecy.
Genital herpes is a common condition affecting around 45 million people in the U.S. The herpes viruses responsible for genital herpes (herpes simplex virus type 2, or HSV-2; and, less commonly, herpes simplex virus type 1 or HSV-1) are transmitted through close personal contact such as sexual contact.
Genital herpes is a sexually transmitted disease (STD) caused by a herpes simplex virus (HSV). It can cause sores on your genital or rectal area, buttocks, and thighs. You can get it from having vaginal, anal, or oral sex with someone who has it. The virus can spread even when sores are not present. Mothers can also infect their babies during childbirth.
The preferred HSV tests for patients with active genital ulcers are detection of HSV DNA by nucleic acid amplification tests such as polymerase chain reaction (PCR), or isolation by viral culture. 11 HSV culture requires collection of a sample from the lesion and, once viral growth is seen, specific cell staining to differentiate between HSV-1 and HSV-2. 11,25,26 However, culture sensitivity is low, especially for recurrent lesions, and declines as lesions heal. 11,26 PCR is more sensitive, allows for more rapid and accurate results, and is increasingly being used. 25 Because viral shedding is intermittent, failure to detect HSV by culture or PCR does not indicate an absence of HSV infection. 11 Tzanck preparations are insensitive and nonspecific and should not be used. 11
In one study, it was estimated that 26% of those who contract shingles eventually present complications. Postherpetic neuralgia arises in approximately 20% of people with shingles. A study of 1994 California data found hospitalization rates of 2.1 per 100,000 person-years, rising to 9.3 per 100,000 person-years for ages 60 and up. An earlier Connecticut study found a higher hospitalization rate; the difference may be due to the prevalence of HIV in the earlier study, or to the introduction of antivirals in California before 1994.
HSV-2 and HIV have been shown to influence each other. HSV-2 infection increases the risk of acquiring a new HIV infection by approximately three-fold. In addition, people with both HIV and HSV-2 infection are more likely to spread HIV to others. HSV-2 is amongst the most common infections in people living with HIV, occurring in 60-90% of HIV-infected persons.
Genital herpes (usually caused by HSV-2) is also a viral STD, and results in sores or lesions on the genitals, anus or upper thighs. HSV-2 can be contracted from infected bodily fluids, including semen, vaginal fluid, saliva or herpes lesions, sores or blister fluid. Genital herpes can be contracted during oral sex with someone who has oral herpes.
The family name of all the herpesviridae derives from the Greek word herpein (“to creep”), referring to the latent, recurring infections typical of this group of viruses. Zoster comes from Greek zōstēr, meaning “belt” or “girdle”, after the characteristic belt-like dermatomal rash. The common name for the disease, shingles, derives from the Latin cingulus, a variant of Latin cingulum meaning “girdle”.
Jump up ^ Corey L, Wald A, Patel R, et al. (January 2004). “Once-daily valacyclovir to reduce the risk of transmission of genital herpes” (PDF). N Engl J Med. 350 (1): 11–20. doi:10.1056/NEJMoa035144. PMID 14702423. Archived (PDF) from the original on 2008-12-04.
If you have genital herpes, it is important to always use condoms and dental dams when having sex, even when you have no symptoms. A dental dam is a square of thin latex that can be placed over the vulva or anal area during oral sex. It is safest to avoid sex when you have blisters, sores or symptoms.
Chlamydia discharge in women is often caused by cervicitis (the infection of the uterine cervix). It is the most common manifestation of chlamydia in women. The discharge may be yellow or milky white.
Often, the appearance of herpes simplex virus is typical and no testing is needed to confirm the diagnosis. If a health care provider is uncertain, herpes simplex can be diagnosed with lab tests, including DNA — or PCR — tests and virus cultures.
24. Kimberlin DW, Balely J, Committee on Infectious Diseases, Committee on Fetus and Newborn. Guidance on management of asymptomatic neonates born to women with active genital herpes lesions. Pediatrics, 2013. 131(2):e635-46.
That painful cold sore you get on your lip every now and then? It’s probably caused by a type of herpes virus called HSV-1. This virus is usually not an STD; it spreads easily among household members or through kissing. But it can be spread to the genitals through oral or genital contact with an infected person. Though there is no cure, drugs can shorten or prevent outbreaks.
The incidence of active genital herpes is difficult to determine precisely because many cases present mild symptoms, are self-limiting, and are not called to the attention of health care personnel. However, it is clear that the disease has reached epidemic proportions in the United States. It is highly contagious and is transmitted by direct person-to-person contact (not limited to sexual contact). Autoinoculation via the hands is possible; for example, from a lip ulcer to the genital area or from the lip or genitals to the eye. Once the virus gains access to the body it enters the nervous system and invades nerve cells located near the site of infection, such as in the sacral ganglia. The virus lies dormant in nerve cells and can remain there indefinitely, predisposing the person to recurrent outbreaks. Factors contributing to recurrent genital herpes are not well understood. Some infected persons experience no recurrences while others have frequent and severe outbreaks. Many patients are aware of a correlation between the appearance of lesions and precipitating factors such as exposure to sunlight, local trauma, fever, or emotional stress. Hormonal changes preceding menses have been associated with recurrences in women.
I know children do all sorts of odd things that you can’t anticipate, but even if they put your worn knickers on their head they are not going to contract the Herpes virus – relax and laugh with them.
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.
18. Brown ZA, Wald A, Morrow RA, Selke S, Zeh J, Corey L. Effect of serologic status and cesarean delivery on transmission rates of herpes simplex virus from mother to infant. JAMA, 2003. 289(2):203–9
As with almost all sexually transmitted infections, women are more susceptible to acquiring genital HSV-2 than men. On an annual basis, without the use of antivirals or condoms, the transmission risk of HSV-2 from infected male to female is about 8–11%. This is believed to be due to the increased exposure of mucosal tissue to potential infection sites. Transmission risk from infected female to male is around 4–5% annually. Suppressive antiviral therapy reduces these risks by 50%. Antivirals also help prevent the development of symptomatic HSV in infection scenarios, meaning the infected partner will be seropositive but symptom-free by about 50%. Condom use also reduces the transmission risk significantly. Condom use is much more effective at preventing male-to-female transmission than vice versa. Previous HSV-1 infection may reduce the risk for acquisition of HSV-2 infection among women by a factor of three, although the one study that states this has a small sample size of 14 transmissions out of 214 couples.
Jump up ^ Tankéré F, Bernat I (September 2009). “[Bell’s palsy: from viral aetiology to diagnostic reality]”. Rev Med Interne (in French). 30 (9): 769–75. doi:10.1016/j.revmed.2008.12.006. PMID 19195745.
For people who experience very frequent herpes recurrences, suppressive antiviral therapy, which reduces the frequency of herpes recurrences, can help reduce the impact the herpes recurrences can have on sexual activity and may reduce the risk of herpes transmission.
13. Freeman EE, Weiss HA, Glynn JR, Cross PL, Whitworth JA, Hayes RJ. Herpes simplex virus 2 infection increases HIV acquisition in men and women: systematic review and meta-analysis of longitudinal studies. AIDS, 2006. 20(1): 73–83.
People with genital herpes outbreaks are highly contagious. Anyone with active disease should avoid any sexual contact when sores are present. Even the use of a condom does not prevent the spread of disease because not all sores are covered by the condom.
Jump up ^ Allen LB, Sidwell RW (September 1972). “Target-Organ Treatment of Neurotropic Virus Diseases: Efficacy as a Chemotherapy Tool and Comparison of Activity of Adenine Arabinoside, Cytosine Arabinoside, Idoxuridine, and Trifluorothymidine”. Antimicrob. Agents Chemother. 2 (3): 229–33. doi:10.1128/aac.2.3.229. PMC 444296 . PMID 4790562.
Concern has been expressed that routine childhood varicella vaccination, introduced in the United States in 1996, could thereby lead to an increase in herpes zoster incidence by reducing opportunities for exposure to varicella,” researchers led by Dr.
Shingles, also known as herpes zoster, is a viral disease characterized by a painful skin rash with blisters in a localized area. Typically the rash occurs in a single, wide stripe either on the left or right side of the body or face. Two to four days before the rash occurs there may be tingling or local pain in the area. Otherwise there are typically few symptoms though some may have fever, headache, or feel tired. The rash usually heals within two to four weeks; however, some people develop ongoing nerve pain which can last for months or years, a condition called postherpetic neuralgia. In those with poor immune function the rash may occur widely. If the rash involves the eye, vision loss may occur.
With genital herpes, antibodies help ensure that recurrences are milder than the first herpes episode. It’s interesting to note that it is quite common to find antibodies in people who have never apparently experienced an episode of genital herpes. Either the initial infection was so mild that the person was unaware that it was taking place, or it was totally without symptoms and therefore unrecognised.
Genital herpes usually consists of breakouts or episodes, interspersed with symptom-free periods. The first herpes episode is usually the most severe, and can start with tingling, itching, or burning in or around the genitals, and flu-like symptoms, aches, pains – especially down the back, and the back of the legs. This may be followed by pain on passing urine and an outbreak of herpes sores or blisters on or around the genitals.
Some people will get symptoms within four or five days of coming into contact with the virus. In other people, the virus may be in the body for several weeks, months or possibly years before any symptoms appear. When you get symptoms it doesn’t necessarily mean you’ve only just come into contact with the virus.
A pregnant woman with signs or symptoms of genital herpes must inform her doctor as soon as possible. Prompt medical therapy may reduce the risk of transmitting the disease to newborn children by exposure in the birth canal.
If you have herpes, you should talk to your sex partner(s) and let him or her know that you do the risk involved. Using condoms may help lower this risk but it will not get rid of the risk completely. Having sores or other symptoms of herpes can increase your risk of spreading the disease. Even if you do not have any symptoms, you can still infect your sex partners.