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Royalty lifestyle clipart of a sick man in pjs, slippers and a robe, taking cold medicine while staying home on a sick day. So I'm posing a question to The Laundress, a glamorous detergent company I've been using for the past year. There are also some really great parties happening throughout the weekend too that attendies are privy to.
Spring is always that time where we clean out and clear away the dust and clutter in our lives.
I've been covering technology in fitness, fashion and health over the last 5 months and I really hope you enjoy these trend reports. Like I say in the video, we're picking 3 winners per prize category, so you have an excellent chance of winning. In all aspects of life, I'm drawn to women who take a stand on issues, don't care about being labeled a freak and just come out and say whatever it is they feel needs to be said.
Even when I'm home alone and hungry, I can cook a HelloFresh meal and save the 2nd portion for my lunch or dinner the next day. The concept of the beautifully captured campaign was that an exciting adventure could be as close as your backyard. Every trainer I got was just going through the motions, fully knowing I'd disappear on him or her once my free sessions were up. The day I went to film at KryoLife, owned and operated by Joanna Fryben,  I was actually feeling significant shoulder pain. Cryotherapy is hailed as a cure-all and people are using it to get rid of all kinds of things like acne, cellulite, unwanted weight, inflammation, depression, libido problems, and body injuries. To be perfectly honest, the TomTom Spark Cardio + Music frustrated me at first because therea€™s a bit of set up involved. I refer to my life as a juggling act because there are so many facets of what I do that need to be in constant motion.
In fact, I have more than a few waist trainers that I've been using for over a year since becoming curious about the waist training trend. As a Latina (my mother is Honduran), I'm feeling the need to spice up Thanksgiving with some Latin peppers. What follows are my favorite photographs from the day I conquered my fears with the Special Olympics of Missouri.
You might think that living in downtown Manhattan, I already see it all when it comes to high style. If you haven't been to any of Serene Social's wellness events yet, you're missing out and should definitely go to the one happening tomorrow in NYC at the launch of New York's Fashion Week.
I will be there and looking forward to some heart opening rooftop yoga atop the James Hotel in Soho.
So here's my Flat Stanley Skincare Secret: I seek out skincare that's packaged flat and in single servings.
One of the best parts of going on a road trip adventure is everything that you see along your drive. This trip will take us to some pretty amazing places where nature makes you feel empowered and free. Barre classes first came about in a big way in the 1950's on account of ballerina Lotte Berk.
Barre fitness is all about using small movements to work trouble spots and tone every inch of your body by working multiple muscles in unison.
It beats being ohm-ing indoors, especially with the cool breeze off the harbor blowing through your hair. Earlier this summer, I spent one of the most amazing and healthiest travel weekends of my life at the Four Seasons Baltimore. I first saw a pair of Vira Suns on my yoga-instructor-friend, Lauren Imparato, during a yoga class in the middle of Times Square. What sets this year's event apart from the last few, aside from the bearably cooler weather, was yoga-preneur Lauren Imparato leading the highly publicized morning class.
After years of dealing with this issue called a€?sleevage,a€? Ia€™ve concluded that most bras Ia€™ve worn are actually the real culprits. Before you give a listen though, I want to share my thoughts on what Katya Meyers is doing. I got in touch with the designer, Geneva Peschka from SunandDaughtersCo on Etsy, to find out more about the inspiration behind the shirt. Geneva bravely decided to act on the lessons she learned through these books and noticed her life change drastically for the better. The new Lotus Print collection by adidas Originals is urban, striking and feminine in a cool, unapologetic way.
If you're a Zumba fanatic, you should know that the cruise doesn't set sail for another 7 months from Fort Lauderdale, Florida but at least you have some time to plan, right? And just in case you stop dancing to see where the hell you're going, the cruise will be sailing to Falmouth, Jamaica with a stop in Labadee, Haiti for a private live concert featuring the hottest Caribbean artists. While the entire Team SCA crew was not on board, 2 of its sailors were there to answer all my questions. Their sail, while impressive in it's own right, represents something far greater for women.
From your clothes to accessories and gadgets, don't take a risk by wearing it for the first time on race day! FOR an exclusive womena€™s fitness class combining Surfset Fitness (the NEW surf-fitness trend) and Real Ryder Spinning (35 minutes of each). I picked out some rather loud styles for our shoot but once I got comfortable in them, I had no qualms wearing them "off-set". Short girls are always getting brainwashed into thinking we can't pull off more eccentric looks or fashion trends that taller girls can get away with.
Leave a comment below telling me which fitness myth gets under your skin and why it's soooo untrue. If there's something you should know about me it's that I avoid tourist traps at all costs! For the sake of being accurate, let's call these dangerous deodorants what they really are, which is antiperspirants.
It's totally blowing my mind but at the same time I keep asking myself: why should this feel surreal? I typically only share my press features on my press page, but today I'm expecially THANKFUL because this issue of People Style Watch marks the 12th time I've been quoted in their magazine. One of the most classic New Year's resolutions is to start going to the gym more, which is exactly why gyms start hiking up their enrollment fees around this time. I was there to buy an assortment of chocolates for my Aunt as a combined birthday and Valentine's Day gift.
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Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA.
I rinsed them out with cold water at the end of each day, but when I returned back home to NYC I realized how bad they smelled.
The Laundress was actually in my last #MIZ10 Quarterly Box and I trust them completely because they make the best eco-friendly laundry and fabric care. Louis and you're a blogger or content creator who wants to spend a day learning how to market yourself and build a brand and audience, then come join us! It's called SPRING 'LEAN AND DECLUTTER YOUR FIT ROUTINE and it's set to be delivered around May 20th. I recently cleaned out my clothes and shoe closet and ended up throwing a bunch of stuff away and donating the rest. I'll admit, I didn't start until the last year or two when I realized I was accumulating too much stuff. The reason I find them so relevant is because by 2020, wearable technology alone with generate over 20 billion dollars in revenue. Last night I made HelloFresh's Carmelized Onion Burger but instead of fries, the recipe included a roasted cauliflower side. It was supposed to wet your appetite for personal training and help you ease into your new gym-life.
People are investing more of their paycheck in health & wellness, and seem to be more committed to their workouts than ever.
But if you want the benefits of the treatment, it's worth enduring the very looooong 3 minutes. So I was genuinely hoping to reap the benefits of whole body cryo and report back to you on how quickly it worked.
Most of the ones Ia€™ve purchased or have been sent to review bite the dust in my gadget drawer at Mizzfit Headquarters.
I have what seems like a billion projects going on at once, and if I ignore one of thema€”well, you know what happensa€”the balls, the chainsaws and flaming sticks come toppling down on you and scatter.
Like many of you, I saw Kim Kardashian's selfie that she took in her trainer and wondered what's this? One of my recipes is an appetizer and the other is a side dish to accompany your turkey dinner.
Look for them in the canned and jar food aisle where you'd find things like stewed tomatoes, pasta sauces, etc. I'm pretty sure it was a combination of the perm's harsh chemicals (it was the early 90's afterall) and my onset of puberty. There's an amazing event called Over The Edge that happens nationwide through the Special Olympics, and I decided to do it in St.
In addition to raising awareness for this extraordinary event, I raised money to support it.
To some extent that's true because of the amazing and innovative fashion sense people have here. Serene Social has teamed up with Lululemon and Suja for this gathering to kick off the calamity of fashion energy that's about to overtake the city. By the time his photographs started getting noticed through social media, it was already a passion project. I've talked a lot about Haute Athletics this summer and love that they carry stuff you won't find elsewhere.
Since there are women rockin' this style and attitude in their everyday clothing, clearly there should be activewear that expresses the same vibe! Her prodigees went on to turn barre fitness into a successful business of popular, packed classes. Quite honestly, I felt like I was hiding out, as if I had taken off for an exotic and faraway retreat. But the real highlight was scoring my room at the Four Seasons for their celebration of Global Wellness Day, which was served up as a full week of fit & healthy activities.
Men don't like to be kept in the dark, because they know whatever you give them they'll have to top when it's time to shop for you.
I knew this year for Father's Day I was going to give my dad a travel bag that would help him do this.
Here's the link again on Lucy's Blog :)]]>On June 21st, Athleta was the headlining sponsor of Solstice in Times Square put on by Times Square Alliance for it's 13th year. When Katya first reached out to me and shared a bit of her life with me, I was really impressed with her background and how she left a traditional career path to pursue an endeavor her heart was stuck on (racing). She told me that over the last few years she's been doing a lot of self work and stumbled across Spirit Junkie by Gabrielle Bernstein. During my little photoshoot in NYC's Meatpacking District, locals and tourists alike kept pointing out my gear to their group. She works out with me, attends my events and has modeled for print ads (like the one above which actually never ran) and in magazines with me. After writing about Team SCA and their amazing adventure racing around the world, I was invited on a press trip to sail with them.
Just to clarify, the Volvo Ocean Race is ongoing and was in full effect while I was on this press trip, but a few crew members at a time are allowed to come off the boat for a leg of the race and rest up. As I write this, there are some incredibly athletic and brave women sailing around the world as part of Team SCA. It stops in nine countries around the world before finishing in Gothenburg, Sweden this June of 2015. Test everything you plan on wearing for the official half marathon race day during your last few training runs. Now that crazy party church is home to David Barton Gym and LimeLight shops where health and fashion are king and "queen" (it's in Chelsea, so I had to).
And if anyone has ever told you that knee highs only look good on girls with skinny legs, well, that's just NOT TRUE. Personally, I just think it's a matter of choosing a pattern, color or length that best suit your legs. I like to uncover the healthiest and most active things going on in the places I travel to, and I always prefer to go off the beaten path.
As I get older, I find I need to do more to preserve the firmness, the lift and glow factor of my skin. I'm feeling really grateful for 2.5 years of working with them to report on the hottest fitness trends happening nation-wide.
To be honest, I have more health goals than I can count on 5 sets of hands, so I'll keep it short and sweet.
Since she's a fashion designer, I knew she'd love chocolates from the most stylish and talked about chocolatier in town (the owners used to work at Per Se). Please note: this image is protected by copyright law and may not be used without buying a license. HSV-1 can also cause genital herpes. Herpes simplex virus 2 (HSV-2) is the most common cause of genital herpes, but it can also cause oral herpes. To tell you more about the box (tagged #MIZ11), I've decided to answer questions sent to me by Quarterly Co and Mizzfit readers. I have a chest full of fitness gear and equiptment in my apartment, and OMG, the things I found inside of it had me rolling on the ground. Yes, it's going through it's "boutique salon" stage right now, but people have been "floating" and even installing floating chambers in their homes for the last 20 years. But seriously, it's hard to decide which one is my favorite prize because quite frankly, I own them all.
We often take for granted the wonderful parks and historical sights within the region we live in. A few years ago The New York Times reported that some women were studio-hopping, taking more than 1 class a day to get their fix. It wasn't an overnight kind of relief, but the pain did completely go away about a day and half later. I know youa€™ve probably heard of many fitness trackers already but this one is the tracker of all trackers. 8 years ago I left a career in corporate advertising to pursue my dream of reporting on health & fitness.
Ita€™s risky business juggling a lot in your life, but for me personally, I live for the thrill! I reached out to Hourglass Angel (the most well-known waist training seller online) to see if I could try their products and, of course, come to my own conclusion.
Again, not complaining as worse things have happened in my life, but as all wavy and curly-haired girls know, learning how to style curls is freakin' hard!
Louis at The Arch so that Special Olympics athletes from my hometown can train, compete and enjoy a lifetime of their own thrills.
BUT, I'm never as exposed to the world of fashion and the mind-blowing creations debuting on runways as I am during NYFW. She presented her "Search Don't Rescue" collection, which really appealed to me because I'm a huge fan of monochromatic, flowy dresses and pairings. Graffiti Beasts leggings feature the art of real street artists whose art can be seen on the streets of Lisbon, Barcelona, Milan, New York City and many more cities across the world. Michelle Austin, founder of the Fluidity Barre, was one of her students among others like Exhale founder Fred Devito, who I interviewed HERE. You will most likely discover parts of your body that you never knew were possible to work out or even move. They have a wayfarer style (which is so classic that they're always IN) and they're made with polarized, UV400 protection lenses.


If you set a level of expectation, they will ALWAYS look forward to your gifts and rave about them in conversation. Let me guess, you know how to break a sweat but you also look forward to showing off how well you clean up and glow like a pro. Check it out because I go into detail about why these skincare products should be in your summer gym bag STAT! This is the yearly event where yogis come together right smack in the middle of Times Square to celebrate the day the sun is at its highest position in the sky for the longest period of time.
The tracker itself is a black shiny oval shaped piece that clips into a metal slip-on bracelet. But what you're paying for is great technology, an app that doesn't baffle you but inspires you and a piece of jewelry that looks good with anything you wear. A really astounding young lady and go-getter herself, Katya Meyers, created the interview series to share what happens behind the scenes in the lives of successful health & wellness oriented professionals.
Spirit Junkie and the book A Return To Love by Marianne Williamson really helped open her mind and heart to all the amazing possibilities that can happen when someone chooses love over fear. If you know of a case that shoud be on this list, please add it to the comments section below with a direct link. It's a 5 day adventure and my sources are telling me that there will be 130 of the most famous Zumba instructors onboard including Beto Perez himself.
I used to think of her as just my mom without fully worshipping everything she's accomplished. They're competing in the Volvo Ocean Race, which is considered to be the toughest sailing race in the world. It's a long trip (9 months at sea!) and it's a tremendous challenge for these women, requiring massive teamwork and goal-setting. Of course, you have to train consistently, eat right and get plenty of sleep and hydration. I teamed up with Chrissy's and my bestie, Michelle from YoGoGirls, to bring you these playful and sporty looks. I'm 5'2" with muscular legs and I loved the way these Polka Dot Socks almost seemed to lengthen my legs. Aging lines, sun damage and sagging are major concerns of mine, and I'd like to do the most I can to prevent the visible aging process from coming on faster than it needs to. Because aluminum prevents our underarms from stinking by blocking sweat from escaping through our pores onto the surface of the skin. Since May of 2009, I've been on a mission to take everything I learned and experienced from my advertising career and turn into something truly positive that will help women embrace health & wellness. I also wanted to take a moment to tell all of you that I'm always here to answer your questions about health & wellness so feel free to contact me. Speaking of sweet, Valentine's Day reared its rosy head and lured me into a chocolate shop last week. As I admired the glossy bonbons (they're literally lacquered with a sugary coating and some are topped with edible gold leaf) my mouth was watering insatiably.
Trends in HSV Types and Genital HerpesGenital herpes can be caused by either HSV-2 or HSV-1. As a vlogger, digital host and tv host, you could say I know a thing or two about producing video content.
The category continues to evolve and expand beyond the fitness tracker we're all familiar with.
The prizes I pick for each Booya Fitness challenge are based on my favorite products and gear that I've personally test out for you.
I only ate half the bun and the wonderful part about the meal is that the portions are JUST RIGHT. I already have enough gadgets and gizmos in my life that if I'm going to add something to the mix, it better do something spectacular.
Let's just say I ended up falling in love with waist training, which is something I really didn't expect.
I made some amazing stopsa€”this one was my favoritea€”and had a lot of time to think along the way.
You essentially have to ask yourself whata€™s next in my lifea€¦what road will I take and where do I hope it will lead me? As a fitness trend expert, I never limit myself to just fitness events because EVERYTHING is fusing together these days. But yes, I have a FLAT approach to skincare that I want to share with you today that literally saves my life every time I travel. Fact of my life: my toiletry bag + makeup bag + hair dryer and roundbrushes = most of the weight in my suitcase. Ia€™m discovering new spots to work out, sharing my favorite places to unwind and scoring face-time with friends. Not only do they keep you from squinting but they'll save those precious eye corners of yours from sun damage. The 2 pieces together are minimal and sleek in away that far out-styles FitBit, UP by Jawbone, Nike+ Fuelband and similar black band trackers. The 2 metal bracelet finishes--Midnight Purple and Brushed Gold--blend exceptionally well with silver and gold tone jewelry. I'm honored to be a part of her series and my interview is LIVE and ready to be heard by clicking RIGHT HERE.
My mom and I don't always agree on everything but she's been very supportive of my life choices and has taken great care of me throughout my life. It's going to be a fun springtime evening social, if you will, and a great chance to check out the evolution of LimeLight! Come join our healthy party with cocktails from SkinnyGirl and Juice Press, and wine sorbet from Frosae Wine Sorbae, which is basically FROZEN WINE! So I've put a little something together with a posh studio that's new to the area called Core3 Fitness. Hopefully they'll inspire you to get creative with something as simple and inexpensive as a pair of socks.
So, I did for a little bit but then over time I became empowered by how great my mid-30's felt. I can't perform magic tricks but I can wear Altchek MD's Daily Moisturizer made with SPF30, Ester C and Vitamin E.
The plus side is less sweat and stink but the downside is that antiperspirants prevent the human body from doing it's job, which is to rid itself of toxins.
I thought I'd share with you what I've got on my desk today: the March issue of People Style Watch Magazine and my new favorite toy, a Ball Wide Mouth Mason Jar with a fruit infuser lid!
It's drastically changing these industries with more advanced fabrics, lighter and more funtional parts, more accurate tracking and motion sensors, and overall cooler customization.
Whether it's my boyfriend coming over to cook with me, my mom visiting from Missouri or my best friend coming to spend the weekend with me to play in New York City, I literally ALWAYS have a meal in the fridge for 2 that only takes 30-45 minutes to whip up. And can you blame them for not caring when they know new members are taking them for joyride? Since I'm the healthy one in my familia, they count on me to contribute an interesting veggie concoction that wows their taste buds.
I caught the flu somewhere between rushing to shows and shaking hands with and hugging everyone. I've been to a few of their events, but this year's New York Fashion Week 2015 showcase was one of my favorites. Fashion is going sporty on NYFW catwalks and tech is catering more than ever to wellness conscious users. Ia€™m doing it all in a 2015 Ford Explorer to celebrate Tri-State Forda€™s a€?Where To Now?a€? adventure and summer sweepstakes!
My products have to be effective, easy to apply, fast working and light (on my shoulder, not just my face!). It's challenging, modern, music-oriented, and doesn't follow all the yoga rules you're used to. Most people won't even notice you're wearing a tracker because it looks like a fancy bangle.
The lotus flower is now bold, proud and sharp looking, which I personally think translates better to fitness and sport.
I learned a lot from them about Team SCA's voyage, race conditions and day to day life at sea during this gorgeous afternoon spent sailing on the Hudson River.
I've been running long distances since highschool and to this day I'm still discovering new tricks for a smoother run.
Going to the Big Island this past February was my 3rd time back to the wonderous state and I used a new online travel guide service called Localfu to navigate my way around like a local. In recent years, HSV-1 has become a significant cause in developed countries, including the United States.
I hiked to secret beaches, jumped into the ocean off rocky cliffs, slid down mud trails, went stand up paddle boarding and pretty much lived in a bikini the entire time. It's really amazing to see all the companies being born out of these kind of technological advancements.
It's been a whirlwind of a month but I'm finally back at Mizzfit headquarters blogging about all my exciting Fall adventures. Ia€™ve worked really hard to get where I am, but if you had asked me years ago whether Ia€™d be in the drivera€™s seat of my own business and reporting on womena€™s health, Ia€™d think you were nuts. I worry that I won't have what I need and as a frugalista, I don't want to buy what I already own while away from home. Most importantly they have to feel good on and revitalize my skin, whether Ia€™m running to a workout or freshening up right after one. It's simply amazing, so I was thrilled to see her join what has become a yogi cult favorite summer event.
But when it comes to fitness--my area of expertise--there's no fooling me or anyone else for that matter. She told me to choose my deodorant wisely because many popular brands pose health risks, especially to women. Check me out in Lacroix Sparkling Water's new campaign called "Start A Healthy Relationship", which can be seen on the Lacroix website and in several fitness & health publications like Oxygen Magazine. I take a lot of criticism for being an outspoken Republican (I'm NOT anti-gay marriage or pro-life though), for wearing waist trainers and even for making a living off of social media.
That being said, I was pretty excited to see which brands would be making their debut at TechStyleNYC! If you live on the West Coast, keep reading because I have details on an amazing fit event happening out there as well. They either burnt out or broke after 1 drop and then it was back to the Apple store for a new one. Find out what's in store for you and please check out this Facebook Invitation (where I'd love for you to RSVP). I want you to be informed on all the possibilities of fitness instead of believing bogus stories that discourage you. My aunt is no stranger to disease as a survivor of Melanoma tumors and having recently lost her beloved husband to Esophageal cancer, so I decided to take heed and do a little research of my own.
Even if it doesn't (and if so, I'm jealous that you've mastered being a sane packer), I think this tip might come in handy. Many thanks to Altchek MD for all the attention and for making my skin look so great at 36 years old. The risk of infection is highest during outbreak periods when there are visible sores and lesions. As I get older, I realize how important it is to poke around and get the inside scoop instead of just taking things at face value. People are always judging but that's OK, I enjoy the path less traveled if it sparks my curiosity. Around the time I turned 12, my dad took me to get a "Mariah Carey" perm because I wanted Mariah's exact hair from her music video Someday. You'll eventually find yourself clicking on every square on his instagram profile much like I did. Ia€™m a sleeveless-outfit-kind-of-girl and my issue is finding a bra that makes the area where my underarm and side boob meet look shapely.
So I've whipped out a larger magnifying glass (aka camera and corresponding film team) and started doing a lot more poking around than usual.
Ita€™s frustrating when you work out as much as I do to maintain an athletic physique, to look in the mirror and spot a bulge protruding from under your arm! I discovered there's a lot out there in the world of iPhone cases, and with a brand new iPhone 6 on my hands, I began to test.
SymptomsWhen genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks. So I reached out to him to express my fandom and whadayaknow, he's the nicest guy on earth! Herpes, Pregnancy, and Newborn InfantsHerpes can pose serious risks for a pregnant woman and her baby.
The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission. Babies born to mothers infected with genital herpes are often treated with the antiviral drug acyclovir, which can help suppress the virus.
Herpes viruses include human herpes virus 8 (the cause of Kaposi sarcoma) and varicella-zoster virus (also known as herpes zoster, the virus responsible for shingles and chickenpox). The word "herpes" comes from the Greek word "herpein," meaning "to creep." This refers to the unique characteristic pattern of all herpes viruses to creep along local nerve pathways to the nerve clusters at the end, where they remain in an inactive (dormant) state for variable periods of time. The usual cause of oral herpes (herpes labialis), which are commonly called cold sores or fever blisters.
HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2).
Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes. It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites). In fact, HSV-1 is now responsible for more than half of all new cases of genital herpes in developed countries. The Disease ProcessHerpes is transmitted through close skin-to-skin contact. To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through tiny injuries in the skin or through a mucous membrane, such as inside the mouth or on the genital or anal areas. The risk for infection is highest with direct contact of blisters or sores during an outbreak. But the infection can also develop from contact with an infected partner who does not have visible sores or other symptoms. Once the virus has contact with the mucous membranes or skin wounds, it enters the nuclei of skin tissue cells and begins to replicate. The virus is then transported from the nerve endings of the skin to clusters of nerve cells (ganglia) where it remains inactive (latent) for some period of time. However, at some point, the virus wakes up and travels along nerve pathways to the surface the skin where it begins to multiply again.
During this time, the virus can infect other people if it is passed along in body fluids or secretions. Viral shedding may be accompanied by noticeable symptoms (outbreak) but it can also occur without causing symptoms (asymptomatic shedding). In either case, a person is infectious during periods of viral shedding. Symptoms may appear as multiple small red bumps or patches that develop blisters. Certain triggers can wake up the virus from its dormant state and cause it to become active again. In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak.
HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years.
In addition, because HSV-1 can be passed in saliva, people should also avoid sharing toothbrushes or eating utensils. Transmission of Genital Herpes Genital herpes is transmitted through sexual activity.
People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner. People with active symptoms of genital herpes are at very high risk for transmitting the infection. Unfortunately, most cases of genital herpes infections occur when the virus is shedding but producing no symptoms.


Most people either have no symptoms or do not recognize them when they appear. In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing.
There is also evidence that children today are less likely to get cold sores and become exposed to HSV-1 during childhood. Centers for Disease Control and Prevention (CDC), about 1 in 6 Americans ages 14 to 49 years have genital herpes.
While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. African-American women are at particularly high risk. People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes. It is almost impossible to defend against the transmission of oral herpes, because it can be transmitted by very casual contact, including kissing. Still, you can help reduce the risk of transmitting oral herpes by not sharing objects that touch the mouth, such as eating and drinking utensils, toothbrushes, and towels. It is best to refrain from any type of sex (vaginal, anal, or oral) during periods of active outbreak.
However, herpes can also be transmitted when symptoms are not present (asymptomatic shedding). Although condoms may not provide 100% protection, they are proven to significantly reduce the risk of sexual disease transmission, including herpes. Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them. Use a water-based lubricant. Lubricants can help prevent friction during sex, which can irritate the skin and increase the risk for outbreaks. Only water-based lubricants (K-Y Jelly, Astroglide, AquaLube, and glycerin) should be used.
However, it is best not to use condoms pre-lubricated with spermicides. Do not use spermicides for protection against herpes. Nonoxynol-9 can cause irritation around the genital areas, which makes it easier for herpes and other STDs to be transmitted. Use a dental dam or condom for oral sex. If you have any symptoms of oral herpes, it is best not to perform oral sex on a partner until any visible sores or blisters have healed. Limit the number of sexual partners. The more sexual partners you have, the greater your chances of becoming infected or infecting others.
It is very unlikely to transmit or contract genital herpes from a toilet seat or bath towel. Studies suggest that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections. However, herpes can cause significant and widespread complications in people who don't have a fully functioning immune system.
The CDC recommends that all people diagnosed with herpes simplex virus 2 (HSV-2) get tested for HIV. Most people with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. Herpes and PregnancyPregnant women who have genital herpes due to either HSV-2 or HSV-1 have an increased risk for miscarriage, premature labor, inhibited fetal growth, or transmission of the herpes infection to the infant in the uterus or at the time of delivery.
Herpes in newborn babies (herpes neonatalis) can be a very serious condition. Fortunately, neonatal herpes is rare. Although about 25 to 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes. The baby is at greatest risk during a vaginal delivery, especially if the mother has an asymptomatic infection that was first introduced late in the pregnancy. The risk for transmission also increases if infants with infected mothers are born prematurely, there is invasive monitoring, or instruments are used during vaginal delivery. Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal. This risk is increased if the woman is having or has recently had an active herpes outbreak in the genital area. Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes. Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore. Infants may get congenital herpes from a mother with an active herpes infection at the time of birth. Aggressive treatment with antiviral medication is required. Most infected pregnant women do not have a history of symptoms, so herpes infection is often not suspected or detected at the time of delivery. Fortunately, if a woman does have genital lesions, rapid diagnostic blood tests can quickly determine her chances of transmitting the virus to her baby during delivery. Some women with new or recurrent herpes may also be prescribed antiviral medication during pregnancy. A woman with herpes can usually safely breastfeed her baby, as long as she does not have a lesion on her breast or nipple.
Neonatal herpes can spread to the brain and central nervous system, causing encephalitis and meningitis. Herpes can also spread to internal organs, such as the liver and lungs. Infants infected with herpes are treated with acyclovir, an antiviral drug. They usually receive several weeks of intravenous acyclovir treatment, often followed by several months of oral acyclovir. It is important to treat babies quickly, before the infection spreads to the brain and other organs.
Fortunately, rapid diagnostic tests and treatment with acyclovir have significantly improved survival rates and reduced complication rates.
Nearly all who recover have some impairment, ranging from very mild neurological changes to paralysis.
Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur. Herpes Eye ComplicationsOcular herpes is a recurrent infection that affects the eyes. Ocular herpes is usually a simple infection that clears up in a few days, but in its more serious forms, and in severe cases, it can cause blindness.
It only affects the upper layer (epithelium) of the cornea and heals with scarring. Stromal Keratitis. Iridocyclitis is another serious complication of ocular herpes, in which the iris and the area around it become inflamed. Herpes Skin ComplicationsEczema Herpeticum A rare form of herpes infection called eczema herpeticum, also known as Kaposi varicelliform eruption, can affect people with skin disorders and those with a weakened immune system. Untreated, this condition can be extremely serious and possibly fatal. Gingivostomatiti Oral herpes can cause multiple painful ulcers on the gums and mucus membranes of the mouth, a condition called gingivostomatitis. Children with gingivostomatitis commonly develop herpetic whitlow (herpes of the fingers). Herpetic Whitlow A herpetic whitlow is an infection of the herpes virus involving the finger, often around the fingernail.
In children, this is often caused by thumb sucking or finger sucking while they have a cold sore.
It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus. The use of latex or polyurethane gloves prevents herpes whitlow in health care workers. SymptomsHerpes symptoms vary depending on whether the outbreak is initial or recurrent. The primary outbreak is usually worse than recurrent outbreaks, with more severe and prolonged symptoms.
In fact, studies indicate that 10 to 25% of people infected with HSV-2 are unaware that they have genital herpes.
The first signs are a tingling sensation in the affected areas (genitalia, buttocks, and thighs) and groups of small red bumps that develop into blisters. The sores may sometimes itch, but itching decreases as they heal. About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, and fever. Some women may have difficulty urinating and may, occasionally, require a urinary catheter.
Women may also experience vaginal discharge. Recurrent Genital Herpes Outbreak In general, recurrences are much milder than the initial outbreak. The virus sheds for a much shorter period of time (about 3 days) compared to an initial outbreak of 3 weeks. Women may have only minor itching, and the symptoms may be even milder in men. On average, people have about four recurrences during the first year, although this varies widely. There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 caused genital herpes.
HSV-2 genital infection is more likely to cause recurrences than HSV-1. Symptoms of Oral HerpesOral herpes (herpes labialis) is most often caused by HSV-1, but it can also be caused by HSV-2.
It usually affects the lips and, in some primary attacks, the mucus 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 (initial) oral infection causes symptoms, they can be very painful, particularly in children.
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 (because it may arise during a bout of cold or flu).
The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat. Recurrences of genital herpes are more likely with HSV-2 infection than with HSV-1 infection.
The outbreak of infection is often preceded by a prodrome, an early group of symptoms that may include itchy skin, pain, or an abnormal tingling sensation at the site of infection. Recurrent outbreaks feature most of the same symptoms at the same sites as the primary attack, but they tend to be milder and briefer. Occasionally, the symptoms may not resemble those of the primary episode, but appear as fissures and scrapes in the skin or as general inflammation around the affected area. They include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress. Oral herpes can be triggered within about 3 days of intense dental work, particularly root canal or tooth extraction. Timing of Recurrences Recurrent outbreaks may occur at intervals of days, weeks, or years.
For most people, outbreaks recur with more frequency during the first year after an initial attack.
The good news is that in most healthy people, recurring infections tend to become progressively less frequent, and less severe, over time. However, other conditions can resemble herpes, and doctors cannot base a herpes diagnosis on visual inspection alone.
These tests include: Virologic tests (viral culture of the lesion) Serologic tests (blood tests that detect antibodies) The CDC recommends that both virologic and serologic tests be used for diagnosing genital herpes.
People diagnosed with genital herpes should also be tested for other sexually transmitted diseases. At this time, experts do not recommend screening for HSV-1 or HSV-2 in the general population. Genital herpes can be caused by either HSV-1 or HSV-2.
It is important to determine which virus is involved, as the type of herpes infection influences prognosis and treatment recommendations.
Recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than with HSV-2. False-negative (testing negative when herpes infection is actually present) or false-positive (testing positive when herpes infection is not actually present) results can occur.
Your health care provider may recommend that you have a test repeated. Virologic TestsViral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 48 hours of the outbreak. PCR tests are much faster and more accurate than viral cultures, and the CDC recommends PCR for detecting herpes in spinal fluid when diagnosing herpes encephalitis. PCR can make many copies of the virus' DNA, so that even small amounts of DNA in the sample can be detected. However, many labs now use PCR for herpes testing because it is highly accurate. An older type of virologic testing, the Tzanck smear test, uses scrapings from herpes lesions.
The scrapings are stained and examined under a microscope for the presence of giant cells with many nuclei or distinctive particles that carry the virus (called inclusion bodies).
The Tzanck test is not reliable for providing a conclusive diagnosis of herpes infection and is not recommended by the CDC. Serologic TestsSerologic (blood) tests can identify antibodies that are specific for either HSV-1 or HSV-2.
When the herpes virus infects you, your body's immune system produces specific antibodies to fight off the infection. If a blood test detects antibodies to herpes, it is evidence that you have been infected with the virus, even if the virus is in a non-active (dormant) state. The presence of antibodies to herpes also indicates that you are a carrier of the virus and might transmit it to others. Serologic tests can be especially useful for people who do not have active symptoms, but who have other risk factors for herpes (such as other STDs, multiple sex partners, or a monogamous partner who has genital herpes).
Although glycoprotein (gG) type-specific tests have been available for many years, many of the older nontype-specific tests that cannot distinguish HSV-1 from HSV-2 are still on the market.
Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue. The drugs are used initially to treat a first attack of herpes, and then afterward to either treat recurrent outbreaks (episodic therapy) or reduce frequency of recurrences (suppressive therapy).
Drugs can, however, reduce the severity of symptoms, improve healing times, and prevent recurrences. If people experience very severe disease or complications, they need to be hospitalized and receive an antiviral drug intravenously. Your health care provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions. If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity. Valacyclovir is taken once a day. Suppressive treatment can reduce the frequency of outbreak recurrences by 70 to 80%. It is generally recommended for people who have frequent recurrences (6 or more outbreaks per year).
Because herpes recurrences often diminish over time, you should discuss annually with your health care provider whether you should stay with drug therapy or discontinue it. 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. A new form of acyclovir (Sitavig) is administered orally as an adhesive tablet; it is applied to the gum region of the mouth, where it dissolves during the course of the day. In addition, acyclovir is available in topical form, as is the related drug penciclovir (Denavir). Topical TreatmentsThese ointments or creams can help shorten healing time and duration of symptoms.
However, none are truly effective at eliminating outbreaks. Penciclovir (Denavir) heals HSV-1 sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain. Ideally, you should apply the cream within the first hour of symptoms, although the medication can still help if applied later. Apply the cream 5 times a day, beginning at the first sign of tingling or pain. Over-the-counter topical ointments may provide modest relief. They include Anbesol gel, Blistex lip ointment, Campho-phenique, Herpecin-L, Viractin, and Zilactin. Some contain a topical anesthetic such as benzocaine, tetracaine, or phenol. Lip balm that contains sunblock, or sunscreen applied around the lips may help prevent sun-triggered outbreaks. Herbs and SupplementsGenerally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products. Just like a drug, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful. There have been several reported cases of serious and even lethal side effects from herbal products.
Always check with your provider before using any herbal remedies or dietary supplements. Many herbal and dietary supplement products claim to help fight herpes infection by boosting the immune system. There has been little research on these products, and little evidence to show that they really work.
Epidemiology, clinical presentation, and antibody response to primary infection with herpes simplex virus type 1 and type 2 in young women.
Seroprevalence of herpes simplex virus type 2 among persons aged 14 - 49 years -- United States, 2005-2008.
Guidance on management of asymptomatic neonates born to women with active genital herpes lesions.
Genital shedding of herpes simplex virus among symptomatic and asymptomatic persons with HSV-2 infection.



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