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While herpes virus type 1 (HSV-1) typically causes oral herpes, herpes virus type 2 (HSV-2) is usually spread through genital and oral secretions and causes most often genital herpes. Most individuals in the US get infected with oral herpes by the age of 20; however, once infected, the herpes simplex virus remains in the sensory nerve cell bodies for life, in a latent state or active from time to time. Genital herpes is an STD, it is more common in women than men and it is often asymptomatic. Evidence suggests that antivirals reduce viral shedding and make symptomatic episodes less severe. If you have new open sores and blisters on your genital area when you start taking these medications, then the treatment should last more than five days. In case you have less than six recurrent outbreaks in a year, your doctor will prescribe a 5-day course of acyclovir, valacyclovir or famciclovir every time you feel the skin itching, tingling or burning at the site where the painful blisters will appear.
In case you experience more than six recurrent outbreaks in a year or you have severe symptoms, your doctor will prescribe an antiviral, typically acyclovir, that you need to take every day for a longer period of time, in order to suppress the HSV-2 into latency.
Although the risk of passing the herpes virus on to your partner is reduced, it is not completely prevented.
A weakened immune system that is typically associated with recurrent outbreaks of genital herpes may also be a sign of HIV. Although there are several older and newer available treatment options for herpes, the herpes simplex virus cannot be cured. Antivirals do however relieve discomfort and pain felt during the outbreak by healing the blisters.
Natural remedies for the treatment of herpes include echinacea, the amino-acid L-lysine, vitamin C, zinc, aloe vera, eleuthero as well as bee products especially propolis ( which can also be applied topically to accelerate the healing of the sores). It is estimated that at least one in five adults is infected with the virus, but many of these have no symptoms and do not know they have the virus. Herpes infectionGenital herpes is an infection caused by herpes simplex virus type 2, which is transmitted through sexual intercourse.
Herpes simplex virus type 2 is transmitted through sexual contact, being highly contagious when the patient has active lesions (the symptoms will be explained below). The frequency of virus shedding is becoming smaller as the years pass from the first appearance of herpes. Herpes simplex virus Whenever the patient has a crisis, its transmission rate rises again, going back to last fall as the crisis is getting older.
HIV-positive patients who also have genital herpes are the group with the highest transmission possibility during the asymptomatic phase. The herpes simplex virus type 1 often causes lesions only in the mouth, but can be transmitted to the genitals during oral sex. The herpes simplex virus type 2 survives for a very little time in the environment, transmission through clothing or towels is uncommon. The use of condoms reduces the chance of transmission, but does not eliminate it completely, since the herpes lesions can appear in the genital areas that are not covered by the condom. Most patients who become infected with herpes simplex virus type 2 do not develop the disease, remaining asymptomatic and unaware of the infection. Herpes infection The first time that the lesions of genital herpes occur after the patient has been infected is called the primary infection.
The symptoms of genital herpes tend to develop in three to seven days after intercourse responsible for the infection, but in some cases may take up to two weeks. Besides the typical lesions of herpes, primary infection is usually accompanied with other symptoms such as fever, malaise and body ache.
The lesions in primary infection of genital herpes usually take on average 20 days to disappear. Herpes recurrencesAfter primary infection genital herpes lesions disappear remaining silent for several months. The recurrent lesions tend to be less painful and last for about 10 days, half the time of primary infection.
Days before the lesions recur, the patient may experience some symptoms of warning, like an itchy labia majora, a penile numbness or tingling in the genital region. In some cases the patient may not develop symptoms of primary infection soon after infection, ulcers can appear only years later, after some event that reduces your immunity.
Herpes diagnosis The lesions of genital herpes are typical during the crisis and are easily recognized by experienced physicians. The tests can identify the virus, but do not provide information on when the patient was infected. Herpes drugsAlthough there is no cure for genital herpes, infection can be controlled with antiviral therapy. Three antiviral drugs are used for the treatment of genital herpes: Acyclovir (Zovirax), Famciclovir (Famvir), Valacyclovir (Valtrex). In patients with more than six outbreaks per year can be indicated suppressive therapy, which consists of continuous daily use of an antiviral at low doses to avoid recurrences.
In addition to the antiviral drugs, certain home therapy can be used to alleviate the symptoms of an outbreak of genital herpes.


Hi guys, I was wondering if you have genital herpes, can your partner get it even if you avoid having sex during rushes or a crisis ?
Based on the site of infection, herpes is categorized into two main conditions – oral herpes and genital herpes. Both types of herpes are highly contagious and in order to prevent getting infected, you should avoid intimate contact with a person already infected as well as touching items infected with the herpes virus ( dishes, towels, razor blades). However, in case you have a weakened immune system, symptoms do occur, usually 2 days to 2 weeks after getting infected, they are quite severe and include fever, malaise, nausea and decreased appetite as well as swollen lymph nodes during the first outbreak.
Treatment for genital herpes typically depends on whether you have a primary infection with the herpes virus ( you have genital herpes for the first time) or a recurrent infection ( genital herpes symptoms reappear after a period of latency). Acyclovir and valaciclovir are available as generic medications and they are effective particularly in oral herpes, especially if they are taken before blisters start to develop. The most side-effects of these antiviral medications include a general sick feeling, nausea, rash, tremor, headaches and fatigue. Genital herpes symptoms include small and painful blisters filled with clear fluid which appear on your genital areas. Episodes of recurrent genital HSV-2 infections gradually become less severe and less frequent after a period of two years following the first outbreak. Pregnant women who have an outbreak when they give birth may pass the herpes virus to their babies and in this case a C-section is recommended.
To minimize discomfort, it is also important to wear loose-fitting cotton underwear instead of nylon, to cleanse gently the affected areas with antiseptic soap and water and to take warm baths, which may also alleviate the pain. These dietary supplements have no side-effects and can be taken for a longer period if you suffer from recurrent outbreaks. This is usually followed by painful, small blisters that pop and leave sores that ooze or bleed. It is intended for general informational purposes only and does not address individual circumstances.
Individuals who have genital herpes are encouraged to talk to a sexual partner, use condoms and take other measures to prevent transmission. The herpes simplex virus type 1 can cause genital herpes as well, but is usually associated with herpes labialis. A big problem is that genital herpes transmission can occur even in times when the patient is asymptomatic. The disposal out of the crisis is greatest in the first three months after primary infection. 70% of transmissions of genital herpes occur in the asymptomatic phase, since during the crises the patient usually avoids having sex. Once infected, patients with type 1 herpes can transmit the disease in the same way that patients infected with the second type. For example, a herpes lesion on the scrotum remains exposed even with the proper use of condoms.
They can arise in lymph nodes groin area, and if the ulcers are close to the urethra, there may be intense pain while urinating. In women lesions may be visible outside the vagina, but they usually occur inside, where they are hidden. In most patients the infection emerges from time to time, in some cases, more than once a year. Among the most common are extreme physical exertion, emotional stress, illness, recent surgery, excessive sun exposure and immunosuppression. In these cases, in spite of the first appearance of the wounds, the disease behaves more like a recurrence than as primary infection, being shorter and less painful. If there is need for laboratory confirmation, or if the damage is not very typical, the doctor may take samples of ulcers for virus identification. The antiviral treatment serves to accelerate the healing of injuries, alleviate the symptoms to prevent complications and reduce the risk of transmission to others. People with a history of recurrent genital herpes are often advised to keep a stock of antiviral medication at home, in order to start treatment as soon as the first signs of a recurrence. The advantage of suppressive therapy is that it reduces the frequency and duration of relapse, and can also reduce the risk of transmission of herpes virus to the uninfected partner. Some experts recommend pause treatment periodically (every few years) to determine if the suppressive therapy is still required.
Risk factors for recurrent infections include genital irritation, stress, injury and fatigue.
Prescribed antivirals should be typically taken 5 times a day, for a period of at lest five days. If you are experiencing recurrent infections , it is also recommended to get tested for HIV.
Latex condoms are the only ones which can prevent a herpes infection from spreading during sexual contact. Most people notice symptoms within a few weeks after they catch the virus from someone else.


It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Therefore, even when the virus is eliminated intermittently, the patient can transmit genital herpes to your partner(s). After 10 years of infection, the transmission out of the crisis is becoming increasingly less common.
The difference is that crises are usually milder and less frequent, and the transmission out of the crisis is less common.
In patients who develop symptoms, the clinical picture is divided into two situations: primary infection and recurrence. 90% of patients experience a recurrence in the first interval of 18 months after primary infection.
In asymptomatic phases it is possible to investigate the herpes infection through serology, which can identify both the herpes simplex virus type 1 and type 2.
Women who are having pain urinating may feel less discomfort during the sitz bath or a shower with warm water. The first time it happens, you may also have a fever, headache, or other flu-like feelings.
Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site.
Usually in a period of 100 days, the patient has 2 or 3 times of eliminating the virus asymptomatically. 400 patients with genital herpes were studied for more than 10 years and sampled out of the genitals of seizures for a period of 30 days. The lesions of genital herpes can also arise at any point of the perineum and around the anus of the patient who practice anal sex.
However, there are cases in which recurrence is not possible to identify any triggering factor. The problem is that, as the first appearance of the wound, the patient tends to think he has been infected recently, and this often causes problems in couples with a stable relationship for years. Patients usually having frequent recurrences are those who have a prolonged primary infection with herpes initial lesions lasting more than one month.
In these situations it is very difficult to establish precisely when the patient was infected and whoor what was the cause.
How You Do -- and Don’t -- Get HerpesYou get herpes by having any kind of sex -- vaginal, oral, or anal -- with someone who’s infected.
Because the virus can't live long outside your body, you can't catch it from something like a toilet seat or towel.  Worried It’s Herpes?Sometimes people mistake a pimple or ingrown hair for herpes. If you don’t have symptoms but think you might have herpes, your doctor can do a blood test.
What Causes It?Genital herpes usually comes from the virus called herpes simplex-2 (HSV-2). How to Prevent an OutbreakSome people only take their medications if they feel the itching and tingling that means an outbreak is coming on -- or when sores show up -- to stop it from getting worse. Most people have them on and off for several years,  but they get milder and happen less often over time. How to Avoid HerpesAs long as you're sexually active, there's a chance you could get herpes. You'll make it a lot less likely if you use a latex or polyurethane condom or dental dam every time, for every activity. What Triggers an Outbreak?The herpes virus stays in your body forever, even if you have no symptoms. You may have an outbreak when you're sick, after you’ve been out in the sun, or when you’re stressed out or tired.
Sex and HerpesYou still can have sex if you have genital herpes, but you must tell your partner you have the virus.
Problems With HerpesPeople often don’t have serious problems from herpes, but there's a chance of them. Herpes and PregnancyIf you’re pregnant and have herpes, your doctor may suggest that you have your baby by C-section. During vaginal birth, the herpes virus could spread to your baby, especially if your first outbreak happens around the delivery time.
The American Sexual Health Association recommends you pick a time when you won't be interrupted, plan what you want to say ahead of time, and practice what you'll say so you feel confident.



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