How does herpes affect your dating life. What are the best ways to disclose your HSV status to potential partners. How can you manage herpes symptoms and outbreaks effectively. What strategies help maintain a positive outlook when living with genital herpes.

Understanding Herpes Simplex Virus (HSV)

Herpes simplex virus (HSV) is a common viral infection that comes in two main types: HSV-1 and HSV-2. While HSV-1 is typically associated with oral herpes (cold sores), and HSV-2 with genital herpes, both types can affect either area. The virus spreads through skin-to-skin contact, including sexual activity, and can transmit even when using barrier methods like condoms.

Can you contract herpes without visible symptoms. Yes, asymptomatic viral shedding can occur, allowing transmission without visible sores. This makes open communication with partners crucial for preventing spread.

Key Facts About HSV Transmission

• HSV can spread through oral sex, genital contact, and even finger-to-genital contact
• Transmission is possible even when using condoms or other barriers
• The virus can spread asymptomatically, without visible sores
• Proper hand hygiene is essential to prevent accidental transmission

Overcoming the Stigma: Reframing Your Herpes Diagnosis

Receiving a herpes diagnosis can be emotionally challenging due to widespread misinformation and societal stigma. However, it’s crucial to remember that herpes is a manageable skin condition that doesn’t define your worth or future relationships.

How can you reframe your perspective on herpes. Focus on educating yourself about the virus, connecting with supportive communities, and remembering that many people live fulfilling lives with HSV. Your diagnosis doesn’t change who you are as a person.

Positive Affirmations for Living with Herpes

• Herpes doesn’t define me or my relationships
• I am worthy of love, affection, and intimacy
• My diagnosis is an opportunity for open communication and trust
• Many people understand and accept partners with HSV

Navigating Dating and Relationships with HSV

Dating with herpes requires honesty and open communication. While disclosing your HSV status can feel daunting, it’s an essential step in building trust with potential partners. Many people find that their fears about rejection are often unfounded, as informed partners are often understanding and accepting.

When is the best time to disclose your HSV status. There’s no perfect moment, but it’s generally recommended to have the conversation before engaging in sexual activity. This allows your partner to make an informed decision and demonstrates your commitment to their well-being.

Tips for Disclosing Your HSV Status

1. Choose a private, comfortable setting for the conversation
2. Be clear and direct about your diagnosis
3. Provide accurate information about transmission risks and prevention
4. Allow your partner time to process the information
5. Be prepared to answer questions and address concerns

Effective Strategies for Managing Herpes Symptoms

While herpes has no cure, various treatments and lifestyle changes can help manage symptoms and reduce outbreak frequency. Antiviral medications, such as acyclovir or valacyclovir, can suppress the virus and minimize transmission risk.

How can you recognize the early signs of a herpes outbreak. Pay attention to tingling, itching, or burning sensations in the affected area, as these may indicate an impending outbreak. Early intervention with medication can often shorten the duration and severity of symptoms.

Lifestyle Habits to Support Herpes Management

• Maintain a balanced diet rich in lysine and low in arginine
• Manage stress through relaxation techniques and exercise
• Get adequate sleep to support immune function
• Avoid known triggers, such as excessive sun exposure or certain foods
• Practice good hygiene, especially during outbreaks

Building a Support Network: Finding Understanding and Acceptance

Living with herpes can sometimes feel isolating, but you’re far from alone. Building a support network of understanding friends, family members, or support groups can provide emotional comfort and practical advice. Many people find that sharing their experiences helps them feel empowered and less stigmatized.

Where can you find herpes support groups. Look for local meetups, online forums, or social media groups dedicated to HSV support. These communities often offer a safe space to share experiences, ask questions, and receive encouragement from others living with herpes.

Benefits of Joining a Herpes Support Group

• Share experiences and coping strategies
• Learn about the latest research and treatment options
• Gain confidence in discussing your diagnosis
• Form friendships with others who understand your situation
• Access resources for dating and relationships

Maintaining Sexual Health and Intimacy with HSV

A herpes diagnosis doesn’t mean the end of your sex life. With proper precautions and open communication, you can maintain a fulfilling and safe sexual relationship. Understanding transmission risks, using protection, and avoiding sexual contact during outbreaks are key strategies for reducing the spread of HSV.

How can you practice safe sex with herpes. Use barrier methods like condoms and dental dams, avoid sexual contact during outbreaks, and consider suppressive antiviral therapy. Regular communication with your partner about your symptoms and concerns is also crucial.

Safe Sex Practices for People with HSV

1. Use condoms or dental dams consistently
2. Avoid sexual contact during outbreaks or prodromal symptoms
3. Consider daily antiviral medication to reduce transmission risk
4. Communicate openly with partners about symptoms and concerns
5. Explore non-penetrative forms of intimacy during outbreaks

Empowering Yourself Through Education and Advocacy

Knowledge is power when it comes to living with herpes. Educating yourself about the virus, treatment options, and latest research can help you make informed decisions about your health. Additionally, becoming an advocate for herpes awareness can be empowering and help reduce stigma in your community.

How can you become an advocate for herpes awareness. Share accurate information with friends and family, participate in awareness campaigns, or consider sharing your story (anonymously or publicly) to help others feel less alone. Every conversation helps chip away at the misconceptions surrounding HSV.

Ways to Educate Others About Herpes

• Share reliable resources on social media
• Correct misinformation when you encounter it
• Participate in STI awareness events
• Support organizations dedicated to herpes research and education
• Be open to answering questions from curious friends or family members

Embracing Self-Care and Personal Growth with HSV

Living with herpes can be an opportunity for personal growth and self-reflection. Many people find that their diagnosis leads them to prioritize self-care, develop stronger communication skills, and cultivate deeper empathy for others facing health challenges.

How can herpes positively impact your personal growth. Use your experience as motivation to prioritize your overall health, develop resilience, and cultivate deeper connections with others. Many people report that living with HSV has made them more compassionate and self-aware.

Self-Care Practices for People Living with Herpes

1. Practice mindfulness and stress reduction techniques
2. Engage in regular physical activity
3. Prioritize sleep and rest, especially during outbreaks
4. Nurture hobbies and interests that bring you joy
5. Seek therapy or counseling if needed to process emotions

Living with genital herpes presents unique challenges, but it doesn’t have to limit your happiness or potential for fulfilling relationships. By educating yourself, practicing open communication, and prioritizing self-care, you can navigate life with HSV confidently and positively. Remember that you’re not alone in this journey, and there are numerous resources and supportive communities available to help you thrive.

Have you considered joining a support group or seeking counseling to help process your diagnosis. Many people find that professional support or peer connections can make a significant difference in their emotional well-being and ability to cope with HSV. Don’t hesitate to reach out for help if you’re struggling to adjust to life with herpes.

As research into herpes treatment and prevention continues, stay informed about new developments that could improve your quality of life. While a cure may not be imminent, advancements in antiviral therapies and potential vaccines offer hope for better management and reduced transmission in the future.

Ultimately, living with herpes is about much more than managing a virus. It’s an opportunity to cultivate self-compassion, build stronger relationships based on trust and honesty, and challenge societal stigmas surrounding sexual health. By sharing your experiences and supporting others, you can play a vital role in creating a more understanding and accepting world for everyone affected by HSV.

12 Tips from Someone Living with Genital HSV

There’s a whole lot of stigma around sexually transmitted infections (STIs), and herpes is one of the more stigmatized.

This stigma often comes from not-actually-funny jokes in TV shows and movies that suggest herpes is a terrifying diagnosis, something you really don’t want to get.

Fear and confusion about herpes also stems from misinformation and general lack of knowledge.

If you’ve absorbed any of this negativity and have just received a diagnosis yourself, you might be feeling all kinds of emotions: anger, shame, numbness, even depression.

I had a few bleak moments during my first outbreak — mostly grim thoughts about my future dating prospects.

A genital herpes diagnosis can feel life-altering. And in some ways, it is.

You’ll have to have the conversation with every new partner, for one. You also can’t predict or control outbreaks, though medication can help.

But herpes doesn’t change you. It doesn’t mean you’ve had sex unwisely. It also doesn’t mean your sex life is over.

Many people will have no problem seeing past your diagnosis to the person beyond: someone worthy of love and affection.

Herpes isn’t as awful as some people make it out to be, and it’s nothing to be ashamed of.

Sure, you’ll need to make a few changes going forward, including telling potential partners about your diagnosis before getting busy and learning to recognize signs of an outbreak.

But you can absolutely continue dating and engaging in sexual activity.

There are two types of the herpes simplex virus (HSV), HSV-1 and HSV-2. Herpes generally refers to genital herpes (usually caused by HSV-2), but cold sores (often caused by HSV-1) are also herpes.

Either form of the virus can show up in either area of the body (mouth or genitals). HSV spreads through sexual contact, including oral sex.

You can even contract the virus when using condoms or other barrier methods, because sores often appear in places not protected through barrier use, such as the buttocks and thighs. (Learn more about the two viruses here.)

If your partner has cold sores and performs oral sex, or performs oral sex when you have genital herpes sores, the virus can spread.

People often contract herpes this way, especially if they don’t know how the virus is transmitted.

You can also contract herpes through other skin-to-skin contact.

I got it when my partner had a cold sore. We didn’t kiss, and he didn’t perform oral sex, but there was plenty of finger-to-genital contact.

We suspect that at some point he absentmindedly touched the sore shortly before touching me. (The lesson here: Always, always wash your hands — and make sure your partner does, too.)

Herpes doesn’t have a cure, at least for the moment. But here’s the thing: It’s just a skin condition — nothing more.

You might have sores right now, every few months, once a year, or never again. And those sores will clear up before long. They might not affect your life as much as you imagine — even when it comes to dating.

Herpes wasn’t completely unknown to me, even before I got it myself.

Besides the partner who got cold sores, the girlfriend of one of my regular (nonmonogamous) partners was positive for HSV-2. So, I knew it was possible I might eventually contract the virus myself.

When I had my first outbreak, it helped a lot that I knew people who didn’t see it as a big deal.

All the same, I still worried what future partners would say, since I also knew people (including past partners) who saw herpes as a definite deal breaker.

The strategies below helped me maintain a positive outlook.

It’s a good idea to figure out how you want to start the “I have herpes” conversation before getting back into dating.

Maybe you learned your positive status some time ago and have put off dating simply to avoid that conversation.

I can absolutely relate. It’s tough to share your diagnosis with someone you really like and risk them possibly losing interest.

But they could also say “That doesn’t bother me,” or even “So do I.”

Be sure to make the diagnosis clear. “I recently tested positive for HSV-2” may not cut it, since not everyone knows what this means.

You might try:

• “I recently tested positive for HSV, the herpes virus, but I’ve never had an outbreak.”
• “I occasionally get herpes outbreaks, but I take medication that reduces the chances of transmission.”

You need to have this conversation with every new partner, even if you haven’t had an outbreak in a long time, have never had an outbreak, or plan on using condoms or another barrier method.

The virus can spread asymptomatically, even when using a barrier, so it’s important to make sure your partner understands the risk — which is often very low, but never zero.

If you’re like me, you might want to get the conversation out of the way early on to save yourself some disappointment.

I immediately added my diagnosis to my dating profile, thinking, “Why bother getting close to someone who isn’t comfortable with it?”

But waiting to disclose has merit, too. Just be sure you do disclose before any activity that might put your partner at risk.

Consider this: Most people don’t share all their secrets on (or before) the first date. A few dates can help you get a feel for someone and more insight on whether you even want to continue pursuing a relationship.

What’s more, developing a bit of a bond first can also encourage them to take more time to fully consider the pros (your fabulous self) versus the cons (small risk of transmission over time).

For what it’s worth, I noticed fewer matches after updating my profile, but I still had plenty.

Once you start experiencing symptoms you can transmit the virus, so paying attention to early symptoms can help reduce the risk of transmitting it to a partner.

Along with that sort-of-itchy, sort-of-painful tingling feeling that I get before the sores appear, I notice tenderness in my mouth, fatigue, a low fever, and aches in my legs.

You might only get these symptoms with the first outbreak, but they can return. Returning symptoms are usually more mild than before.

A sudden outbreak can be disappointing, especially if you were looking forward to an intimate evening.

But it’s important to remember that your worth isn’t tied to your diagnosis. You’re still the same person, outbreak or not.

If you don’t truly believe this, your words might reflect your self-judgment, and you might end up pulling away or conveying the message you do have something to feel embarrassed about (which you totally don’t).

Instead of saying something like:

• “We can’t have sex tonight… I understand if you don’t want to come over after all.”

Try something like:

• “Tonight’s a no-go for sex, so let’s cuddle up with a horror movie.”

The second validates the reality that you still have a lot to offer in the way of companionship. And don’t forget, a hot makeout session can be pretty sexy. Think of the tension you’ll build up!

Sex is an important component in many romantic relationships, but it shouldn’t be the only thing keeping your relationship going.

To help your relationship thrive, practice connecting with your partner in other ways.

You might try:

• taking long, romantic walks
• sharing stories about the past
• getting into a new hobby together
• sharing goals for the future
• simply existing in the same space

You might have heard herpes can easily spread through using the same towels and soap or sitting on the same toilet seat.

Experts agree this simply isn’t true. The virus doesn’t live long once outside the body, so the risk of transmission is very low in these scenarios.

Soap and water kills the virus, so if you touch sores to apply medication, all you have to do is wash your hands thoroughly afterward.

That said, herpes does spread through skin-to-skin contact, so you could potentially pass the virus if you and your partner both sleep in the nude. Make sure you both break out the pajama bottoms during an outbreak.

There’s no current cure for herpes, but you still have several treatment options.

Prescription antiviral medication can help reduce outbreaks and decrease transmission risk. If you’d like to try it, talk to your healthcare provider.

If you’d rather avoid medication for now, you do have other treatment options — which you might already know if you, like me, spent the day after your diagnosis frantically Googling “how to heal herpes sores faster” and “best treatments for herpes.”

You can find 37 home remedies for herpes here. Every person is different, of course, but I’ve found these treatments helpful:

• baking soda paste
• cold aloe vera gel
• baking soda or oatmeal baths
• supplements, including lysine, vitamin C, and probiotics

Stress can be one of the biggest contributors to regular outbreaks, so decreasing the stress in your life is also key.

I know, I know. Easier said than done during a pandemic. Consider giving these tips a try:

• Make time to relax every day.
• Enjoy the outdoors.
• Get regular exercise.
• Limit your time with the news.

If you tell your partner about your diagnosis and they’re OK with it, take them at their word instead of worrying they’ll change their mind later.

It’s smart to discuss precautions and avoid sexual activity during outbreaks. You might also encourage them to come to you with questions. (Read up on FAQs here.)

But beyond that, doubting and second-guessing your partner can create unnecessary anxiety and stress, and eventually have more of a negative impact on your relationship than the virus itself.

Since my first outbreak, I’ve had two additional ones. (In the spirit of full disclosure, I’m writing this article during an outbreak.)

I’ll be the first to say outbreaks are no fun, but most of the time I forget I even have the virus.

You may miss out on some dates. But you’ll probably find many people just don’t care — and those who don’t care often have more interest in developing a meaningful connection, anyway.

Above all, remember this: Your diagnosis is nothing to be ashamed of.

Crystal Raypole has previously worked as a writer and editor for GoodTherapy. Her fields of interest include Asian languages and literature, Japanese translation, cooking, natural sciences, sex positivity, and mental health. In particular, she’s committed to helping decrease stigma around mental health issues.

Herpes Simplex Virus (HSV) Infections – Infections

By

Kenneth M. Kaye

, MD, Harvard Medical School

Reviewed/Revised Sep 2021 | Modified Sep 2022

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Topic Resources

Herpes simplex virus infection causes recurring episodes of small, painful, fluid-filled blisters on the skin, mouth, lips (cold sores), eyes, or genitals.

• This very contagious viral infection Overview of Viral Infections A virus is composed of nucleic acid, either DNA or RNA, surrounded by a protein coat. It requires a living cell in which to multiply. A viral infection can lead to a spectrum of symptoms from… read more is spread by direct contact with sores or sometimes contact with an affected area when no sores are present.

• Herpes causes blisters or sores in the mouth or on the genitals Genital Herpes Genital herpes is a sexually transmitted infection caused by the herpes simplex virus that causes recurring episodes of small, painful, fluid-filled blisters on and around the genitals. This… read more and, often with the first infection, a fever and general feeling of illness.

• The virus sometimes infects other parts of the body, including the eyes and brain.

• Usually, doctors easily recognize the sores caused by herpes, but sometimes analysis of material from a sore or blood tests are necessary.

• No drug can get rid of the virus, but antiviral drugs Antiviral drugs A virus is composed of nucleic acid, either DNA or RNA, surrounded by a protein coat. It requires a living cell in which to multiply. A viral infection can lead to a spectrum of symptoms from… read more can help relieve symptoms and help symptoms resolve a little sooner.

Herpes simplex is one of several types of herpesviruses Overview of Herpesvirus Infections Some common viral infections are caused by herpesviruses. Eight different herpesviruses infect people: Three herpesviruses— herpes simplex virus type 1, herpes simplex virus type 2, and varicella-zoster… read more . There are two types of herpes simplex virus (HSV):

• HSV-1, which is the usual cause of cold sores on the lips (herpes labialis) and sores on the cornea of the eye (herpes simplex keratitis Herpes Simplex Keratitis Herpes simplex keratitis is an eye infection that involves the cornea (the clear layer in front of the iris and pupil) and is caused by herpes simplex virus. The infection commonly recurs and… read more )

• HSV-2, which is the usual cause of genital herpes Genital Herpes Genital herpes is a sexually transmitted infection caused by the herpes simplex virus that causes recurring episodes of small, painful, fluid-filled blisters on and around the genitals. This… read more

This distinction is not absolute: Genital infections are sometimes caused by HSV-1. Infection can also occur in other parts of the body such as the brain (a serious illness) or gastrointestinal tract. Widespread infection may occur in newborns or in people with a weakened immune system Overview of the Immune System The immune system is designed to defend the body against foreign or dangerous invaders. Such invaders include Microorganisms (commonly called germs, such as bacteria, viruses, and fungi) Parasites… read more , particularly those who have HIV infection Acquired immunodeficiency syndrome (AIDS) Human immunodeficiency virus (HIV) infection is a viral infection that progressively destroys certain white blood cells and is treated with antiretroviral medications. If untreated, it can cause… read more .

HSV is very contagious and can be spread by direct contact with sores and sometimes by contact with the mouth (oral area) or genitals of people who have HSV infection even when no sores are can be seen.

After the first (primary) infection, HSV, like other herpesviruses, remains inactive (dormant or latent) in the body for life. A latent infection may not cause symptoms again, or it may periodically reactivate and cause symptoms.

The primary HSV infection produces an eruption of tiny blisters. After the eruption of blisters subsides, the virus remains in a dormant state inside the collection of nerve cells (ganglia) near the spinal cord that supply the nerve fibers to the infected area. Periodically, the virus reactivates, begins multiplying again, and travels through the nerve fibers back to the skin—causing eruptions of blisters in the same area of skin as the earlier infection. Sometimes the virus is present on the skin or mucous membranes even when no blisters can be seen.

The virus may reactivate many times. Reactivation of a latent oral or genital HSV infection may be triggered by the following:

An episode of cold sores can develop after physical trauma, such as a dental procedure or overexposure of the lips to sunlight. Often, the trigger is unknown.

Tiny blisters appear on the following:

• Skin: Particularly around the mouth or on the genitals

• Mucous membranes: Including those lining the eyes, vagina, cervix, or inside of the mouth.

The skin around the blisters is often red.

The first oral infection with HSV usually causes many painful sores inside the mouth (herpetic gingivostomatitis). Herpetic gingivostomatitis most commonly develops in children.

Before the sores appear, people may feel a tingling discomfort or itching in the area. In addition, people usually feel sick and have a fever, a headache, and body aches.

The mouth sores last 10 to 19 days and are often very severe, making eating and drinking extremely uncomfortable. As a result, people may become dehydrated. Occasionally, no symptoms develop.

Recurrences usually produce a cluster of sores on the rim of the lip. The sores then rupture and crust over.

The lip sore is called a cold sore or fever blister (so named because they are often triggered by colds or fevers). Other triggers include sunburn on the lips, anxiety, certain dental procedures, and any condition that reduces the body’s resistance to infection.

Before a cold sore appears, people usually feel a tingling at the site, lasting from minutes to a few hours, followed by redness and swelling. Usually, fluid-filled blisters form and break open, leaving sores. The sores quickly form a scab. After about 5 to 10 days, the scab falls off and the episode ends. Less often, tingling and redness occur without blister formation.

Genital herpes Genital Herpes Genital herpes is a sexually transmitted infection caused by the herpes simplex virus that causes recurring episodes of small, painful, fluid-filled blisters on and around the genitals. This… read more causes painful blisters in the genital and/or anal area. In women, internal blisters may develop in the vagina or on the cervix. Internal blisters are less painful and are not visible. The blisters develop 4 to 7 days after people are infected. The blisters go away but may come back (recur) because the virus never truly leaves the body. Blisters caused by a first genital infection are usually more painful, last longer, and are more widespread than those caused by a recurrent infection.

In people with a weakened immune system, recurrences of oral or genital herpes can result in progressive, gradually enlarging sores that take weeks to heal. The infection may progress inside the body, moving into the esophagus, lungs, or colon. Ulcers in the esophagus cause pain during swallowing, and lung infection causes pneumonia with cough and shortness of breath.

Sometimes HSV-1 or HSV-2 enters through a break in the skin of a finger, causing a swollen, painful, red fingertip (herpetic whitlow Herpetic Whitlow Herpetic whitlow is a viral infection of the fingertip. (See also Overview of Hand Disorders.) Herpes simplex virus (similar to the one that causes fever blisters) may cause an intense, painful… read more ). Health care workers who are exposed to saliva or other body secretions (such as dentists) when not wearing gloves are most commonly affected.

HSV-1 can infect the cornea of the eye. This infection (called herpes simplex keratitis Herpes Simplex Keratitis Herpes simplex keratitis is an eye infection that involves the cornea (the clear layer in front of the iris and pupil) and is caused by herpes simplex virus. The infection commonly recurs and… read more ) causes a painful sore, tearing, sensitivity to light, and blurred vision. Over time, particularly without treatment, the cornea can become cloudy, causing a significant loss of vision.

Infants or adults with a skin disorder called atopic eczema Atopic Dermatitis (Eczema) Atopic dermatitis (commonly referred to as eczema) is chronic, itchy inflammation of the upper layers of the skin that often develops in people who have hay fever or asthma and in people who. .. read more can develop a potentially severe HSV infection in the area of skin that has the eczema (eczema herpeticum). Therefore, people with atopic eczema should avoid being near anyone with an active herpes infection.

HSV can infect the brain. This infection (called herpes encephalitis Encephalitis Encephalitis is inflammation of the brain that occurs when a virus directly infects the brain or when a virus, vaccine, or something else triggers inflammation. The spinal cord may also be involved… read more ) begins with confusion, fever, and seizures and can be fatal.

Infrequently, a pregnant woman can transmit HSV infection to her baby (called neonatal herpes Herpes Simplex Virus (HSV) Infection in Newborns Herpes simplex virus infection usually causes only annoying, recurring blisters in healthy adults but can cause severe infection in newborns. Newborns may become infected at birth or after birth… read more ). Transmission usually occurs at birth, when the baby comes into contact with infected secretions in the birth canal. Rarely, HSV is transmitted to the fetus during pregnancy. Transmission during birth is more likely when

• The mother has recently acquired the herpes infection

• The mother has visible herpes sores in the vaginal area, although babies may become infected from mothers who have no apparent sores

When acquired at birth, the infection appears between the 1st and 4th week of life. Newborns with HSV infection become very ill. They may have widespread disease, brain infection, or skin infection. Without treatment, about 85% of those with widespread disease and about half of those with a brain infection die. Even with treatment, many have brain damage.

Herpes simplex virus infection is usually easy for doctors to recognize. If unsure, doctors may use a swab to take a sample of material from the sore and send the swab to a laboratory to grow (culture) and identify the virus.

Material from the sore can also be tested using polymerase chain reaction (PCR) to identify the herpes simplex DNA. PCR is a more sensitive test than viral culture, which means it will miss fewer cases of the virus.

Sometimes doctors examine material scraped from the blisters under a microscope. Although the virus itself cannot be seen, scrapings sometimes contain enlarged infected cells (giant cells) that are characteristic of infection by a herpes-type virus.

Blood tests to identify antibodies to HSV can also be helpful. (Antibodies Antibodies One of the body’s lines of defense ( immune system) involves white blood cells (leukocytes) that travel through the bloodstream and into tissues, searching for and attacking microorganisms and… read more are produced by the immune system to help defend the body against a particular attacker, such as HSV.)

Certain blood tests can distinguish between HSV-1 infection and HSV-2 infection.

If a brain infection is suspected, magnetic resonance imaging (MRI) Magnetic Resonance Imaging (MRI) In magnetic resonance imaging (MRI), a strong magnetic field and very high frequency radio waves are used to produce highly detailed images. MRI does not use x-rays and is usually very safe… read more of the brain and a spinal tap Spinal Tap (lumbar puncture) to obtain a sample of cerebrospinal fluid for analysis may be done.

People with HSV infection should avoid activities and other things known to trigger recurrences. For example, people with oral HSV infection triggered by sunlight should avoid exposure to sunlight as much as possible or use sunscreen when sunlight cannot be avoided.

Because HSV infection is contagious, people with infection of the lips should avoid kissing as soon as they feel the first tingling (or, if no tingling is felt, when a blister appears) until the sore has completely healed. They should not share a drinking glass and, if possible, should not touch their lips. They should also avoid oral sex.

People with genital herpes should use condoms Condoms Barrier contraceptives physically block the sperm’s access to a woman’s uterus. They include condoms, diaphragms, cervical caps, contraceptive gels, contraceptive sponges, and spermicides (foams. .. read more at all times. Even when there are no visible blisters and no symptoms, the virus may be present on the genitals and can be spread to sex partners.

No current antiviral treatments can eradicate HSV infection, and treatment of a first oral or genital infection does not prevent chronic infection of nerves. However, during recurrences, antiviral drugs such as acyclovir, valacyclovir, or famciclovir, may relieve discomfort slightly and help symptoms resolve a day or two sooner (see table Some Antiviral Drugs for Herpesvirus Infections Some Antiviral Drugs for Herpesvirus Infections ). Treatment is most effective if started early, usually within a few hours after symptoms start—preferably at the first sign of tingling or discomfort, before blisters appear. For people who have frequent, painful attacks, the number of outbreaks can be reduced by taking antiviral drugs every day indefinitely (called suppressive therapy). However, taking antiviral drugs does not necessarily prevent infected people from transmitting the infection. Most antiviral drugs are available by prescription only.

Penciclovir cream, applied every 2 hours during waking hours, can shorten the healing time and duration of symptoms of a cold sore by about a day. Nonprescription creams containing docosanol (applied 5 times a day) may provide some relief. Acyclovir, valacyclovir, or famciclovir taken by mouth for up to a few days may be the most effective treatment for recurring cold sores.

Severe HSV infections, including herpes encephalitis Encephalitis Encephalitis is inflammation of the brain that occurs when a virus directly infects the brain or when a virus, vaccine, or something else triggers inflammation. The spinal cord may also be involved… read more and infections in newborns Herpes Simplex Virus (HSV) Infection in Newborns Herpes simplex virus infection usually causes only annoying, recurring blisters in healthy adults but can cause severe infection in newborns. Newborns may become infected at birth or after birth. .. read more , are treated with acyclovir given intravenously. If the virus becomes resistant to acyclovir, which is very rare, foscarnet can be given intravenously.

People with herpes simplex keratitis Herpes Simplex Keratitis Herpes simplex keratitis is an eye infection that involves the cornea (the clear layer in front of the iris and pupil) and is caused by herpes simplex virus. The infection commonly recurs and… read more may be given trifluridine eye drops. An ophthalmologist should supervise treatment.

For people who have minimal discomfort, the only treatment needed for recurring herpes of the lips or genitals is to keep the infected area clean such as by gentle washing with soap and water. Applying ice may be soothing and reduce swelling.

Applying prescription or nonprescription topical anesthetics, such as benzocaine, may help relieve pain. If the mouth contains many sores, the mouth can be rinsed with lidocaine. These anesthetics should not be swallowed. Topical anesthetics should only be taken as directed. If taken more often than directed, these drugs can have harmful side effects.

Pain relievers may be taken for pain.

Generic Name	Select Brand Names
acyclovir	SITAVIG, Zovirax, Zovirax Cream, Zovirax Ointment, Zovirax Powder, Zovirax Suspension
valacyclovir	Valtrex
famciclovir	Famvir
penciclovir	Denavir
foscarnet	Foscavir
trifluridine	Viroptic
benzocaine	Advocate Pain Relief Stick, Americaine, Anbesol, Anbesol Baby , Anbesol Jr , Banadyne-3, Benzodent, Benz-O-Sthetic, Boil-Ease, Cepacol Sensations, Chloraseptic, Comfort Caine , Dry Socket Remedy, Freez Eez, Little Remedies for Teethers, Monistat Care, Orabase, Orajel, Orajel Baby, Orajel Denture Plus, Orajel Maximum Strength, Orajel P. M., Orajel Protective, Orajel Severe Pain, Orajel Swabs, Orajel Ultra, Oral Pain Relief , Oticaine , Otocain, Outgro, Pinnacaine, Pro-Caine, RE Benzotic, Topex, Topicale Xtra, Zilactin-B
lidocaine	7T Lido, Akten , ALOCANE, ANASTIA, AneCream, Anestacon, Aspercreme with Lidocaine, Astero , BenGay, Blue Tube, Blue-Emu, CidalEaze, DermacinRx Lidogel, DermacinRx Lidorex, DERMALID, Ela-Max, GEN7T, Glydo, Gold Bond, LidaMantle, Lidocare, Lidoderm, LidoDose, LidoDose Pediatric, Lidofore, LidoHeal-90, LIDO-K , Lidomar , Lidomark, LidoReal-30, LidoRx, Lidosense 4 , Lidosense 5, LIDO-SORB, Lidotral, Lidovix L, LIDOZION, Lidozo, LMX 4, LMX 4 with Tegaderm, LMX 5, LTA, Lydexa, Moxicaine, Numbonex, ReadySharp Lidocaine, RectaSmoothe, RectiCare, Salonpas Lidocaine, Senatec, Solarcaine, SUN BURNT PLUS, Tranzarel, Xylocaine, Xylocaine Dental, Xylocaine in Dextrose, Xylocaine MPF, Xylocaine Topical, Xylocaine Topical Jelly, Xylocaine Topical Solution, Xylocaine Viscous, Zilactin-L, Zingo, Zionodi, ZTlido

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Diagnosis and treatment of herpes simplex virus (HSV) type 1 and 2 in women in Moscow, Kashirskaya metro station

Among the many known viral diseases, herpes confidently occupies a leading position, for decades remaining a serious not only medical, but also a social problem. Treatment of the herpes simplex virus (HSV) is a difficult task, which in Moscow is successfully handled by the specialists of the MedBioSpektr clinic on Kashirka.

General

According to WHO experts every 9out of 10 inhabitants of the planet over the age of 19 are infected with strains of the Herpes Simplex Virus (HSV), which occurs in 8 different types. The virus infects the central nervous system, skin, mucous membranes of the face and genitals, eyes.

A characteristic feature of HSV is the ability to latent existence throughout a person’s life. When reactivated, it manifests itself in the following forms:

• HSV-I is the most widespread highly contagious infection, in the vast majority of cases provoking the development of oral herpes;
• HSV type 2 – genital herpes simplex virus that affects the genitals.

Most often, the main condition for the activation of type 1 oral virus and type 2 genital herpes is a weakened immune system, and HSV dies when exposed to high temperature, acids, detergents, and ether.

Infection

The habitat of the virus is all body fluids: vaginal secretions, semen, blood, urine, etc. The HSV-1 pathogen from a carrier can be easily transmitted by airborne droplets or oral contact, even in the absence of visible symptoms of the disease.

How herpes of the second type is transmitted: mainly through sexual contact of any type – classic vaginal, oral-genital, anal. Since the virus is able to persist in the external environment for some time (up to 24 hours), it is possible to become infected by household means, in a public toilet, in the locker room of the pool.

Symptoms

The duration of the incubation period for HSV varies from 1-26 days. Depending on the general state of the body’s immune system and the site of infection, the symptoms of type 1 herpes may be completely absent or manifested by the appearance of small bubbles in the oral cavity and in the region of the nasolabial triangle, after bursting of which ulcers remain. There may be an increase in temperature, the appearance of weakness and pain in the muscles.

Similar symptoms in women and with herpes type 2: redness, itching, the formation of vesicles and sores on the genitals, fever, inflammation of the lymph nodes, painful urination.

Diagnostics

Certified according to international standards, the own laboratory of the MedBioSpectr clinic quickly detects the presence of HSV in the body using a specific, most sensitive and accurate PCR polymerase chain reaction. Such tests for positive IgG and IgM herpes types 1 and 2 are performed as prescribed by a doctor, if indicated.

Treatment of HSV types 1 and 2

MedBioSpectr specialists will select the best methods of adequate treatment in accordance with the individual characteristics of the organism and provide the patient with recommendations to help avoid relapses. It should be remembered that the lack of treatment in the presence of type 2 herpes in a pregnant woman significantly increases the risk of preterm birth, infection of the fetus and death of the newborn.

Medical Center “MedBioSpectrum” in Moscow near metro station Kashirskaya is waiting for you for quick diagnosis and prompt, affordable treatment of herpes: call us or send a message right now!

Herpesvirus – herpesvirus infection types 1, 2, 3, 4, 5, 6, 7 and 8

Herpesvirus infection (often recurrent labial or genital herpes, Epstein-Barr virus infection, cytomegalovirus infection).

The herpes group includes 8 viruses that can cause various diseases:

• Herpes simplex virus type 1 (HSV – 1) – alphaherpesvirus – with an infection caused by this virus, vesicle rashes can often be observed on the lips, skin and mucous membranes of the nose and mouth – rashes “above the belt. ”
• Herpes simplex virus type 2 (HSV-2) – alphaherpesvirus – causes genital herpes – rashes “below the belt”.

It is worth taking into account the fact that HSV-1 in 30% of cases can cause rashes in the lower part of the body (genital herpes), while HSV-2 in the upper part (for example, on the face).

HSV-1 is much less likely to recur than HSV-2. Therefore, when rashes of a bubble character appear, you should immediately seek advice from a dermatovenereologist. In the event of genital herpes – to a gynecologist or venereologist. Frequent relapses of the disease must be monitored by an allergist-immunologist.

• Herpes virus type 3 (Varicella Zoster Virus – VZV) – alphaherpesvirus – causes chickenpox, as well as herpes zoster.
• Herpes virus type 4, Epstein-Barr virus (EBV) – gammaherpesvirus – causes the development of infectious mononucleosis, Burkitt’s lymphoma, lymphoma of the central nervous system in patients with immunodeficiency syndrome, post-transplant lymphoproliferative syndrome, nasopharyngeal carcinoma.
• Herpes virus type 5, cytomegalovirus (CMV, CMV) – betaherpesvirus – can become the causative agent of infectious mononucleosis, retinitis, hepatitis, in some cases causes an increase in the abdominal organs, inflammation of the salivary glands (salivation). Dangerous during pregnancy (in the early stages). It is necessary to consult an obstetrician, an infectious disease specialist and an immunologist.
• Herpesvirus infection type 6 – betagerpesvirus – can cause pseudorubella, mononucleosis-like syndrome, encephalitis, pneumonia, temporal lobe epilepsy, as well as a number of lymphoproliferative complications – lymphomas, leukemia (blood cancer).
• Herpesvirus type 7 – betaherpesvirus – is similar to herpesvirus type 6, can cause similar clinical symptoms, although the most typical manifestation of this infection is chronic fatigue syndrome.
• Herpes virus type 8 – oncogenic. This virus leads to the occurrence of diseases such as Kaposi’s sarcoma, serous membranes lymphoma, Castleman’s disease (benign hyperplasia – swollen lymph nodes).