Can Neosporin help treat genital herpes outbreaks. What are the most effective treatments for genital herpes symptoms. How can you prevent genital herpes outbreaks and transmission.

Understanding Genital Herpes: Causes and Symptoms

Genital herpes is a common sexually transmitted infection caused by the herpes simplex virus (HSV). There are two types of HSV that can cause genital herpes:

• HSV-1: Traditionally associated with oral herpes (cold sores), but can also cause genital herpes
• HSV-2: The type most commonly associated with genital herpes

The main symptoms of genital herpes include:

• Painful blisters or sores on the genitals, rectum, or mouth
• Itching or tingling in the genital area
• Flu-like symptoms such as fever and body aches
• Painful urination

Genital herpes is spread through skin-to-skin contact during vaginal, anal, or oral sex with someone who has the virus. Many people with genital herpes have no symptoms or very mild symptoms, but can still transmit the virus to sexual partners.

Can Neosporin Treat Genital Herpes Outbreaks?

Neosporin is a topical antibiotic ointment used to prevent infection in minor cuts, scrapes, and burns. However, it is not an effective treatment for genital herpes outbreaks. Why not? Genital herpes is caused by a virus, not bacteria. Neosporin only works against bacterial infections, not viral infections like herpes.

Some key points about using Neosporin for genital herpes:

• It will not shorten the duration of an outbreak or provide symptom relief
• It may actually irritate the delicate genital skin and worsen symptoms
• There is no evidence that it prevents secondary bacterial infections in herpes lesions
• Overuse of antibiotics like those in Neosporin can lead to antibiotic resistance

Using Neosporin on genital herpes sores is not recommended by medical professionals. Instead, there are other more effective treatments available.

Effective Treatments for Genital Herpes Outbreaks

While there is no cure for genital herpes, antiviral medications can help manage symptoms and reduce the frequency of outbreaks. The most commonly prescribed treatments include:

Oral Antiviral Medications

• Acyclovir (Zovirax)
• Valacyclovir (Valtrex)
• Famciclovir (Famvir)

These medications work by preventing the herpes virus from multiplying. They are most effective when started at the first sign of an outbreak. For people with frequent outbreaks, daily suppressive therapy with antivirals can reduce outbreaks by up to 80%.

Topical Antiviral Creams

Prescription topical antivirals like docosanol 10% cream (Abreva) may provide some symptom relief when applied to sores. However, they are generally less effective than oral medications.

Pain Relief

Over-the-counter pain relievers like acetaminophen or ibuprofen can help with pain and discomfort during outbreaks. Topical lidocaine gel may also provide temporary numbing.

Soothing Home Remedies

While not curative, some home remedies may provide symptom relief:

• Warm baths with Epsom salts
• Applying ice packs to sores
• Wearing loose-fitting cotton underwear
• Applying petroleum jelly to sores to reduce friction

Is there any benefit to natural remedies for genital herpes? While some people find relief with natural treatments like lysine supplements or aloe vera, there is limited scientific evidence supporting their effectiveness. It’s best to consult a doctor about evidence-based treatments.

Preventing Genital Herpes Outbreaks and Transmission

While genital herpes cannot be cured, there are ways to reduce outbreaks and prevent transmission to sexual partners:

Lifestyle Changes

• Manage stress through relaxation techniques, exercise, and adequate sleep
• Maintain a healthy diet and exercise routine to support immune function
• Avoid triggers like excessive sun exposure or friction in the genital area
• Stop smoking, as it may increase outbreak frequency

Safe Sex Practices

• Use condoms and dental dams consistently during sexual activity
• Avoid sexual contact during outbreaks
• Disclose HSV status to sexual partners
• Consider suppressive antiviral therapy to reduce asymptomatic viral shedding

How effective are condoms in preventing herpes transmission? While not 100% effective, consistent condom use can reduce the risk of transmission by about 30%.

Antiviral Suppression Therapy

Taking daily antiviral medication can significantly reduce the frequency of outbreaks and lower the risk of transmitting the virus to partners. This approach is often recommended for people with frequent outbreaks or those in relationships with uninfected partners.

Living with Genital Herpes: Emotional and Mental Health Considerations

A genital herpes diagnosis can be emotionally challenging. Many people experience feelings of shame, anxiety, or depression. It’s important to remember that herpes is a common infection that does not define a person’s worth or character.

Some strategies for coping with the emotional impact of genital herpes:

• Educate yourself about the condition to dispel myths and reduce anxiety
• Join support groups or online forums to connect with others living with herpes
• Practice self-compassion and challenge negative self-talk
• Seek counseling or therapy if struggling with persistent negative emotions
• Focus on overall health and well-being rather than solely on herpes status

How can you disclose a herpes diagnosis to a new partner? Open, honest communication is key. Choose a calm, private setting and provide factual information about the virus and transmission risks. Be prepared to answer questions and give your partner time to process the information.

Genital Herpes and Pregnancy: Special Considerations

Genital herpes can pose risks during pregnancy, particularly if a woman contracts the virus for the first time while pregnant. The greatest risk is transmission to the baby during delivery, which can cause a serious condition called neonatal herpes.

Important considerations for pregnant women with genital herpes:

• Inform your healthcare provider about your herpes status
• Consider suppressive antiviral therapy during the third trimester
• Watch for signs of an outbreak as delivery approaches
• In some cases, a cesarean section may be recommended to prevent transmission

Can antiviral medications be safely used during pregnancy? Yes, acyclovir and valacyclovir are considered safe for use during pregnancy and can reduce the risk of transmission to the baby.

Advances in Genital Herpes Research and Treatment

While current treatments focus on managing symptoms and reducing transmission, researchers are working on new approaches to treat and prevent genital herpes:

Therapeutic Vaccines

Several therapeutic vaccines are in development, aimed at boosting the immune system’s ability to control the virus and reduce outbreaks. While still in clinical trials, these vaccines show promise for improving quality of life for people with genital herpes.

Gene Editing

Researchers are exploring the use of CRISPR gene editing technology to target and eliminate the herpes virus from infected cells. This approach is still in early stages but could potentially lead to a cure.

New Antiviral Drugs

Novel antiviral medications with different mechanisms of action are being studied. These could provide more effective outbreak suppression or work against strains resistant to current drugs.

Preventive Vaccines

While previous attempts at developing a preventive herpes vaccine have been unsuccessful, new vaccine candidates are in development. A successful preventive vaccine could dramatically reduce the spread of genital herpes.

What is the timeline for new herpes treatments? While it’s difficult to predict, some therapeutic vaccines and new antiviral drugs could become available within the next 5-10 years. A cure or preventive vaccine may take longer to develop and test for safety and efficacy.

In conclusion, while Neosporin is not an effective treatment for genital herpes, there are many options available to manage symptoms, reduce outbreaks, and prevent transmission. By working closely with healthcare providers and staying informed about new developments, people with genital herpes can lead healthy, fulfilling lives. As research progresses, there is hope for even better treatments and potentially a cure in the future.

neosporin for herpes | Answers from Doctors

Top answers from doctors based on your search:

A 21-year-old female asked:

17 years experience Dermatology

Neosporin/Herpes: Yes. Herpes will outbreaks fade on their own without treatment, but may always recur in the future. Neosporin likely had nothing to do with improvin … Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

A 18-year-old female asked:

35 years experience Pediatrics

Neosporin won’t work: Herpes is a viral infection and will not respond to Neosporin. If you are certain it is herpes, you should see your physician. Since this is your prim … Read More

A 16-year-old female asked:

56 years experience Infectious Disease

Herpes simplex: If this is really genital herpes you need not be putting neosporin on the area. It should resolve in about 14 days, but if getting worse or you feel … Read More

A 24-year-old female asked:

63 years experience General Surgery

4 DAYS NEOSPORIN: GIVE IT ONLY 4 DAYS IF NO IMPROVEMENT SEE ENT DOCTOR. DONOT TRY TO PEEL IT OFF YOURSELF

A 21-year-old male asked:

25 years experience Family Medicine

Most likely: Neosporin will not treat herpes viral outbreaks.

A 43-year-old member asked:

20 years experience Dermatology

Vaseline.: I know it sounds too simple but there was actually a study performed that compared neosporin with plain vaseline petroleum jelly to determine wound he … Read More

A 38-year-old member asked:

39 years experience Pediatric Surgery

Yes: A mainstay of burn treatment is application of antimicrobial ointment (e.g., neosporin, polysporin, (bacitracin and polymyxin) bacitracin, triple-anti … Read More

A 32-year-old member asked:

32 years experience Dermatology

Neosporin & Stitches: Infrequent side effects of neosporin + pain relief top:
stinging of skin,
skin inflammation due to a topically applied medication,
rednes … Read More

A 21-year-old male asked:

33 years experience Pediatrics

Hmmm….: Frenula (plural of frenulum), whether on a lip, a tongue, or a penis, are supposed to stay attached from birth to death. If there has been some trauma … Read More

A 47-year-old member asked:

Specializes in Pediatric Urology

No, are different: However both are topical antibiotics ; both have an inert petrolatum (vaseline) base.

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6 Best Cold Sore Treatments

There are two things people usually think when they get a particular tingly feeling on their lips. One: A new cold sore blister is about to erupt. Not good! And two: How can I get rid of this cold sore fast?

There’s no question that cold sores are seriously uncomfortable. On their own, they usually clear up in two to four weeks. But that’s two to four weeks that are kind of a drag: the blisters are red, and ooze and crust. Fortunately, there are some cold sore treatments that can speed up the healing process, especially if you catch the cold sore early. But before you need those, take a look at what cold sores actually are, and how you might prevent these troublesome outbreaks—also known as fever blisters—altogether.

What are cold sores, anyway?

Cold sores are usually caused by herpes simplex virus type 1 (HSV-1). That’s a strain of the virus that’s closely related to the type 2 bug (HSV-2) responsible for genital blisters. These are just two of the eight types of virus in the herpes family that affect humans—another well-known one causes chickenpox (herpes zoster).

It used to be that HSV-2 was the virus mostly seen in genital herpes; HSV-1 in cold sores. But today, both viruses can be found in either place and cause symptoms for you there, and both can be spread by oral sex.

Preventing cold sores

Once you pick up the cold sore virus—lots of people pick up HSV-1 in their first six months to three years of life—it sits dormant in your nerve cells. In fact, the word herpes comes from the Greek word “to creep,” since the virus tends to creep along a nerve pathway and sit at the end until a trigger prompts it to rear its ugly head again.

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So the best way to avoid an outbreak is to reduce your exposure to certain triggers, although that can, admittedly, be pretty tough. Classic triggers include exposure to sunlight, stress, physical stress, being sick with a common cold or fever, getting a minor injury or having cracks in the lips, and using steroids.

Since triggers can be hard to avoid, the next-best thing to do is to catch a cold sore early. One thing about cold sores is that they often give you a heads up via symptoms like tingling, itching, inflammation, or soreness where the fever blister is about to appear. Doctors call this the “prodromal stage,” and it actually does you a favor. If you catch a cold sore in the early stages and call a doctor to get an antiviral medication, you may prevent a cold sore from breaking out—or at least keep it from sticking around so long. Here’s how to make the healing process go as quickly as possible.

How to get rid of cold sores fast

1) Use an antiviral medication.

Topical over-the-counter meds don’t work as well as prescription antivirals as cold sore treatments, says Bruce Robinson, M.D., a dermatologist in private practice in New York City and clinical instructor of dermatology at Lenox Hill Hospital. Over-the-counter creams may provide relief from the tingling and burning, but they aren’t the best option if you want sores gone fast.

The best way to treat cold sores is to start treatment early—in that prodromal stage—with a prescription oral antiviral medication like valacyclovir (which you probably know as Valtrex), says Lorraine Young, M.D., co-chief of dermatology clinical services at UCLA.

A common regimen is to take 2,000 milligrams in the morning and again later on in the day. This “decreases the virus from replicating, so then it will help it to heal faster,” says Dr. Young. It may even prevent the cold sore from erupting in the first place.

There’s even a newish way to get this medicine; there’s a form of acyclovir that you can put between your lip and gum on the side the cold sore is erupting on. It sits there and dissolves slowly throughout the day, offering your body a steady stream of the medicine to tame the virus.

2) Add a steroid cream.

A topical steroid cream (like cortisone) can help reduce the inflammation associated with the sores, which can make the pain, redness, and irritation feel a little less annoying.

Important note: Steroid creams are only an option if you’re on the antiviral drugs. Remember the thing about steroids triggering breakouts? Steroids decrease your body’s ability to fight infections, so you have to be careful with them.

“If you just did the cream without viral therapy, you would be feeding the cold sore infection,” says Dr. Young. “But if you’re on the antiviral medicines, that could help decrease the symptoms.” Don’t put any kind of covering on top of the blister; air speeds the healing of these.

3) Make your own cold sore solution.

Dr. Robinson advises making a cold sore treatment solution with Domeboro, a powder available at drugstores that’s used to help with skin irritation (lots of people use it to soothe poison ivy rashes). Just dissolve the tablets or powder in about 12 to 16 ounces of water. You’ll notice some gunk at the bottom of the glass—that’s okay.

Then dunk a thin cloth, like a handkerchief or pillowcase, into the glass. Wring it out and lay it on the blistering area for about 15 to 30 minutes. Repeat two to three times a day until the sores dry out. (Make a new batch of the solution each time.) It takes some effort, but many people find the effort to be worth it.

“It sucks the moisture and water out of the blister,” says Dr. Robinson. “I can get someone who has an outbreak to scab within 3 days using that—which otherwise might take a week to 10 days.”

Once it’s dry, stop the soaks and keep the area moist with a topical antibiotic ointment like Neosporin. This helps prevent secondary bacterial infection—meaning it keeps any opportunistic bacteria from jumping into the broken skin and causing you more trouble—and aids the healing process. Another way to keep bacteria out—don’t pop the blister! “People pick at anything on their skin, so it can be tempting to do that,” says Dr. Young. If you get an additional infection, that not only makes the sore stick around longer; it can also lead to scarring.

4) Use cold compresses.

Reduce swelling and irritation with a cool, wet towel. Apply that cold compress for 5 to 10 minutes several times a day as the blister heals. Also, to keep irritation to a minimum, avoid foods that are particularly acidic, like tomatoes and oranges.

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5) Consider lysine.

This amino acid comes in pills and ointments, and there’s some evidence that it’s useful for chasing cold sores. But it’s not for everyone—it can cause stomach pain and diarrhea, and it can change how your body takes up calcium, so don’t use this amino acid and calcium at the same time.

6) Try aloe vera.

While it won’t zap cold sores overnight, aloe vera has been found to reduce the pain associated with cold sores. It also contains vitamins A, C, and E, which may help to expedite the healing process.

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Genital Herpes

 

Although genital herpes is common there are a lot of misperceptions about this sexually transmitted infection. Genital herpes is caused by a virus, called Herpes Simplex Virus, or “HSV” for short. Viruses are different than bacteria. First, they are much smaller, and second, they are much harder to treat. For example, although antibiotics commonly kill bacteria they do not work on viruses. Because of this, there is no known cure for genital herpes. However, there are ways to prevent infection, and to treat infections once they develop.

Genital herpes is an extremely common infection. Some researchers estimate that 1 out of every 5 Americans have been infected with the virus that causes genital herpes! This represents 20% of the population, making genital herpes one of the most common sexually-transmitted infections.

There are 2 main types of herpes viruses, HSV-1 and HSV-2. HSV-1 usually causes “cold sores” or “fever blisters” around the mouth, and is not necessarily sexually transmitted. HSV-2 usually cause sores on the genitals and is sexually transmitted. However, it is quite possible to contract HSV-1 on the genitals, or HSV-2 on the mouth (through oral sex). In fact, any type of sexual contact, whether it’s vaginal intercourse, anal sex, touching the genitals, or oral sex, can transmit the herpes virus.

Once HSV enters the skin and begins to reproduce. A very important point is that HSV in many cases never causes symptoms. It may simply invade the skin, reproduce, then lie dormant for many months, years, or sometimes even forever. Some very fortunate individuals may never even know they have contracted HSV, because they never get any symptoms. In other cases the virus reproduces and causes symptoms such as extremely painful blisters on the penis or the lips of the vagina (labia). The first time this infection develops the patient may have such severe pain and inflammation that he or she needs to be admitted to the hospital. Other conditions can cause small bumps on the genitals, but HSV almost always causes extremely painful sores that burn when touched. After a few days, these blisters become small, shallow ulcers with some redness around them. Finally, after a few more days, they crust over and are less painful. The entire first-ever infection usually lasts 1-2 weeks.

After a primary infection, the virus again lies dormant and may or may not ever recur. Some people have a recurrent infection as often as every month, while others get them only once every few years. (Some never get a recurrent infection again). The recurrent infections can be brought on by stress, other infections, irritation to the tissues, or exposure to the sun. Some patients notice a tingling or burning sensation around their penis or labia right before an outbreak of genital herpes. This is called a “prodrome” and is helpful since it can alert you that you need to abstain from sex, or to begin taking medication, if necessary. Recurrent infections are usually less painful and often go away more quickly than primary infections.

The diagnosis of genital herpes is made by a health care provider who has experience in genital infections. He or she will examine the genital organs and may take a swab of the blister or ulcer and send it for culture. You should make an appointment immediately after the blisters develop, since they may disappear after a few days which makes the diagnosis difficult.

Treatment depends on how painful the sores are and if you have other medical problems. Sometimes there is minimal pain and the patient is advised to abstain from sexual relations and other activity that may irritate the affected area until the sores go away. In other cases one may receive anti-viral medications such as valacyclovir, acyclovir, or famciclovir. These may help reduce the duration of the sores. If you are prescribed these medications for recurrent infections, please remember to begin taking them as soon as you notice the “prodrome” or blisters forming! (The medicine works best if it is taken as early as possible). People who have many recurrent infections, say 6 or more a year, might want to ask about taking an anti-viral pill once or twice a day to help prevent these recurrent infections. This can become expensive, but in some cases it is worth it to help prevent having genital herpes infections all the time. These treatments can help treat outbreaks, but unfortunately there is no way to completely rid the body of the virus once infection occurs.

A common question when a patient is diagnosed with their first-ever herpes outbreak is “does this mean my partner is having an affair?” Remember that this virus can “hang out” in your body for a long period of time, and may never produce symptoms. In other cases the first-ever outbreak may occur weeks, months or even many years after one was exposed. Thus, you or your partner may have been exposed many years prior but the virus only now has surfaced to create problems. Obviously, this makes it almost impossible for you or your health care provider to determine when you were exposed.

The only known way to prevent genital herpes is to not have sexual relations. Since herpes can be spread by vaginal, anal, or oral sexual activity, and sometimes even by touching the genitals, all of these activities can lead to an infection. It is easiest to contract HSV when there are sores present, but even without sores the virus can be passed to someone else during sex. This is called “asymptomatic shedding” of the virus, and for this reason one should strongly consider the use of latex condoms. Their use should be considered by anyone in a non-monogamous relationship and certainly anyone who has genital herpes. Married couples where one partner has HSV are also encouraged to use condoms. Even though condom use may not always prevent the other partner from becoming infected, it should help decrease the chances of this happening. Because genital herpes can affect each person differently and because in some cases the virus can cause severe symptoms, you should always tell your sexual partner that you have this condition and should encourage condom use in your relationship. Many couples have fulfilling sex lives when one partner has genital herpes. As with all aspects of a relationship, honest communication is important.

Many people have heard that HSV can cause problems in pregnant patients. Babies born to women who have blisters or sores on their genitals from HSV may become infected and may become extremely ill from this infection. When women are in labor but there are no sores present it is usually quite safe to deliver naturally, through the vagina. In women who are in labor and have sores present a cesarean section will often (but not always) prevent infection. Always tell your doctor or midwife if you have been diagnosed with genital herpes so that he or she can examine you during the pregnancy and especially when you go in to labor.

Genital herpes is a common and troublesome condition that can result in a number of other problems, such as depression, low self-esteem, and relationship problems. Although there is no known cure, there are effective medications to help reduce the symptoms and sometimes even prevent new outbreaks. Many couples make adjustments when one (or both) partners have HSV and continue in a loving relationship. Many cities have support groups, and one can obtain information from national organizations, medical libraries, the internet, and of course your doctor or health care provider.

 

Roberta replies:

Great article. Question:
Can HSV be detected in asymptomatic individuals by a blood test?

Roberta-

Dr. Hill responds:

Yep. There is a fairly sensitive antibody test that will detect past exposure to HSV I or II. It is really only clinically useful in a research setting. For example, if you went the the local mall, set up a testing area, and tested the first 100 people that walked by, in some areas of the country you might find 20-40% with documented exposure to HSV II!! (Of course, almost all of us have been exposed to HSV I). As I said in the article, a number of people have been exposed, but never get herpes. They must either have a super immune system against HSV, or perhaps they only got a “small” viral load when first exposed. In any event, they’re lucky, as it can be a very painful and chronic disease for women.

 

References:

Dr. Hill’s Recommended HSV Links:
Herpes Simplex Virus: AAD Derminfo NetHerpes Simplex Virus – University of Cape Town
Herpes Simplex Virus (HSV) Infection (Images)
Herpes Simplex – (Labialis) 1Herpes Simplex 2Herpes Simplex 3Herpes Simplex 4

D. Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, Florida
http://home.mpinet.net/dahmdOther Articles by Dr. Hill

Effective Treatments for Herpes

Oral herpes, normally caused by HSV type 1, and genital herpes, normally caused by HSV type 2, are both treatable infections, but they are not curable. Home remedies, over-the-counter medications, and other options can help relieve pain and discomfort. Prescription medications and one over-the-counter antiviral medication can reduce the severity and duration of outbreaks.

Home Remedies and Lifestyle

There are some things that you can do at home to reduce the pain of a cold sore or genital herpes. Additionally, you can also take a few steps to prevent the lesions from getting worse and spreading or an infection from recurring. 

Illustration by Emily Roberts, Verywell

• Apply cold compresses: Place a well-insulated ice pack on your lesions for as long as it makes you feel better. The cold will not worsen or improve the lesion, but it can lessen the pain. 
• Don’t scratch: It is important to avoid touching and scratching lesions caused by herpes, because you can spread the infection to other areas of your own skin. 
• Keep the sores clean: Cold sores and genital herpes infections can become infected with bacteria from your hands or, in the latter case, from urine or feces. It is important to keep the area of sores and blisters clean and dry to avoid an additional infection. 
• Reduce stress: Stress can interfere with optimal immune system function. Reducing your stress may help prevent excessive herpes recurrences.

If you already know you have HSV-1 or HSV-2, take precautions to avoid infecting others.

Over-the-Counter Therapies

Over-the-counter antiviral therapy creams may help speed recovery from oral or genital herpes infections, and other options can help ease discomfort.

Some to consider include:

• Abreva (docosanol): This is the only FDA-approved antiviral medication for herpes infection that you can get without a prescription. Antiviral medications inhibit the ability of a virus to multiply in the body, but they do not completely destroy or eliminate the virus. This medication comes as a cream that you apply directly to the affected area about every three to four hours. Take care to only apply it to the skin, not inside your mouth, eyes, or vagina. Wash your hands before and after use.
• Pain-relieving lotions and creams: Medicated pain creams or lotions can ease discomfort associated with sores. There are a number of over-the-counter options available. Be sure to confirm with your doctor or pharmacist that the product you select is safe to use on herpes lesions, and wash your hands before and after you apply any product.
• Oral pain relievers: Oral medications such as Tylenol (acetaminophen), Advil (ibuprofen), and Aleve (naproxen) can help relieve herpes-related pain for several hours. 

Prescriptions

There are several situations when prescription antiviral medication is recommended, and almost all apply to cases of genital herpes infection. The prescriptions used for herpes infection are all antiviral medications, and, like the over-the-counter antiviral cream Abreva, they inhibit the proliferation of the virus, but they do not rid the body of it.

If you have a first episode or a recurrence, a short course of one of the three options available is recommended. Those with frequent episodes may need to take one of these drugs daily on an ongoing basis, which is known as suppressive therapy.

Taking herpes medication when you do not have symptoms has been shown to reduce the risk of sexual transmission to a partner.

The following recommendations for adults with genital herpes are from the Centers for Disease Control (CDC) herpes treatment guidelines, but your doctor will decide which of these options is best for you. 

Drug	First Outbreak Treatment	Recurrent Outbreak Prevention	Recurrent Outbreak Treatment
Zovirax, Sitavig (acyclovir)	400mg three times a day for seven to 10 days —OR— 200mg five times a day for the same duration*	400mg twice a day	400mg three times a day for five day —OR— 800mg twice a day for five days —OR— 800mg three times a day for two days
Famvir (famciclovir)	250mg three times a day for seven to 10 days*	250mg twice a day	125mg twice a day for five days —OR— 1g twice a day for one day —OR— 500mg once, followed by 250mg twice a day for two days
Valtrex (valacyclovir)	1g twice a day for seven to 10 days*	500mg or 1g daily	500mg twice a day for three days —OR— 1g once a day for five days

*If symptoms remain after 10 days, your doctor might choose to continue treatment.

Usually, treatment of cold sores is not needed unless the symptoms are severe and persistent, in which case acyclovir is generally used.

In general, prescription antivirals are not recommended for pregnant women or for infants under the age of one. They may be used for children under the age of 12 and the recommended dose is calculated by a physician based on weight.

Complementary Medicine (CAM)

Alternative therapies for herpes with some supporting research include:

• Propolis: A sticky substance that bees produce from tree saps, propolis shows promise in the treatment of herpes.

Studies have found that people who are treated with propolis experience faster healing of herpes lesions and a higher likelihood of fully healed lesions by day 10 of treatment when compared to people who receive a placebo.

• Algae extract: In a laboratory setting, algae extract has been shown to inhibit HSV-2 growth, so this may be considered a useful component in alternative treatments in the future. 
• Acupuncture: Acupuncture has been used for the treatment of pain caused by herpes lesions with some beneficial results. This treatment method, while mildly helpful, has also rarely been associated with the transmission of HSV, so it is best to consider it with caution. 

Several other alternative options have been investigated for the treatment or suppression of genital herpes, including lysine, zinc, Echinacea, eleuthero, and bee products. There is no evidence to show that any of these options are beneficial for these purposes.

A recently marketed alternative therapy for herpes, Resolve Herpes is said to contain minerals and is marketed as a detox therapy. So far, there does not appear to be evidence that this product can cure or treat herpes infections.

There have been some promising trials of herpes vaccines. However, to date, no human trials have shown high enough efficacy to bring a herpes vaccine to market.

Frequently Asked Questions

What over-the-counter drugs are used to treat herpes?

Abreva (docosanol) 10% cream is the first over-the-counter antiviral drug approved for the treatment of herpes simplex type 1 (the type commonly associated with cold sores). If applied at the first sign of a cold sore (before a blister develops), it may reduce the duration of an outbreak to as few as 2.5 days.

What prescription drugs are used to treat herpes?

Herpes viruses are treated with antivirals. There are three commonly used to treat oral or genital herpes:

• Zovirax (acyclovir)
• Valtrex (valacyclovir)
• Famvir (famciclovir)

Do all antivirals work equally well in treating oral or genital herpes?

All three antivirals are effective in reducing the severity and duration of a herpes outbreak. However, some authorities recommend Valtrex over Zovirax for the treatment of genital herpes.

How long does herpes last if treated with antivirals?

Studies have shown that, if started within 48 hours of the first appearance of lesions, antivirals can reduce the duration of oral herpes by one to two days and the duration of the first genital herpes outbreak by up to 50%.

Are there natural remedies that can help treat herpes?

Although evidence on the benefits of complementary and alternative medicines for treating herpes is scant, several natural compounds have shown promise, including:

• African rue (Peganum harmala) extract
• Green algae (Stypopodium zonale) extract
• Red seaweed (Hypnea musciformis) extract
• Verbena (Verbenaceae) essential oil
• Yu Xing Cao (a traditional Chinese medicine)

Can herpes be cured?

There is no cure for herpes and there are no vaccines that can prevent either HSV-1 or HSV-2. Once you are infected, the virus remains in your body forever.

A Word From Verywell

The key to successfully treating any herpes outbreak is a timely response. The sooner you recognize the signs and access treatment, the shorter and less severe the outbreak is likely to be. Treatment should be started within 48 hours of the first appearance of symptoms.

If your primary care provider is unable to see you, do not hesitate to access treatment through a telehealth provider, the visit of which may be partially or fully covered by your health insurance.

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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

1. Pereira DB, Antoni MH, Danielson A, et al. Stress as a predictor of symptomatic genital herpes virus recurrence in women with human immunodeficiency virus. J Psychosom Res. 2003;54(3):237-44.

2. Modi S, Van L, Gewirtzman A, et al. Single-day treatment for orolabial and genital herpes: a brief review of pathogenesis and pharmacology. Ther Clin Risk Manag. 2008;4(2):409-17. doi:10.2147/tcrm.s1664

3. Sauerbrei A. Optimal management of genital herpes: current perspectives. Infect Drug Resist. 2016;9:129-41. doi:10.2147/IDR.S96164

4. Centers for Disease Control and Prevention. Genital HSV Infections. Updated June 4, 2015.

5. Ursini T, Tontodonati M, Manzoli L, et al. Acupuncture for the treatment of severe acute pain in herpes zoster: results of a nested, open-label, randomized trial in the VZV Pain Study. BMC Complement Altern Med. 2011;11:46. doi:10.1186/1472-6882-11-46

6. DailyMed. Label: Abreva – docosanol cream. Updated October 5, 2020.

7. Pinder M, Wright A. Valaciclovir versus aciclovir for the treatment of primary genital herpes simplex: a cost analysis. Int J STD AIDS. 2015 Nov;26(13):971-3. doi:10.1177/0956462414563628

8. Alvarez DM, Castillo E, Duarte LF, et al. Current antivirals and novel botanical molecules interfering with herpes simplex virus infection. Front Microbiol 2020;11:139. doi:10.3389/fmicb.2020.00139

9. Hollier LM, Eppes C. Genital herpes: oral antiviral treatments. BMJ Clin Evid. 2015;2015:1603.

Additional Reading

• Centers for Disease Control and Prevention, 2015 Sexually Transmitted Diseases Guidelines, Genital HSV Infections, accessed May 17. 2018
• Deethae A, Peerapornpisal Y, Pekkoh J, Sangthong P, Tragoolpua Y. Inhibitory effect of Spirogyra spp. algal extracts against herpes simplex virus type 1 and 2 infection. J Appl Microbiol. 2018 Jun;124(6):1441-1453. doi: 10.1111/jam.13729. Epub 2018 Mar 13.
• Sung SH, Choi GH, Lee NW, Shin BC. External Use of Propolis for Oral, Skin, and Genital Diseases: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2017;2017:8025752. doi: 10.1155/2017/8025752. Epub 2017 Feb 6.

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What is the best cold sore cream? 3 options to try

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Cold sores are blisters that usually appear on the lips or around the mouth. The herpes simplex virus (HSV) causes cold sores, and there is no cure. However, cold sore creams can reduce their symptoms and healing time.

This article looks at how someone can identify a cold sore, some of the best cold sore creams, and other remedies that can reduce the symptoms. We will also look at ways to prevent cold sores from developing.

Cold sores are fluid-filled blisters that usually appear on the lips or near the mouth. They are a symptom of HSV, which is a virus people carry throughout their lives.

When HSV is active, a person may experience frequent cold sores in response to certain triggers, such as stress or sunlight. HSV can also lie dormant for long periods.

People may confuse cold sores with other conditions, such as canker sores. However, canker sores are mouth ulcers that form inside the mouth and look like white circles with a red halo. By contrast, cold sores appear around the mouth and go through specific stages as they burst and heal:

1. the area tingles, itches, or burns
2. a hard spot appears on the lip or around the mouth
3. this spot develops fluid-filled blisters
4. the blisters may start to leak or ooze liquid
5. the blisters burst and crust over

As cold sores can resemble other conditions, it is a good idea for people to check they have a cold sore before they buy a cream. A doctor, nurse, or pharmacist can help with this.

Learn more about the difference between canker sores and cold sores.

There is no cure for HSV, and, therefore, no cure for cold sores. However, an older review suggests that common cold sore treatments can reduce the symptoms and speed up healing time by a small amount.

Effective cold sore creams may include:

• Antiviral ingredients: Cold sore creams that include acyclovir, penciclovir, or docosanol have antiviral properties. According to a 2018 review, these ingredients work marginally better than a placebo, reducing the pain of a cold sore within 24 hours.
• Zinc oxide: An older study asked people to apply zinc oxide to their cold sores every 2 hours. People who used the cream within 24 hours of the cold sore developing had quicker healing times and less severe symptoms than those taking a placebo.
• Anesthetic: Creams containing anesthetic can numb a cold sore and reduce pain, itching, or burning. However, they do not speed up healing times.

Cold sore creams work best when a person applies them as soon as they feel the first symptoms.

Please note that all information is research-based. The author has not personally tested any of the products below. The article does not recommend one product over another.

Compeed Cold Sore Patches

This small patch covers a cold sore. It contains hydrocolloid-075 gel. According to an article in Advances in Wound Care, hydrocolloids can absorb excess liquid from the area.

The manufacturers state that a person should apply this product when they notice the first symptoms of a cold sore. The patch is invisible and reviewers note that it can reduce the appearance of the cold sore, too.

An older study comparing antiviral cream with a Compeed product concluded that Compeed can immediately provide wound protection and is a safe alternative for people who cannot use antiviral creams.

Compeed Cold Sore Patches are available to purchase online.

Abreva Cold Sore Cream

This antiviral cream contains docosanol, which is a compound that helps treat recurrent cold sores by stopping HSV from entering the surrounding cells. This helps protect the healthy area around the cold sore.

The manufacturer claims that if a person uses it at the first sign of a cold sore, it can heal it in as little as 2.5 days. However, they do acknowledge that the average time of healing for someone using their product is 4.1 days.

A person should not use this product if they are pregnant or breastfeeding unless their doctor has approved it.

Abreva Cold Sore Cream is available for purchase online.

Zilactin Cold Sore Gel

This gel dries to form an invisible protective layer over a cold sore. According to the manufacturers, it includes a patented bioadhesive that promotes healing.

One of the key ingredients in this product is benzyl alcohol, which might help with the pain that often accompanies a cold sore. The gel can relieve pain for 6 hours.

Similarly to the other products on this list, a person should use this product when they notice the first symptoms of a cold sore.

Zilactin Cold Sore Gel is available for purchase online.

In addition to cold sore creams, other over-the-counter (OTC) medications and home remedies can help reduce the symptoms of a cold sore. These include:

• OTC pain medications: Drugs such as paracetamol or ibuprofen may help to reduce the swelling and pain of a cold sore.
• Cold compresses: Cold compresses may also help with pain or discoloration. A person can make a compress by covering an ice pack in a cloth and then applying it to the area.
• Kanuka honey: A study published in the British Medical Journalsuggests that Kanuka honey may be as effective as antiviral medication in treating cold sores.

Some people find that cold sores appear when they experience stress, or when they spend time in the sun. Avoiding these triggers, where possible, may help someone reduce the number of cold sores a person gets.

For people who get cold sores in response to sun exposure, it is a good idea to use a lip balm that contains SPF and use SPF suncreams on the face.

Cold sores are highly contagious. To prevent the spread of HSV, do not:

• share personal items with others (e.g., towels, toothbrushes, lipstick)
• touch the cold sore, unless a person is applying ointment
• kiss or have oral sex, as this can spread the virus to others

After touching a cold sore, wash the hands thoroughly with soap and water.

A person can usually treat their cold sore at home with either OTC medication or home remedies. However, a person should consider seeing their doctor if a cold sore:

• is large or very painful
• is not healing on its own
• keeps coming back

People with conditions that weaken their immune system should also speak to a doctor, as they may need antiviral medication.

Cold sores are fluid-filled blisters that can flare up in response to certain triggers. Cold sore creams can provide symptom relief, and in some cases can speed healing time by a small amount. People with severe, recurring cold sores should seek medical advice.

neosporin on cold sore scab

After that you can apply the medication. OTC Medicine For Cold Sores>>, Yes, that’s a lovely natural remedy. Most methods will not fully alleviate cold sores, but they may help to speed healing and shorten the duration of the inflammation.. A cold sore. Let it get you down – Cold sores can be really painful and miserable, so take it easy and be kind to yourself. Viroxyn Cold Sore Treatment Review: Does This Medicine Really Work? Vaseline will do that just as well as Neosporin, and for a fraction of the cost. Cold sores, also referred to as fever blisters, can be painful and embarrassing — and the 10 to 14 days they take to heal can seem like an eternity 3 4. However, at the first sign of a cold sore, and during the painful blister stage, I would use other products, such as Abreva Cream, Super Lysine Plus Cream, and prescription medications, that were specifically formulated to treat cold sores. Cold sores are caused by Herpes simplex viruses. I realize the science makes no since. Click here to read the reviews of the discontinued Neosporin Lip Treatment (LT). This is almost impossible to acheive and is very frustrating. Not only that, but there’s very little risk of bacterial infection in a sore that is close to being healed. Since most people (up to 80% of Americans) have HSV1 – whether or not they ever have noticeable cold sores – and since most people do not use any sort of “protection” during oral sex, it’s actually becoming more and more common for people to get herpes on their genitals from oral sex. Along with the traditional Neosporin Wound Care products from Johnson & Johnson Consumer Inc., they also have two other product categories, known as Neosporin Eczema Essentials, and Neosporin Lip Health. A better natural alternative to Neosporin is using a homemade remedy of coconut oil and tea tree oil. Neosporin is the brand name for an over-the-counter antiobiotic cream that contains neomycin, polymyxin B, and bacitracin. Apply only enough to cover the area you are treating. When scabs form after cold or from cold sores, they produce a symptom such as fluid filled sores. Clean the skin area before applying bacitracin topical. Thanks for taking the time to leave a comment, and I wish continued success in preventing frequent cold sores. Antibiotics destroy or weaken certain microorganisms (such as bacteria and fungi), but it has no antiviral activity. Eczema Itch The fastest ways to treat a cold sore in the nose is to use an over-the-counter medication and other drying agent, including toothpaste. The important thing, if you want something dry to heal, is to keep it moisturized. Take care! The sores on butt could be herpes or any other condition. Adults and children 2 years of age or older – Clean the affected area. Throughout this period, scabs will undergo through 5 crucial stages. our neighbor told to use neosporin instead of a acyclovir ointment. 90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Many people in online forums are raving about the benefits they get from using Neosporin on cold sores. Neosporin on the cold sore After analyzing anecdotal proof from happy users, it appears as although a few humans use Neosporin on cold sores … I used to get them quite frequently , but after years of doing my own trial and error I will say a few things have made it to where I very seldom get them (maybe once every 4 years I’ll get one out of the blue ), 2. Apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily. I believe you call it the scab stage. Any and all trademarks, logos, brand names and service marks displayed on www.coldsoretreatmentadvice.com are the registered or unregistered trademarks of their respective owners. Natural Remedies For Cold Sores>> Dr. Heidi Fowler answered. Please seek professional care if you believe you may have a condition. Aloe vera for healing scabs. P.S. 0. Do not look down peppermint and its extract oil as this is actually one of the … Licorice. The over-the-counter cold sore ointment docosanol (Abreva) may shorten the healing time of a cold sore. Skin reaction. A year and half apart is certainly not life-crushing, especially when you have stuff that helps the pain and discomfort which speeds up the healing time too. Antiseptic in nature, this formula may help to sterilize and control a cold sore infection when applied to the blister. The virus lives on forever, and that’s why people continue to get cold sores over and over again. Together, they work to kill bacteria on the skin and prevent topical infection. I believe this product would be even more helpful during the cold sore scab stage. Disclaimer:  This site is not intended to provide and does not constitute medical, legal, or other professional advice. It is one of the best natural cold sore treatments. Hi Andrea, While Neosporin doesn’t have the same mechanism of action to treat the herpes simplex virus, it can still help tremendously…especially the newest addition to their product line – Neosporin Pain/Itch/Scar â€“ which I believe would be the most helpful Neosporin for cold sores and cold sore scabs. I used other things to treat symptoms and speed healing time, but I loved Neosporin for the scab stage. The fastest ways to treat a cold sore in the nose is to use an over-the-counter medication and other drying agent, including toothpaste. Erin J. Hill Date: February 05, 2021 . Back in the day, when I had cold sore outbreaks 4-6 times a year, I used Neosporin for cold sore scabs. I used other things to treat … tamoxifen and raloxifene You rock, Melissa!!! Honestly, the fastest way to get rid of it is to be patient and avoid anything that could take the scab off early. Peppermint Oil. Pills generally heal cold sores faster than creams. We may receive commission or other income on certain products. Apply some healing aloe vera to help get rid of a scab on your face or anywhere else on your body. Using NEOSPORIN ® First Aid Antibiotic Ointment, in addition to a bandage, kills all three of the most common skin bacteria to provide long-lasting infection protection. I always use Morgan’s Lysine lip balm for the initial outbreak (which I find soothing and effective) but once it scabs, I switch to Neosporin. A scab is the body’s way of protecting a wound against invading organisms, dirt, and debris. Neosporin helps to prevent germs getting into the wound and prevents scabs from forming. Skin reaction between buttocks could be the cause of blisters in your buttocks. Skin reaction. Glad you get benefit using Neosporin for cold sore scabs. At the first sign of symptoms, apply it to the affected skin as directed on the package. I stopped getting cold sores/fever blisters a long time ago . It does little good before that but provides symptomatic relief at that time and can accelerate healing. Thanks for sharing this! Directions: Apply liberally to the affected area at least 4 times a day. 24 years experience Psychiatry. I used other things to treat … tamoxifen and raloxifene If you have any questions or comments about using Neosporin on cold sores, please post them in the comment box below. Cold sores will go away on their own after a few days as long as they don’t become infected. Why there is no response . Prescriptions for Cold Sores>> Should I use neosporin or continuing to use abreva? It is an efficient and risk free topical lotion for cold sores treatment. Cold sores don’t look nice, and they hurt a lot. 2. I too have benefited from this over-the-counter medicine. Many people in online forums are raving about the benefits they get from using Neosporin on cold sores. Right on Karen!!! Stress can trigger cold sores. These are the last stages of the cold sore during which the scab peels and falls off. It is common to notice bumps or blisters between buttock cheeks. If nose soreness is caused by herpes virus and thus, resulted in ulcers, cold sores, or scab around the nostrils, topical antibiotic ointment is helpful. Thanks for leaving a comment Mike. By accessing or using this website, you agree to abide by the Terms of Service, Full Disclaimer, Privacy Policy, Affiliate Disclosure, and Comment Policy. These drugs may be in a pill or cream form. Nose sores caused by allergies and dryness can be itchy, dry, and usually don’t contain fluid. … Congrats on being so close to it being completely healed, Rebecca. In general, it is not a good idea to use Neosporin ointment and cream products in the nose. Use adequately at the correct amount and at the right time. It is common to notice bumps or blisters between buttock cheeks. There is no way to hide this unsightly blister, and the formation of a scab, which occurs near the end of the healing process, can make it look even worse 1.It’s important to resist the temptation to pick at the scab or … Neosporin contains antibiotics and therefore is used to fight bacterial infections. That’s most likely to be the reason why you want to find the quickest way to get rid of a cold sore. This comprehensive Neosporin for Cold Sores Review Article is the culmination of in-depth research, my own personal experiences, and anecdotal evidence from countless other individuals. This is almost impossible to acheive and is very frustrating. Tried but as I got to know its antibiotics so of course no effect from it. HSV-1 typically is responsible for cold sores, and HSV-2 is most often the cause of genital herpes. Up to 30% of new cases of genital herpes are due to HSV1 – and most of the time, it’s been transmitted via oral sex. Neosporin Original Ointment is a topical antiobiotic, nothing more. You may cover the treated skin with a bandage. It is large and on my lip and I really want it to go away as soon as possible. That is totally extraordinary. Most methods will not fully alleviate cold sores, but they may help to speed healing and shorten the duration of the inflammation.. A cold sore. Find out the relevant products below and buy Neosporin on Cold Sore Scab. Take care! Cold Sores Polysporin and Neosporin can also be applied to cold sores. Docosanol is used for the topical treatment of recurrent oral-facial herpes simplex episodes (cold sores or fever blisters). My cold sores are now ranging about a year and a half apart. Well that is not too bad!! However, you can shorten the healing time of cold sore scab cycle. The content on HowToGetRidofaColdSore.com is designed to support, not replace, medical or psychiatric treatment. We try our best to keep things fair and balanced, in order to help you make the best choice for you. How long do cold sore scabs last. The pros of using Neosporin for cold sores are: Reduces the look of scars. Directions: Apply liberally to the affected area at least 4 times a day. If you do it when you very first feel it , sometimes it stops it from forming (very effective) for me anyway . Treatment of clod sore scab will depend on what the cause is. Your doctor can usually diagnose cold sores just by looking at them. ???? Yay! I would often pick the scab off early and while it did make things look better temporarily, it really delays the healing process, and it can lead to scars too. [1] Now that you’ve learned all of these amazing things about using Neosporin on cold sores, you get to decide whether or not you want to try it out. Here are the benefits of Neosporin Pain/Itch/Scar: To me, this looks like it would effectively treat symptoms of cold sores (pain, burning, itching). Cold sores and sore throat are both uncomfortable. How To Use Tea Tree Oil For Cold Sores>>, I used the Neospirin pain/itch/scar at the first sign of a cold sore. This means that topical antibiotics will not prevent the virus from spreading, but can help it from becoming secondarily infected with bacteria. The active ingredient may also help relieve the pain and burning. Click on the link below for a list of over-the-counter cold sore medications: Well just purchased the new neosporin tonight after my scalp came off premature hope this work been battling this cold sore for seven days already even though the scalp came off prematurely I was kind of glad it bled a little just applied the new neosporin on hope it bring better relief and healing than what I been using. I’m at the first stage of a cold soar…How do a I stop it from forming…? By accessing or using this website, you agree to abide by the, How Arginine Can Trigger Cold Sore Outbreaks. The fluid can become pus if infected. I too have benefited from this over-the-counter medicine. Antiseptic in nature, this formula may help to sterilize and control a cold sore infection when applied to the blister. I use a lip balm/lip ointment with cinnamon oil in it. This is another worry that comes after suffering a cold sore through all its stages. Many people in online forums are raving about the benefits they get from using Neosporin on cold sores. Use a cotton-tipped swab to put medicine on a cold sore. Once a cold sore becomes an open wound, it can sometimes become infected with bacteria, but cold sores are caused by a herpes virus, not bacteria. Filed Under: Medications For Cold Sores, OTC Medicine For Cold Sores, Topical Products For Cold Sores Tagged With: neosporin for cold sore scab, neosporin for fever blisters, neosporin on cold sore. Unfortunately I have plans this week and I’m tired of hiding. A lot of people ask me, “Will Neosporin help a cold sore?” Here is my loooooong answer…. Then coconut oil or neosporin during the scab stage if it makes it to that . Cold sores are ulcerated areas on the delicate membranes of the mouth and lips. I agree 100% about using Neosporin at the scab stage. No sting formula provides 24-hour infection protection, Provides a nourishing environment for skin. In this article, I’m going to teach you everything you need to know about the use of Neosporin on cold sores and cold sore scabs. Don’t go swimming and try to keep it out of the water when you shower. Back in the day, when I had cold sore outbreaks 4-6 times a year, I used Neosporin for cold sore scabs. But I currently have a doozy. – Cold sore scabs can be very fragile, so avoid licking it or getting it wet if you can. These are perfect for sores to keep pressure off of them. My cold sore scab just fell off naturally (I think, I didn’t pull it off). So yes, the pandemic can indirectly trigger cold sores. Polysporin and Neosporin can also be applied to cold sores. Blisters on the bum can appear when the skin comes in contact with excessive heat such as sunburn. On the package, it says “Helps Heal the Symptoms of Painful Cold Sores.”. Look for blisters, cuts, cracks, sores, redness, white spots or areas, thick calluses, discoloration, or other changes. This includes: applying petroleum jelly or using nasal saline spray to keep the nasal passages from drying out using creams like pain-free Neosporin to fight infection and reduce pain leaving scabs alone and not picking at them not smoking or using drugs How to Get Rid of Scabs on Lips. They are intended for use only on the skin. Children under 2 years of age – Ask a doctor. November 17, 2016. OMG I hate the big scab that it makes. I haven’t put anything on it as my dad told me I shouldn’t and that it will fall off on it’s on. Before using this medication, you need to clean the affected areas with soap and water and then let it completely dry. Wonderful info!!! However, this does not impact our reviews and comparisons mentioned on www.coldsoretreatmentadvice.com. Avoid long lasting use as it can harm your skin. Viral vs antibiotic. The sores on butt could be herpes or any other condition. Required fields are marked *. There are some disgruntled people that are seriously bummed-out this product is no longer available. Now that the scab is off you want to use either Neosporin or natural ointments that have herbal remedies to help and heal the skin in a soothing and repairing manner. 0. Since cold sores are viral, Neosporin products cannot prevent HSV from replicating, since Neosporin is an antibiotic. Do not use bacitracin for longer than 7 days in a row. Abreva Review – Does It Really Work For Cold Sores? Thanks for sharing your cold sore prevention methods here. Cold and sore throat. Licorice is known for its anti-viral … And now I have some fresh pink skin exposed. It’s aomazing. Should I put anything on it now or just continue to wait and be patient. Mucosal ulcerations are sores in the mouth or nose or, less often, in lining of vaginal tissue. 1 doctor agrees. It’s half of her face and the medication isn’t working, so the hospital could be a good plan. Blisters on the bum can appear when the skin comes in contact with excessive heat such as sunburn. Has less chance of scarring; A moist, scab-free wound is more likely to heal without leaving a visible scar. Cold sores, or fever blisters, are actually the result of something called herpes simplex virus (HSV). Since the scab is huge and sticks out I can’t hide it. Take antiviral drugs for cold sores. Your email address will not be published. This helps prevent the spread of the sores to other parts of your body. It relieves pain, irritations and does not harm skin much. Aloe vera is a well-known natural remedy for damaged skin because of its ability to accelerate wound healing. Years ago, when I actually got cold sores, I would often use Neosporin for cold sore scabs. Do not use this medication over large areas of skin. It’s free and has absolutely everything you need to know. The COVID-19 pandemic is causing a lot of people to feel stressed. Cold sore: neosporin may help a secondary infection heal but it will not anything about the virus that caused the cold sore. Here is the breakdown of Neosporin product categories: Apparently, there used to be another product called Neosporin Lip Treatment. Most nose sores will heal on their own within a few weeks, but treating your sores may help them heal faster and can reduce any pain or discomfort. Provide healthy atmosphere for skin Alleviates pain and itchy feeling Offers 24-hour infection defence The absolute best treatment for cold sores I’ve ever used is roll on deodorant put on with a q tip frequently. After studying anecdotal evidence from satisfied users, it appears as though some people use Neosporin on cold sores the entire duration of the outbreak. 0 comment. If the open wound on your face is caused by a cold sore, your doctor can prescribe antivirals to help heal the cold sore. Skin reaction between buttocks could be the cause of blisters in your buttocks. This means that topical antibiotics will not prevent the virus from spreading, but can help it from becoming secondarily infected with bacteria. Up to 80% of Americans have HSV1, which is usually associated with “cold sores” around the mouth, but can also be transmitted to the genitals via oral sex. Erin J. Hill Date: February 05, 2021 . Let it get you down – Cold sores can be really painful and miserable, so take it easy and be kind to yourself. If you want to use Neosporin on a cold sore or cold sore scab, here are the directions: The key to cold sores is to prevent them from forming in the first place. Neosporin for cold sore needs to be used specifically as advised on the label or as suggested by your medical professional. You want an at-home treatment that’ll deliver rapid results! Since you already understand the stages that lead to a scab, you will notice that the scab should last about 4 days. How To Use Ice On Cold Sores>>. After primary infection, the virus resides in the associated dorsal root ganglion where it lies dormant until an external stimuli (such as stress or immunosuppression) initiate reactivation of the virus from dormancy. The cold sore is caused by a virus, and will not be affected by an antibiotic. These ulcers can be caused by both cutaneous lupus and systemic lupus. Extensive research has shown that moisture is best, so it’s important to keep your wounds covered. Cold sores result from an infection of the herpes simplex virus (HSV). Cold Sores. Get help now: Apply a small amount of this product (an amount… Children under 2 years of age – Ask a doctor. That is not a typical cold sore. Thank you for your blog and help. Are Cold Sores and Fever Blisters the Same Thing? Docosanol works by inhibiting fusion between the human cell plasma membrane and the herpes simplex virus (HSV) envelope, thus preventing viral entry into cells and subsequent viral replication. I’m so sorry to hear this is happening to your mother. You should consult with your doctor before using any product mentioned on www.coldsoretreatmentadvice.com. How do we get the virus in the first place? The only over-the-counter medicine currently approved by the FDA to shorten the healing time of cold sores is Abreva Cream. Black and huge. 6. Cold sores typically clear up within 2 weeks in healthy people — that is, people with a healthy immune system and no other underlying … However, cold sores are not caused by bacteria but a virus. In rare cases, products that contain white petrolatum (“petroleum jelly”) or mineral oil (including Neosporin ointment and cream) can cause a serious type of pneumonia if applied in the nose, particularly if some of the product is accidentally … To confirm the diagnosis, he or she may take a sample from the blister for testing in a laboratory. A scab is the body’s way of protecting a wound against invading organisms, dirt, and debris. Half side have swelling and conditions have worsen. Compeed Cold Sore Patches Review – Do They Really Work? – Applying an ice cube to the area is the most effective I’ve found to prevent the cold sore from forming if you catch it at the first sign (tingle, itch, burn, etc.). And it sounds bad enough that it might be a good idea to take her to the hospital. With my grandmother and my mother in law, I had to learn wound care for their sores and was given special materials to put into the disinfected sore twice daily. Both HSV1 and HSV2 can cause “genital herpes”. They’re caused by the herpes simplex virus, which is easily transferred from one person to another by contact, even incidental contact. It can also be used on cuts, burns, scrapes, skin infections etc. Carmex Cold Sore Treatment Review: Does It Actually Work? Cold sores will go away on their own after a few days as long as they don’t become infected. We found these products are better alternative or related to Neosporin on Cold Sore Scab. Thrice daily is the best time to use this to treat cold sores. The following article will cover this phenomenon in detail: Don’t go swimming and try to keep it out of the water when you shower. And, if your cold sore does not show any improvement after 7 days of treatment or become worse, stop the treatment and consult the doctor. The over-the-counter (OTC) market has many products that ‘claim’ to heal a cold sore fast, but which ones are actually It is black. Although cold sores are not caused by common cold, they usually occur just after or before this viral infection. – Cold sore scabs can be very fragile, so avoid licking it or getting it wet if you can. Here is a recent article I published on that: Blistex Medicated Lip Ointment Review – A Cold Sore Cream That Works? Using a sterile bandage or cover after applying a NEOSPORIN® Original Ointment, helps prevents exposure to dirt and germs. Back in the day, when I had cold sore outbreaks 4-6 times a year, I used Neosporin for cold sore scabs. Your email address will not be published. Next time I will try the Neosporin from the get go.

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Managing Cold Sores

Herpes simplex labialis can be controlled with proper treatment and use of OTC products. The pharmacist can play a key role in identifying patients who should seek further medical treatment from their physicians.

Herpes simplex labialis (HSL), also known as cold sores or fever blisters, is a common disease typically caused by infections of the mouth area with the herpes simplex virus 1 (HSV-1). Another form of the virus, herpes simplex virus 2 (HSV-2), is primarily responsible for causing genital herpes.^1,2 Either form of the virus can cause cold sores or genital herpes if there is contact with the skin.^1,2

Statistics show that between 50% and 98% of the US adult population is infected with HSV-1; many patients who have the virus never develop cold sores, however.¹ Once an individual becomes infected, the virus remains in his or her system for life. Most individuals will experience periods of dormancy or reactivation phases, and an estimated 30% to 40% of those who are exposed to HSV will develop recurrent infections.² The majority of cold sore outbreaks are treatable and heal within 10 to 14 days without scarring or other complications (Table).²

Triggers

Numerous factors may increase the frequency of HSL outbreaks, including^1-4:

• Stress/fatigue
• Ultraviolet radiation due to extreme sun exposure
• Exposure to cold weather
• Fever and/or infections due to colds or influenza
• Trauma due to recent dental work
• Menstruation, pregnancy, or other conditions associated with hormonal changes
• Factors that may compromise the immune system (eg, chemotherapy, radiation therapy, or immunosuppressant agents)
• Food allergies

Signs and Symptoms

Typically, an outbreak of HSL goes through various stages, with each having distinct characteristics. In the initial stage of an outbreak, cold sores are preceded by a prodrome.^2,5 During this phase, the individual will experience a burning or tingling sensation, and/or itching approximately 48 hours prior to the appearance of a cold sore lesion.^2,5 Other symptoms during this stage may include pain, fever, and swollen lymph glands. Cold sores usually appear first as small erythematous vesicles, which range in diameter from 1 mm to 3 mm, and can combine to form a larger lesion.^2,5 As the lesions mature, a crust forms over the vesicles that have erupted. If pus appears under the crusted area, a secondary infection may be present. ^2,5

Treatment of HSL

An outbreak of HSL can negatively impact several aspects of an individual’s quality of life, including physical, social, and emotional well-being. Pharmacists can provide key information on the most effective treatments for managing HSL, and preventive measures that can help decrease the risk of future outbreaks. The primary goals in treating HSL are to relieve pain and discomfort, prevent transmission to others, and prevent further complications or infections.²

Currently Abreva (docosanol 10%), manufactured by GlaxoSmithKline, is the only FDA-approved nonprescription product proved to shorten healing time and reduce both the severity and duration of symptoms. Docosanol works by inhibiting direct fusion between the herpes virus and the human cell plasma membrane, thus averting viral replication.^2,3 Docosanal is intended for external use only for individuals 12 years and older. It should be applied 5 times a day, beginning at the first sign of outbreak, until the sore is gone. are not indicated to reduce duration of symptoms.² Topical triple antibiotic ointments or systemic antibiotics may be used if there are any signs of a secondary infection. ² Patients should be advised to discuss the need for antibiotics with their primary health care provider.

Pharmacists can also remind patients that in addition to using topical nonprescription products, the following measures can be implemented to better manage and prevent the transmission of HSL outbreaks^1,2,6:

• Apply a cool, wet compress or ice to the affected area at least 2 to 3 times a day for 15 to 20 minutes to reduce swelling or erythema.
• During outbreaks, avoid foods that may aggravate cold sores (eg, acidic foods).
• If not contraindicated, consider the use of an OTC analgesic to alleviate pain.
• Keep lesions clean by routinely cleansing the affected area with mild soap solution.
• Use skin protectants to keep lesions moist, as drying and cracking may make the lesions more susceptible to secondary bacterial infection.
• Wash hands regularly with warm water and soap to prevent transmission or spread of the virus.
• Apply sunscreen on the lips and face before exposure to sun.
• Avoid direct contact with others when blisters are present and avoid sharing personal items (eg, towels, razors, silverware) to decrease the risk of transmission.
• When possible, avoid known triggers.

The Role of the Pharmacist

When counseling patients about the proper use of these products, it is imperative to emphasize the contagious nature of HSL lesions and discuss ways to prevent or reduce transmission to others. Moreover, pharmacists play a key role in identifying patients with HSL lesions that may require further medical treatment from their primary health care provider.

Ms. Terrie is a clinical pharmacy writer based in Haymarket, Virginia.

References

• About cold sores. Abreva Pharmacist Web site. www.abrevapharmacist.com/AboutCS_etiology.aspx. Accessed June 28, 2011.
• Marcinak M. Oral pain and discomfort. In: Berardi R, Newton G, McDermott JH, et al. Handbook of Nonprescription Drugs. 16th ed. Washington, DC: American Pharmacists Association; 2009:616-619.
• Cold sore basics. Abreva Web site. www.abreva.com/basics_What.aspx. Accessed June 28, 2011.
• Cold sores. Medline Plus Web site. www.nlm.nih.gov/medlineplus/coldsores.html. Accessed June 28, 2011.
• Pathophysiology: the five stages of a cold sore outbreak. Abreva Pharmacist Web site. www.abrevapharmacist.com/AboutCS_path.aspx. Accessed June 28, 2011.
• Cold sores. Mayo Clinic Web site. www.mayoclinic.com/health/cold-sore/DS00358/DSECTION=3. Accessed June 28, 2011.

90,000 obstetrician-gynecologist Galimzyanova Tamara Gabdulkhaevna.

03 December 2019

Family Health Magazine

This is a widespread sexually transmitted infection. Caused by two viruses from
family of herpes viruses: Simple virus
Herpes II or I type (HSV-II and / or HSV-I).In most cases, the disease is caused by
HSV-II. However, recently, HSV-I,
which, as was previously believed, caused only a “cold” on the lips, due to the wide
the spread of oral sex, more and more
causes genital herpes.
Genital herpes is not a fatal disease, does not cause damage
work of internal organs, does not lead
to infertility. He’s less dangerous than others
genital infections. Genital herpes
any person living can get sick
sexual activity.

Genital herpes is transmitted by direct contact of the genitals with herpetic vesicles or sores. Besides
In addition, transmission of the disease is possible when a person suffering from herpes does not have any
visible symptoms of the disease.
It cannot be ruled out that even you could
become the source of its infection. After all, 60-
80% of people infected with HSV-2
don’t even know about
this. They have herpes
is almost asymptomatic.
Finally,
Your second
half could get infected
from the previous partner, when you may be still
were even unfamiliar.The virus could for years
“Doze” in the body, and the disease proceeds without visible symptoms, while in
the first relapse has not occurred so far.
Genital herpes appears on average
2-14 days after infection. However, in
in some cases, the disease can be asymptomatic for several years and the person does not
suspects he is infected. Before the beginning
rashes in the genital area are precursors of relapse: burning,
itching, pain, and swelling. These symptoms can
accompanied by a rise in temperature and
general malaise.Then on the skin and mucous membranes of the genitals, pubis, buttocks, thighs
bubbles are formed, filled with a transparent liquid, which soon
burst. Small painful sores form in their place. Through
sore week
heal on their own without leaving any marks on the skin.
Subsequently, people with genital herpes may experience
repetitions of rashes or relapses. Frequency
relapses ranges from 2-3 times a month to
1 time in several years and depends on the individual characteristics of the human body.Very often relapses of herpes are possible against the background of a “decrease” in immunity.
This occurs under the influence of:

• stress or emotional disorder;
• various somatic diseases, in particular colds, flu, diabetes mellitus, HIV;
• poisoning or intoxication;
• when consuming alcohol, caffeine and
  smoking;
• excess ultraviolet radiation;
• hypothermia or overheating;
• the arrival of menstruation;
• overwork and exhaustion;
• nutritional deficiencies or disorders
  stomach;
• other individual factors.

You CANNOT get genital
herpes if you drink from someone else’s glass or
glasses, herpes is not transmitted through water
in pools and baths, toilet seats,
doorknobs and friendly handshakes.
During relapse, you should avoid
contact of your skin with parts of your partner’s body that have herpes sores, but you can kiss, hug and even sleep nearby without fear.
If you suspect genital herpes, see your doctor.Until recently, the diagnosis was based on
examination by a doctor and laboratory examination of scraping from herpetic lesions. IN
currently in large cities of Russia
using a special blood test
antibodies to HSV-1 or HSV2 can be detected. The analysis must be taken in 2-3 months from
the moment when the infection could have occurred.
You need to understand that the tests are imperfect and can give both false positive and false negative results.

Tests cannot show when and from whom
You have become infected.It would be nice to pass and scrap
from herpetic eruptions to DNA diagnostics. Detection of the virus by this method can confirm the diagnosis.
Once in the human body, the herpes virus never leaves it.
Currently, medicine has
modern drugs that can significantly increase interrecurrent
gaps, suppress virus reproduction
herpes, while practically not causing
harm to the patient’s body. Early admission
antiherpetic drugs allows you to avoid relapses, the emergence of new
blisters, reduce itching and soreness,
accelerate the healing of ulcers.Correct and
effective treatment of genital herpes
You can only be prescribed by a qualified physician in person.

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90,000 Genital herpes – treatment and symptoms, diagnosis of genital herpes in Moscow, Clinical Hospital on Yauza

Genital herpes during pregnancy

Is genital herpes transmitted from mother to fetus in pregnant women? If the primary infection with the virus occurs during pregnancy, especially in the first half of it, then there is a possibility of the virus penetrating the fetus with the development of intrauterine infection and impaired fetal development.This is a formidable complication of genital herpes, and, fortunately, it is very rare.

If the virus was present in a woman’s body before pregnancy, then her immune system, already familiar with the herpes virus, effectively protects the fetus during pregnancy, and infection is possible only during childbirth, and then with the condition that at this moment the disease is in an active phase … Therefore, it is especially important not to miss the recurrence of genital herpes activity during pregnancy in order to start treatment on time and prevent the transmission of the virus to the child during childbirth.

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Diagnosis of genital herpes

Which doctor should I contact with genital herpes?

In the Yauza Clinical Hospital, this disease begins with a clinical examination by a specialized specialist (gynecologist or urologist), and is confirmed by laboratory tests. If necessary, consultation of related specialists (immunologist) is carried out.

What tests should I take for genital herpes?

Laboratory diagnostics solves 2 problems:

• to determine the presence of the herpes simplex virus or contact with it: for this, they study the blood, vaginal discharge, urethra, semen, urine of the patient for the presence of antibodies to the herpes simplex virus, or particles of the virus itself;
• to prove the “involvement” of these rashes to genital herpes: the material taken directly from the vesicles or ulcers is being investigated.

Also, in order to select an effective therapy, it is necessary to accurately determine the type of pathogen – this question is answered by the polymerase chain reaction (PCR).

Make an appointment

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Treatment of genital herpes

How is genital herpes treated? Unfortunately, at the moment there is no way to completely destroy the virus in the body, to cure genital herpes once and for all. However, the specialists of the Clinical Hospital on Yauza have developed a treatment regimen that keeps the pathogen inactive and significantly reduces the likelihood of recurrence of genital herpes in men and women.

Treatment goals:

• Removal of local manifestations – rash, painful ulcers, itching.
• Rapid relief of relapse.
•  Strengthening immunity, maintaining long-term stable remission.

The complex of treatment measures includes:

• Antiviral drugs – oral and local use, which are selected individually. One of the most effective in the treatment of genital virus is acyclovir (tablets, injections, cream, ointment).
• Appointment of immunomodulators, immunostimulants.

Patients with rare exacerbations are treated with episodic therapy. Those who have a difficult disease (frequent relapses due to the individual characteristics of the immune system – its low activity against the herpes virus) are shown a long course of pharmacotherapy – systemic therapy.

Despite the fact that there are no methods for a complete cure for herpes, the doctor will select drugs that will reduce the frequency of relapses.This way, you can live a fulfilling life without regular flare-ups of the disease. Make an appointment with a specialist to avoid complications and relapses.

Treatment of genital herpes during pregnancy

First of all, it should be noted that there is a group of antiviral drugs that can be used with complete safety for the developing fetus.

Indications for treatment:

• primary infection during pregnancy,
• the occurrence of relapses of the disease and
• prevention of relapse before childbirth.

Given the possibility of an asymptomatic course of the disease during a relapse, it is necessary to conduct periodic examinations of the woman throughout pregnancy and, especially in the last weeks before childbirth.

By contacting the Clinical Hospital on Yauza, you are guaranteed to receive qualified advice from a specialized specialist, error-free diagnosis of your condition, effective treatment of the identified disease, prevention of exacerbations of genital herpes and its complications.Take care of your health – make an appointment with your gynecologist or urologist right now!

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You can look at prices for services in the price list or check the phone number indicated on the website.

The article was checked by an obstetrician-gynecologist, Ph.D. Sazonova Yu.M. , is for general informational purposes only and does not replace specialist advice.
Consultation with a physician is required for recommendations on diagnosis and treatment.

90,000 Herpes simplex virus

Infection with the herpes simplex virus, commonly called herpes, can be caused by either herpes simplex virus type 1 (HSV-1) or herpes simplex virus type 2 (HSV-2).HSV-1 is transmitted primarily through oral contact, causing
infection in or around the mouth (oral herpes). However, HSV-1 can also be transmitted through oral-genital contact and can lead to infection of the genital area (genital herpes). HSV-2 is transmitted almost exclusively through genital
contact during sex and leads to infection of the genital or anal area (genital herpes).

Both oral herpes infections and genital herpes infections are asymptomatic or unrecognized in most cases, but can cause symptoms such as painful blisters or sores at the site of infection, such as
mild to severe.

Herpes simplex virus type 1 (HSV-1)

HSV-1 is a highly contagious infection, widespread and endemic throughout the world. HSV-1 infection occurs in most cases during childhood and the infection persists for life. In the vast majority of cases, infection with HSV-1 develops
oral herpes (an infection in or around the mouth sometimes called orolabial or orofacial herpes), but in some cases, HSV-1 also causes genital herpes (infections in the genital or anal area).

Magnitude of the problem

In 2016, an estimated 3.7 billion people under 50, or 67% of the world’s population, were infected with HSV-1 (oral or genital herpes). The highest prevalence rates are estimated to be
were noted in Africa (88%), and the lowest in the Americas (45%).

Most of the HSV-1 infections were oral infections. Globally, an estimated 122 million to 192 million people aged 15-49 had genital HSV-1 infections in 2016, but the prevalence in the regions is significant.
varied.It is estimated that the largest number of infections with genital HSV-1 occurred in the Region of the Americas, the European Region and the Western Pacific Region, where HSV-1 infection continues into adulthood.

Signs and symptoms

A herpetic infection of the mouth is usually asymptomatic and most people with HSV-1 are unaware that they are infected. Among the symptoms of oral herpes, painful blisters or open lesions can be distinguished,
called sores, inside or around the mouth.Lip lesions are commonly referred to as “fever”. Before lesions appear, infected individuals often experience tingling, itching, or burning in the mouth. After initial infection, vesicles
or sores may recur intermittently. The frequency of their occurrence varies from person to person.

HSV-1 genital herpes may be asymptomatic or with mild symptoms that go unrecognized. In cases where symptoms do appear, genital herpes is characterized by the appearance of one or more vesicles or
ulcers in the genital or anal area.After an initial episode of genital herpes, which can be severe, symptoms may recur. However, genital herpes caused by HSV-1 usually does not recur frequently, unlike
from genital herpes caused by herpes simplex virus type 2 (HSV-2; see below).

Transmission

HSV-1 is transmitted primarily through oral contact and causes oral herpes infections due to contact with HSV-1 in the lesions, saliva, and surfaces in or around the mouth.However, due to oral-genital contact, HSV-1 can
also come into contact with the genital area and cause genital herpes.

HSV-1 can be transmitted through the surface of the mouth or skin that looks normal and has no symptoms. However, the greatest risk of transmission exists when active lesions are present.

In individuals who already have a herpes infection of the mouth, subsequent infection of the genital area with HSV-1 is unlikely.

In rare cases, HSV-1 infection can be transmitted from a mother with genital HSV-1 infection to her baby during childbirth and lead to neonatal herpes (seebelow).

Potential complications

Severe disease

In people with weak immune systems, such as those with advanced HIV infection, HSV-1 can cause more severe symptoms and more frequent relapses … In rare cases, HSV-1 infection can also lead to more
severe complications such as encephalitis (brain infection) or keratitis (eye infection).

Neonatal herpes

The development of neonatal herpes can occur when a newborn comes into contact with HSV in the genital tract during childbirth.Neonatal herpes is rare, with an estimated 10 out of 100,000 births worldwide, but this serious condition can lead to persistent
neurological disability or death. Women who have had genital herpes before pregnancy have a very low risk of transmitting HSV to their babies. The greatest risk of neonatal herpes occurs when a woman first becomes infected with HSV in the late
pregnancy, in part because the highest levels of HSV in the genital tract are observed in the early stages of infection.

Psychosocial

Recurrent symptoms of oral herpes can be uncomfortable and lead to some social stigma and psychological stress. In genital herpes, these factors can have significant adverse effects on
quality of life and sexual relations. However, over time, most people with some form of herpes will adjust to living with the infection.

Treatment

The most effective drugs for people infected with HSV are antiviral drugs such as acyclovir, famciclovir, and valacyclovir.They help to alleviate symptoms and reduce the frequency of their occurrence, but do not lead to complete
healing.

Prophylaxis

HSV-1 is most contagious during the onset of symptoms of oral herpes, but it can also be transmitted when no symptoms are felt or observed. People with active symptoms of oral herpes should
avoid oral contact with other people and sharing objects that have come into contact with saliva.They should also refrain from oral sex to prevent herpes from getting on the sexual partner’s genitals. For people with symptoms
for genital herpes, you should refrain from intercourse while they are showing any symptoms.

Consistent and correct use of condoms can help prevent the spread of genital herpes. However, condoms can only reduce the risk of infection, since symptoms of genital herpes can appear
in places not protected by a condom.

Individuals already infected with HSV-1 may not be re-infected, but they remain at risk of infection with HSV-2 in the genital area (see below).

Pregnant women with symptoms of genital herpes should inform healthcare professionals. Preventing new infections with the genital herpes virus is especially important for women late in pregnancy because
during this period there is the highest risk of developing neonatal herpes.

More research is underway to develop more effective prevention methods for HSV infections, such as vaccines. A number of candidate HSV vaccines are under study.

Herpes simplex virus type II (HSV-2)

HSV-2 infection, which causes genital herpes, is widespread throughout the world and is transmitted almost exclusively through sexual contact. HSV-2 is the leading cause of genital herpes, although herpes simplex virus type 1 can also cause it
(HSV-1).HSV-2 infection persists for life and cannot be cured.

Magnitude of the problem

Genital herpes caused by HSV-2 is a global problem, with an estimated 491 million people (13%) worldwide aged 15-49 in 2016.

There are more women than men among people infected with HSV-2; an estimated 313 million women and 178 million men were living with the infection in 2016. This is because HSV is transmitted sexually more efficiently from man to woman,
than from a woman to a man.

The highest prevalence rates of HSV-2 infection are estimated to be in Africa (44% in women and 25% in men), followed by America (24% in women and 12% in men). The prevalence of infection increases with age.
although adolescents are the largest number of newly infected people.

Signs and symptoms

Genital herpes infection is often asymptomatic or with mild symptoms that go unrecognized.Most infected people are unaware that they are infected. As a rule, about a previously diagnosed genital
herpes is reported by about 10-20% of individuals infected with HSV-2. However, clinical studies that closely track primary infections have shown that up to one third of newly infected people may have symptoms.

When symptoms do occur, genital herpes is characterized by the appearance of one or more blisters or open lesions called ulcers in the genital or anal area.In addition to ulcers in the genital area, symptoms of primary
Genital herpes infections are often feverish, body aches, and swollen lymph nodes.

After an initial episode of HSV-2 herpes infection of the genital area, symptoms often recur, but they are less intense than when they first appeared. The frequency of onset of symptoms tends to decrease over time, but they
can appear over the years. Before sores develop in the genital area, people infected with HSV-2 may experience mild tingling or shooting pain in the legs, thighs, and buttocks.

Transmission of infection

HSV-2 is transmitted mainly through sexual intercourse, through contact with the surfaces of the genitals, skin, affected areas or fluids of a person infected with this virus. HSV-2 can be transmitted through the skin in the genital or anal area,
which looks normal and is often transmitted even in the absence of symptoms.

In rare cases, HSV-2 infection can be passed from mother to child during childbirth and cause neonatal herpes.below).

Possible complications

HSV-2 and HIV

It has been proven that HSV-2 and HIV influence each other. HSV-2 infection increases the risk of HIV infection by about three times. In addition, people infected with HIV and HSV-2 are more likely to transmit HIV to others. HSV-2 is one of the most
common infections among people living with HIV infection, and occurs in 60-90% of people with HIV infection.

HSV-2 infection in people living with HIV (and other immunocompromised people) is often more severe and with more frequent relapses.In the later stages of HIV infection, HSV-2 can lead to more severe, albeit rare, complications such as
as meningoencephalitis, esophagitis, hepatitis, pneumonitis, retinal necrosis or disseminated infection.

Neonatal herpes

The development of neonatal herpes can occur when a newborn comes into contact with HSV (HSV-2 or HSV-1) in the genital tract during childbirth. Neonatal herpes is rare, with an estimated 10 out of 100,000 births worldwide, but it is a serious condition
can lead to permanent neurological disability or death.Women who have had genital herpes before pregnancy have a very low risk of transmitting HSV to their babies. The greatest risk of neonatal herpes occurs when a woman first becomes infected
HSV in late pregnancy, in part because the highest levels of HSV in the genital tract are seen in the early stages of infection.

Psychosocial

Recurrence of genital herpes symptoms can be painful and the infection can lead to social stigmatization and psychological stress.These factors can have significant adverse effects on quality of life and sexual relations.
However, over time, most people with herpes will adjust to living with the infection.

Treatment

The most effective drugs for people infected with HSV are antiviral drugs such as acyclovir, famciclovir, and valacyclovir. They help to alleviate symptoms and reduce the frequency of their occurrence, but do not lead to complete
healing.

Prophylaxis

Persons with genital HSV infection should abstain from sexual activity during the period when symptoms of genital herpes appear. HSV-2 is most contagious during the onset of lesions, but it can also be transmitted when there is no
symptoms are not felt or observed.

Consistent and correct use of condoms can help reduce the risk of spreading genital herpes.However, condoms provide only partial protection, as HSV can be found in areas not protected by a condom.
Male medical circumcision can provide men with lifelong partial protection against HSV-2, as well as HIV and human papillomavirus (HPV).

Individuals with symptoms suggestive of genital HSV infection should be tested for HIV, and those living in areas with high HIV prevalence should be offered more focused
HIV prevention measures such as pre-exposure prophylaxis.

Pregnant women with symptoms of genital herpes should inform healthcare professionals. Preventing new infections with the genital herpes virus is especially important for women late in pregnancy because
during this period there is the highest risk of developing neonatal herpes.

More research is underway to develop more effective methods of preventing HSV infections, such as vaccines or topical bactericides (drugs to protect against sexually transmitted infections).
in a way that can be applied intravaginally or intrarectally).

WHO activities to control herpes (HSV-1 and HSV-2)

Awareness of HSV infection and its symptoms needs to be raised worldwide, improved access to antiviral drugs and intensified prevention efforts HIV infection among people with symptoms of genital infection caused by
HSV.

In addition, there is a need to develop improved treatment and prevention measures, in particular the HSV vaccine.