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You can do several things to help relieve your discomfort or pain:

* Keep sores clean and dry.
* Wear loose, cotton underwear and clothes to keep your clothes from chafing against the sores.
* Take warm or cool baths.
* Try holding cool compresses or ice packs to the sores for a few minutes several times a day.
* Drink plenty of water.
* Get plenty of rest.
* Take acetaminophen or ibuprofen to help with pain and fever.
* If urination is painful, girls can urinate sitting backwards on the toilet so the urine doesn’t touch the lesions or they can urinate in a warm bath. Girls can also use both hands to separate the lips of the vulva, so that urine won’t touch the sores. They should make sure to wash their hands right after touching the vulva so the virus isn’t spread to the fingers or face.

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Is there anything I can do to relieve my symptoms for genital herpes?

Your health care provider will likely prescribe an anti-herpes medication to help your sores heal faster. If you are having frequent outbreaks, your health care provider may also suggest medication to lessen the number of episodes of herpes or to start treatment as soon as tingling or other symptoms start.

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No. Although herpes cannot be cured, it can be treated! For oral herpes, using a sunblock around the borders of the lips and a hat can lessen the chance of cold sores from sun exposure. Medications can be used to treat herpes infections and to prevent genital herpes recurrences.

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Yes. Your health care provider can prescribe medications that quicken healing, make symptoms less painful, and lower the risk of getting outbreaks while you are taking the medications. These medications don’t kill the virus and don’t prevent you from getting outbreaks in the future. Once you catch the herpes virus, you always have it. Even when you don’t have any symptoms, the virus is in the body and can “flare up.” However, outbreaks usually become fewer and less severe as time goes on. Outbreaks can be prevented or treated early with anti-viral medication to lessen symptoms.

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Your health care provider can diagnose herpes by looking at the sores during a physical exam and by testing fluid taken from the sores to see if you have HSV-1 or HSV-2. There are also type specific blood tests which can be helpful in some patients to figure out which virus type caused the symptoms or to figure out if one partner has been infected by herpes. If you think you have herpes sores, see your health care provider right away to see if you need testing and treatment.

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Genital herpes may be caused by HSV-1 from oral sex or from HSV-2 from genital sexual exposure. Infection with herpes may not cause any symptoms and the person may not know they have the virus until they pass it on to another person or get symptoms when the virus is “reactivated.” If you do have symptoms, they can begin from 2 to 20 days (usually within 2 weeks)after the virus enters the body. The first occurrence of symptoms during the first infection of genital herpes is called “primary herpes.” You may have a tingling or itching in the genital area at first. You could have pain or soreness in the buttocks, legs, and groin area. Small, painful red bumps appear on the area near where the virus entered the body- on the labia, clitoris, vagina, vulva, cervix, anus, thighs, or buttocks in girls and penis, scrotum, anus, or buttocks in boys. These bumps turn into blisters or open sores. Between 24-72 hours after the small blisters show up, they can burst and leave painful sores.

Other symptoms of primary herpes infection can include:

* Itching
* Burning, painful feeling if urine passes over the sores
* Inability to urinate if swollen from many sores
* Swollen, tender lymph glands in the groin, throat, and under the arms (can remain swollen for up to 6 weeks)
* Muscle aches
* Headache
* Fever
* Nausea
* Headache
* “Run-down” feeling
* Achy, flu-like feeling

Symptoms usually go away within 3 weeks; even faster if you are treated with medication. The sores usually scab over and heal without scars. But after going away, the virus stays in the body. It can “flare up” and cause sores again from a few days to years later. Symptoms are usually worst during primary herpes, and are milder with flares. However, the flares may come frequently enough or be painful enough that you may choose treatment for that too.

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