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Relieve Symptoms For Genital Herpes

Monday, January 25th, 2010

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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Does Treatment Cure Herpes?

Wednesday, January 20th, 2010

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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Is There Treatment For Herpes?

Wednesday, January 13th, 2010

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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How Is Herpes Diagnosed?

Monday, January 11th, 2010

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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What Are The Symptoms of Genital Herpes?

Wednesday, January 6th, 2010

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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What Are The Symptoms of Oral Herpes?

Monday, January 4th, 2010

The first infection with HSV-1 or oral herpes often causes no symptoms but it may cause sores in the mouth around the teeth and gums (“gingivostomatitis”). Typically the infection shows up as small blisters on the lips (“cold sores” or “fever blisters”), a flare-up of an earlier infection. The flare-ups are more common during colds, fevers, and sun exposure.. Oral herpes can be spread through contact such as kissing, or though oral sex. Direct contact for a short amount of time is enough to spread the virus. Cold sores are annoying, can be dangerous to a newborn, and can cause genital herpes through oral sex.

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How Common Is Herpes?

Wednesday, December 30th, 2009

Almost 90 percent of Americans have the most common form of herpes – Herpes Simplex Virus type 1 (HSV-1) or oral herpes (“cold sores”) at some time in their life. Half a million Americans are diagnosed with genital herpes every year. However, many more do not know they have herpes because they have never had or noticed the symptoms.

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U.S. Herpes Cases on the Decline

Monday, December 28th, 2009

Changes in sexual behavior may be reducing the number of Americans infected with the herpes simplex virus type 2, which causes most cases of genital herpes.

Researchers also found that the prevalence of herpes simplex virus type 1 infection — which is typically spread during childhood via nonsexual contact — is also falling.

“The most exciting finding is that we looked at the proportion of Americans infected with the herpes simplex virus and found a decrease over the past decade,” said lead author Dr. Fujie Xu, from the U.S. Centers for Disease Control and Prevention. His team reported the findings in the Aug. 23-30 issue of the Journal of the American Medical Association.

Overall, the number of Americans aged 14 to 49 who tested positive for herpes 2 infection fell by a relative rate of 19 percent between 1988 and 2004 — from a prevalence of 21 percent in the late 1980s and early 1990s to 17 percent 10 years later, the researchers reported.

Herpes simplex virus type 2 causes most genital herpes and is one of the most common sexually transmitted infections. Herpes simplex virus type 1 is usually transmitted non-sexually but is a principal cause of genital herpes in some developed countries.

In the study, researchers at the CDC compared data from the National Health and Nutrition Examination Surveys (NHANES) from two time periods: 1988-1994 and 1999-2004. Together, the surveys included more than 20,600 Americans aged 14 to 49.

The drop in herpes type 2 infections between 1988 and 2004 was particularly significant among teens, the researchers found. The number of people aged 14 to 19 who tested positive for herpes simplex 2 dropped from 5.8 percent in the 1988-1994 survey to just 1.6 percent 10 years later.

“The decrease appears to be due to changes in sexual behavior,” Xu said. These changes may include careful partner selection, condom use and choosing oral sex over vaginal sex, the researchers noted.

Xu’s team also found that the proportion of people with herpes simplex virus type 1 also decreased — from 62 percent in 1988-1994 to 57.7 percent in 1999-2004, a relative decline of 6.9 percent. This decrease was not unexpected and is due to improvements in living and hygiene conditions, the researchers said.

However, the number of people affected by genital infections linked to type-1 herpes infection appears to be rising. The authors explained that, because fewer Americans are getting infected with the type 1 virus during childhood, they may be more susceptible to sexually acquired genital infections later on.

While there has been a drop in the number of Americans infected with either form of the virus, herpes still affects millions of people in the United States, Xu pointed out. “Overall, the prevalence is 17 percent — that means one in six Americans are still infected with this virus,” she said.

Increased efforts to stop the spread of herpes could bring those numbers down, however. “The surest way to stop the spread of any sexually transmitted disease is abstinence,” she said. “Consistent and correct condom use can reduce, but not eliminate, the risk of transmission,” she added.

In addition, treatment for herpes can also help prevent the spread of the virus, Xu noted.

One expert thinks these new findings confirm how prevalent herpes is in the United States.

“The important message from this study is how common herpes is and that most people don’t know they have it,” said Dr. Cynthia Krause, an assistant clinical professor of obstetrics/gynecology at Mount Sinai School of Medicine, in New York City. “The decline is a small percent compared to the incredible prevalence of the infection.

Another expert believes much more can be done to curb infection rates.

“There is no herpes-control program in the United States,” said Dr. Jeffrey D. Klausner, director of STD Prevention and Control Services at the San Francisco Department of Public Health. “I hope that by highlighting that tens of millions of Americans have herpes infections, it will get people to think about what kind of control programs may be necessary.”

Klausner believes steps such as screening, treatment, education and counseling can all help reduce the rate of herpes infections.

“There is evidence that condom use is being recognized as a very effective means to prevent STDs. So people may be using them more,” Klausner said. “It is [also] possible that younger people are having fewer partners,” he added.

However, Klausner doesn’t believe abstinence has had any effect. “I would not attribute anything to the abstinence-based campaigns. They have been shown repeatedly not to be effective,” he said.

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Finding Herpes Infection Source

Wednesday, December 23rd, 2009

Q: Five years ago, I kissed a man who had what I thought was a cold sore on his lip. About two weeks later, I broke out in vaginal sores that were diagnosed as genital herpes. I did not have any sexual contact with this man or any man four years prior to the kiss. I have only had the one outbreak. Is it possible for genital herpes to be transmitted from a kiss, and can herpes tests have false-positive results?

A: There is widespread confusion regarding herpes infections and how they are transmitted. In case you don’t know, there are two viruses that cause herpes — herpes simplex viruses (HSV) 1 and 2. HSV-2 causes most cases of herpes on the genitals, while HSV-1 causes most cases of oral herpes (on the lips and mouth). However, either virus can cause either illness.

Oral herpes is a common infection, affecting more than half of all Americans. The initial infection usually causes no symptoms, but in some people it can be severe, with fever, intense pain, blisters in the mouth and throat and headaches. HSV is never eradicated from the body, so recurrent infections occur. Fortunately, these recurrences are generally not severe, manifesting mainly as cold sores on the lip, as you describe.

Genital herpes is similar to oral herpes in that the initial infection, if symptomatic, tends to be more severe than recurrences are. In addition to the manifestations I described for severe oral herpes, there can be meningitis (inflammation of the membranes covering the brain and spinal cord) and bladder problems.

HSV-1 and HSV-2 are transmitted by direct contact. That may mean contact with a sore on an infected person, but it may also mean contact with the oral or genital region of an infected person who has no visible sores. Since the virus is spread by direct contact, I would not expect you to acquire genital herpes after only a kiss.

The incubation period (time from infection to the first manifestations of disease) for herpes is usually less than a week. The short incubation period also speaks a bit against you having contracted herpes from the encounter you describe, but incubation periods of two weeks or more have certainly been reported.

There are several possibilities in your case. First, you may not have had herpes at all. A few other conditions can mimic the infection. Laboratory tests can easily prove or disprove the diagnosis. Second, you could have transferred the virus from your mouth (or his mouth) to your genital region. This seems a bit unlikely, but it is certainly possible. Frequently, people will develop herpes infections of the finger after touching lesions on the mouth or genitals. The third — and I think the most likely — possibility is that you actually had a recurrence of a genital herpes infection that occurred previously. If you had never had genital lesions before, then your initial infection was asymptomatic. This commonly occurs in genital infection, and it is the most common presentation of oral infections. In other words, the first manifestation of any herpes infection is often a recurrence.

As to your last question, the best way a physician can diagnose a herpes infection is by sending the fluid from a sore to a laboratory for culture (growing any microbes present). Rapid tests are also available for detecting the virus without waiting for it to be cultured in a lab. If your lesions tested positive for herpes either from culture or from one of the newer techniques for viral detection, I would say that you almost certainly had herpes. In rare cases, there can be false-positive tests, but if your physician thought you had herpes, and if one of these tests were positive, then you probably had herpes. On the other hand, blood tests for antibodies against herpes are not as reliable.

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Herpes Diagnosis

Monday, December 21st, 2009

Diagnosis with herpes usually hits people like a ton of bricks. When your doctor or practitioner first uttered the words you probably thought to yourself, or exclaimed “what?!” Many emotions raced through your mind. How did this happen? Who gave this to me? Will I ever be able to date again? Will I ever be able to have SEX again? These feelings are totally normal. As time progresses things will get easier.

How Did This Happen?

Most people think sexually transmitted diseases will ‘happen to someone else’ or that using a condom is 100% foolproof in protecting against STD’s. The most important thing to realize is that ANYONE who is sexually active has an extremely high likelihood that they will come into contact herpes. Genital herpes is very common. Many estimates have placed the lifetime likelihood of getting genital genital to be in the range of 20%. Think about that for a second. That is 1 out of every 5 people! It is almost impossible to be sexually active with more than one partner your entire life and avoid herpes. While most do not know they have the virus because it does not cause any visible symptoms, they are still able to transmit the virus to others. While this does sound alarming it is comforting to know that most people are exposed to herpes and for most it does not cause any harm. Informing your current or future dating partner armed with these statistics makes it a whole lot easier to swallow.

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