Herpes is a common sexually transmitted disease (STD) that any sexually active person can get. Most people with the virus don’t have symptoms. It is important to know that even without signs of the disease, it can still spread to sexual partners. Below are some of the most frequently asked questions about herpes.

What is genital herpes?

Genital herpes is a sexually transmitted disease (STD) caused by two types of viruses. The viruses are called herpes simplex type 1 and herpes simplex type 2.

How common is genital herpes?

Genital herpes is common in the United States. In the United States, about one out of every six people aged 14 to 49 years have genital herpes.

How is genital herpes spread?

You can get herpes by having vaginal, anal, or oral sex with someone who has the disease and is actively shedding the virus.

The fluid found in a herpes sore carries the virus, and contact with the fluids can cause infection. You can also get herpes from an infected sex partner who does not have a visible sore or who may not know he or she is infected because the virus can be released through your skin and spread the infection to your sex partner(s).

How can I reduce my risk of getting herpes?

The only way to avoid STDs is to not have vaginal, anal, or oral sex.

If you are sexually active, you can do the following things to lower your chances of getting herpes:

· Being in a long-term mutually monogamous relationship with a partner who has been tested and has negative STD test results;

· Using latex condoms the right way every time you have sex.

Herpes symptoms can occur in both male and female genital areas that are covered by a latex condom. However, outbreaks can also occur in areas that are not covered by a condom so condoms may not fully protect you from getting herpes.

I’m pregnant. How could genital herpes affect my baby?

If you are pregnant and have genital herpes, it is important for you to go to prenatal care visits. Tell your doctor if you have had symptoms of, been exposed to, or been diagnosed with genital herpes. Although rare, sometimes genital herpes infection can lead to miscarriage. It can also make it more likely for you to deliver your baby too early. Herpes infection can be passed from you to your unborn child and cause a potentially deadly infection (neonatal herpes). It is important that you avoid getting herpes during pregnancy. Cesarean births reduce this risk.

If you are pregnant and have genital herpes, you may be offered herpes medicine towards the end of your pregnancy to reduce the risk of having any symptoms and passing the disease to your baby. At the time of delivery your doctor should carefully examine you for symptoms. If you have herpes symptoms at delivery, a ‘C-section’ is usually performed.

How do I know if I have genital herpes?

Most people who have herpes have very mild symptoms or no symptoms at all. You may not notice mild symptoms or you may mistake them for another skin condition, such as a pimple or ingrown hair. This is the primary reason, most people who have herpes do not know it.

Genital herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. The blisters break and leave painful sores that may take weeks to heal. These symptoms are sometimes called “having an outbreak.” The first time someone has an outbreak they may also have flu-like symptoms such as fever, body aches, or swollen glands.

Repeat outbreaks of genital herpes are common, especially during the first year after infection, or until your body has had a chance to build up a tolerance to the virus. Repeat outbreaks are usually shorter and less severe than the first outbreak. Although the infection can stay in the body for the rest of your life, the number of outbreaks tends to decrease over a period of years.

You should be examined by your doctor if you notice any of these symptoms or if your partner has an STD or symptoms of an STD, such as an unusual sore, a smelly discharge, burning when urinating, or, for women specifically, bleeding between periods.

How will my doctor know if I have herpes?

Your healthcare provider can diagnose genital herpes by simply looking at your symptoms. Providers can also take a sample from the sore(s) and test it. If there are no symptoms, you can request Herpes specific blood tests to determine if you have herpes or not. Have an honest and open talk with your health care provider and ask whether you should be tested for herpes or other STDs.

Can herpes be cured?

There is no cure for herpes. However, there are medicines that can prevent or shorten outbreaks. One of these herpes medicines can be taken daily, and makes it less likely that you will pass the infection on to your sex partner(s).

What happens if I don’t get treated?

Genital herpes can cause painful genital sores and can be severe in people with suppressed immune systems. If you touch your sores or the fluids from the sores, you may transfer herpes to another part of your body, such as your eyes. This is called auto-inoculation and usually occurs in the earliest stages of a herpes diagnosis. Do not touch the sores or fluids to avoid spreading herpes to another part of your body. If you touch the sores or fluids, immediately wash your hands thoroughly to help avoid spreading your infection.

Some people who get genital herpes have concerns about how it will impact their overall health, sex life, and relationships. It is best for you to talk to a health care provider about those concerns, but it also is important to recognize that while herpes is not curable, it can be managed. Since a genital herpes diagnosis may affect how you will feel about current or future sexual relationships, it is important to understand how to talk to sexual partners about STDs.

Can I still have sex if I have herpes?

If you have herpes, you should tell your sex partner(s) and let him or her know that you do and the risk involved. Using condoms may help lower this risk but it will not prevent transmission completely. Having sores or other symptoms of herpes can increase your risk of spreading the disease. Even if you do not have any symptoms, you can still infect your sex partners if your body is actively shedding the virus. You can talk with your doctor about suppressive therapy if you are in a relationship with a person who does not have herpes. This will greatly reduce the risk of transmission, though it will not eliminate the risk entirely.

What is the link between genital herpes and HIV?

Genital herpes can cause sores or breaks in the skin or lining of the mouth, vagina, and rectum or anywhere in what we call the “boxer short region.” The genital sores caused by herpes can bleed easily. When the sores or broken skin come into contact with the HIV virus, this makes it easy for the HIV virus to transmit.

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5 Responses to “FAQ”

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  1. Breanna says:

    I was recently diagnosed with Herpes outside of my primary care provider. My pcp only does family medicine. With my new diagnosis would it be better to switch to an obgyn especially since I’m considering trying for a baby within six months?

    • Gayla says:

      If it were me, and I were planning to become pregnant, I would go ahead to an OB. They will know the best treatment options to keep you and your baby safe during pregnancy and delivery.

      • Breanna says:

        Thank you Gayla for your reply and this website. I never thought it would happen to me but I was having unprotected sex with different partners so I only have myself to blame.

        • Gayla says:

          Breanna – The ONLY thing you are guilty of is being human. You shouldn’t blame yourself for anything. It’s quite common and you are doing exactly what you need to do to keep yourself and your planned children safe.

          I was a stay at home mom of twins and it came home to me. It’s those who don’t take the time to become educated that should carry the burden of guilt – in my opinion.

          Good luck with getting pregnant and with having a happy, healthy pregnancy. I have lots of friends who have done just that and there are plenty of adorable children to show, knowledge is key.

          • Breanna says:

            I honestly think this happened at the perfect moment of tme for me. I wasn’t feeling right down there and I was offered a screening so I took it. Now that I know what I have it allows me to make the changes in my life that need to be made. I could have gone back to my PCP but with our insurance network changing that meant I wouldn’t be able to continue with her anyways.

            I’ve been thinking about having a baby for a while now and now I have the ability to chose a provider who can not help me with my medical issues but with all aspects of pregnancy as well. I’ve actually never been to one before so its a major change in my life. By hearing that I can have a successful pregnancy and children without being harmed is really reassuring to hear.

            I don’t know how the world works but the stars aligned for me and I am thankful for that. I’m sure having twins was a challenge but you have a true wealth of experience that you decided to share with others. I agree with you the world needs better sexual education than a bunch of unscientific advice. I never did receive proper sex education in either private or public school. I’m saying that as a 29 year old woman.

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