Herpes: Everything You Need to Know
Written by Alexis Ross, PA-C

We’re here to break it down in a way that’s easy to understand and totally judgment-free. 

A woman is covering her mouth with a pink sticky note.

We need to talk about something that might not be the most fun topic, but it’s super important: herpes. Yup, that’s right, the herpes talk. Don’t worry – we’re here to break it down in a way that’s easy to understand and totally judgment-free. 


Herpes Truths Revealed


Discussing sexually transmitted infections is a crucial step in any intimate relationship. Though it may feel uncomfortable at times to broach such private topics with a new partner, safeguarding your sexual well-being is paramount. Let's take a moment to delve deeper into the study of one of the most common incurable viruses – herpes – and uncover some surprising facts tied to this virus.


The CDC reports that over 500,000 people ages 14–49 have genital herpes in the United States. Symptoms can range from mild to non-existent.


Interestingly, traditional STI screenings do not typically include testing for herpes. CDC guidelines indicate that many healthcare facilities and doctors' offices forego herpes screening unless patients exhibit clear signs and symptoms. The CDC generally discourages herpes testing for asymptomatic individuals due to the limitations of herpes blood tests and the elevated risk of false positives, particularly among those with low infection likelihood. Some people with genital herpes may not display symptoms or may mistake them for other skin conditions such as a pimple or ingrown hair.


What are the symptoms of Herpes? 


Herpes symptoms commonly manifest as singular or multiple blisters around the genitals, rectum, or mouth, indicating an outbreak. These blisters rupture, resulting in lingering painful sores that may require a week or more for complete healing. In addition, the initial outbreak may be accompanied by flu-like symptoms such as fever, body aches, or swollen glands.


There are two types of herpes virus: herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2). After the initial herpes infection, the virus lies dormant in your body and can reactivate several times a year in the form of outbreaks of blisters on your skin. These outbreaks most often happen when your immune system is lowered, such as when you’re sick, stressed, or fatigued.



What’s the difference between HSV-1 and HSV-2?


The transmission of HSV-1 often occurs through oral contact, whereas HSV-2 is predominantly transmitted through sexual activities, leading to genital herpes. Interestingly, not all cases of herpes are sexually transmitted, as HSV-1 can be spread through skin-to-skin or saliva contact with an infected person, for example, kissing, sharing drinks, or intimate contact. While it is commonly believed that HSV-1 causes oral sores and HSV-2 causes genital sores, both types can manifest sores in either location, emphasizing the importance of understanding the associated risks. Research on herpes has revealed a troubling statistic: around 85% of new cases of genital herpes are linked to oral sex.


Treatment for Herpes


If you happen to contract herpes, there's no need to fret. Although there's no cure, there are effective ways to manage the virus and minimize the frequency and intensity of outbreaks. Antiviral medications can expedite healing and reduce the risk of transmitting the virus to others.


There are three key antiviral treatments for genital herpes symptoms: acyclovir, famciclovir, and valacyclovir, typically administered in pill form. Topical numbing agents containing lidocaine or benzocaine can provide relief while the outbreak subsides.


Furthermore, it's crucial to prioritize self-care by ensuring ample rest, consuming a nutritious diet, and managing stress, all of which can contribute to preventing future outbreaks. 


How to Prevent Herpes


The initial step we can take is to continue expanding our knowledge on sexual health and infections. The more informed we are, the better equipped we are to safeguard ourselves and our bodies from unwanted infections.


Remember to use a condom! We understand the challenges that may come with having such intimate discussions with a partner, especially during the early stages of a relationship or when engaging in casual sexual activity.


Avoid giving or receiving oral sex if you have a cold sore on your mouth or genitals - remember, a mouth sore can transmit genital herpes.


Breaking the Stigma


If you're living with herpes, it's important to know you're not alone. Whether you're newly diagnosed or have been managing it for years, it's normal to feel a mix of emotions. Your mental and emotional well-being should be a priority. Seeking support from trusted friends, family, or healthcare professionals can greatly impact how you handle living with herpes.



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