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Genital herpes is caused by two forms of the herpes simplex viruses: HSV-1 or HSV-2.
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Most oral herpes is caused by HSV-1, and most genital herpes is caused by HSV-2.
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Most people do not show signs or symptoms from HSV-1 or HSV-2 infection.
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at least 45 million people ages 12 and older, or 20% of U.S. adolescents and adults, have had genital herpes.
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Genital HSV-2 infection is more common in women (approximately one out of four women) than in men (almost one out of eight).
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Both herpes Type 1 and 2 can be transmitted by contact with the sores that the herpes viruses cause, but also between outbreaks (sometimes called OBs) via “shedding” from skin that does not have a sore on it.
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Herpes transmission frequently occurs from an infected partner who does not have a visible sore, and may not even know that he or she is infected with the virus.
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Genital OBs of HSV-1 recur less frequently than genital outbreaks caused by HSV-2.
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First symptoms of genital herpes, they can be quite intense. Subsequent OBs are more mild. Symptoms can include:
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small area of redness, sometimes with raised bumps or fluid-filled blisters;
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Itching, burning or tingling in the genital area;
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Flu-like symptoms (headache, swollen glands, fever);
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Painful urination and/or discharge.
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Initial herpes outbreak usually occurs within two weeks after the virus is transmitted, and the sores usually heal within two to four weeks.
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Sometimes, a person does not become aware of the infection until years after it is acquired.
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Do not squeeze OB blisters because that may cause infection to spread.
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Genital herpes infection can be more severe in people with immune systems depressed due to other causes.
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Genital herpes can cause psychological distress in people who know they are infected, due particularly to the attached social stigma.
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Any area in the groin can be affected by genital herpes.
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Herpes is not the only infection that causes genital sores. Bacterial infections have also been known to cause sores that resemble herpes sores. So, it’s best to get tested.
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Genital herpes can lead to potentially fatal infections in babies.
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Genital herpes can sometimes be diagnosed by visual inspection of the outbreak, or by taking an actual sample from a sore.
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The only sure way to avoid getting herpes and other STDs is abstinence, or a long-term, mutually monogamous relationship with someone who is not infected.
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If you inform your partner of your herpes, you can discuss it instead of making excuses as to why you don’t want to have sex.
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Genital herpes caused by HSV-2 carries an 80-90% chance of OBs.
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Genital herpes caused by HSV-1 carries a 50% chance of OBs.
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OB sores can occur in areas that are not covered by a latex condom, so condoms are not fool-proof in protecting from contracting genital herpes.
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Even if a person does not have any symptoms he or she can still infect sex partners.
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You can’t get herpes from swimming pools, towels or toilet seats.
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Frequency and severity of herpes OBs vary between individuals.
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The most common symptom of genital herpes is one or more sores or blisters that appear on the genitals, anus, buttocks.
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Some things thought to trigger Obs are:
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stress;
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anxiety;
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other illnesses;
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menstruation;
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and extreme weather exposure.
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OBs are most common in the first year after infection with herpes.
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Oftentimes signs like tingling, itching, numbness or tenderness where the sores will appear occur a few days before an OB.
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Genital herpes can be well managed with medication, stress management and healthy eating.
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Genital herpes infections almost never cause long-term damage in healthy adults.
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Research has shown that genital herpes does not cause cervical or any other types of cancers.
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With proper treatment and open communication, most people with herpes find they can have normal, healthy, enjoyable relationships.
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Symptoms of the herpes virus can be similar to symptoms of other diseases, so the best way to be sure whether you have it to get tested.
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For immediate relief from an OB:
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You can take warm baths or hold ice packs on the sores for several minutes.
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You can wear loose cotton clothes to prevent chafing.
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Keep the area dry with baby powder or cornstarch.
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You can take aspirin, acetaminophen, or ibuprofen to relieve pain and fever.
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Women who get herpes before becoming pregnant have a low risk of passing the virus to the baby.
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Risk of infant herpes increases if mother gets herpes during final trimester of pregnancy.
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A genital herpes diagnosis in a long-term, monogamous relationship does not mean a partner was unfaithful.
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Herpes can be transmitted through oral sex.
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There is no absolute cure for the herpes infection at this time.
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If you have genital herpes, avoid (or reduce) activities that may affect OBs, like:
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poor diet;
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overexertion;
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emotional or physical stress;
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lack of sleep;
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excess alcohol;
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and surgical trauma.
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Excessive friction during intercourse may trigger OBs.
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Genital herpes does not mean that your sex life is over.
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Approximately 70% of genital herpes cases result from asymptomatic shedding, when no signs or symptoms exist.
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It’s been reported that people who tell their partners of their diagnosis are rarely rejected.
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Herpes has not been found to affect fertility or ability to have children.
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Research suggests that when someone has both HIV and HSV, the HIV virus may be increased in genital secretions, increasing the risk of HIV transmission to sexual partners.
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Cold sores and canker sores are not related, though people mistake the two.
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Cold sores are contagious.
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Canker sores are not contagious.
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Cold sores appear around the mouth and symptoms include:
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tiny, fluid-filled blisters or sores around the mouth, surrounded by red (inflamed) skin;
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days before appearance of blisters soreness or tingling around mouth area;
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and, discomfort and appearance of blisters generally last between 7 and 10 days.
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Cold sores can sometimes be found on nostrils, chin or fingers.
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Oral herpes OB can occur from contact with someone who has an active lesion through activities like sharing eating utensils, razors and towels.
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Cold sores typically heal without medicine. But, you may want to seek medical attention if:
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the blisters don’t go away within one to two weeks;
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you have a pre-existing health condition that has put your immune system at risk;
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symptoms are severe;
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you have frequent outbreaks;
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or if eye irritation occurs.
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Some people are at greater risk of contracting cold sores and should be avoided, including:
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infants;
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people with eczema;
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or people with a suppressed immune system caused by cancer, AIDS or an organ transplant.
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If herpes infects the eye, it can cause corneal scarring — one of the major causes of blindness in the U.S.
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Expectant mothers must alert their physician if either she or her partner has genital herpes.
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To protect yourself and your partner from contracting oral herpes and to avoid spreading it to other body parts:
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don’t kiss or have skin contact with infected persons during an OB;
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don’t share items like eating utensils, towels, lip balm;
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during OBs, wash your hands carefully and regularly;
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use caution when touching other body parts, especially eyes and genitals;
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avoid stressful situations, like cold or flu, lack of sleep or prolonged sun exposure without sunblock;
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and, use sunblock on lips and face prior to prolonged sun exposure— in winter and summer.
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In some cases, the decision to not use condoms may be agreed upon in a relationship where both partners understand the risks of contracting genital herpes.
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Because of society’s negative misconceptions about genital herpes, you should prepare yourself before approaching others about the topic.
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Discuss your genital herpes with a partner when you are not ‘in the mood’ for sex, when you’re feeling confident, and when you can pay full attention to the conversation.
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Anywhere you feel safe and comfortable is a good place to talk about herpes with a partner.
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Discussing genital herpes may strengthen your relationship and bring you closer together as a couple.
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Some people find that seeking counseling helps them cope with their diagnosis.