Wondering if that sore is herpes? Best Home tests for herpes
Article Author: Health Educator Expert: Erik Kampe, MS
Did you know that a herpes symptom may not appear for up to a month
or more after infection?
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Herpes is typically contracted through direct skin contact.
Not necessarily in the genital area with an infected person.
Transmission was thought to be most common during an active outbreak.
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However in the early 1980s medical research showed that
herpes can be shed from the skin in the absence of a herpes
symptom.
FACT: It is estimated that between 50 and 80% of new HSV2 cases are
from asymptomatic viral shedding.
What this means is that people are unaware that they have herpes and unintentional spread the STD.
Here are the quick facts on the herpes simplex virus:
- 2 Types: herpes simplex virus type
I & II
- Contagious and easy to spread through cervical fluid,
saliva, semen, or vesicle fluid from active lesions to mucous
membrane.
- Incurable a life long disease
- Treatment goals are to manage
the outbreaks
Wondering if that sore is herpes? The #1 recommended herpes home testing book is available here, if you just want to get to it.
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A Herpe Symptom Checklist
The most obvious symptom of herpes are blisters near the
mouth or genital areas (note that the blisters can appear anywhere
on the body).
Some people may experience pre-outbreak symptoms in the infected
area a few days before the blisters appear.
-
Tingling
-
Pain
-
Burning
-
Itching
The period from the time the blisters appear until the sores heal
is known as an active outbreak.
Outbreaks may occur in the oral and/or genital regions.
"Oral" Infections
-
Pre-outbreak symptoms
-
Skin appears irritated
-
Sore or cluster of fluid-filled blisters appear
-
Lesion begins to heal, usually without scarring
These infections are a classic herpes symptom may appear on the
lips, nose or in surrounding areas.
The sores may appear to be either weeping or dry, and may resemble
a pimple, insect bite, or large chicken-pox lesion.
The good news is that lesions typically heal after a few days to
a week (or more).
"Genital" infections
In women, lesions, a herpes symptom, may occur on or near the:
-
Pubis
-
Labia
-
Clitoris
-
Vulva
-
Buttocks, or anus.
It is important to emphasis that the appearance of herpes lesions
and the experience of outbreaks in these areas varies greatly among
individuals.
Herpes lesions is a herpes symptom on/near the genitals
that may look like cold sores.
An outbreak may look like a paper cut, or chafing, or appear to
be a yeast infection.
A Herpes symptom of a genital outbreak may include:
-
Aches and pains in the area
-
Discharge from the penis or vagina
-
Small red bumps on the penis, vagina, or wherever the infection
began
-
Bumps may become blisters or painful open sores
-
Itching or burning in the genital area
-
Pain in the legs, buttocks, or genital area
-
Vaginal discharge
-
Feeling pressure or discomfort around your stomach
-
Fever
-
Headache
-
Muscle aches
-
Pain when urinating
- Swollen glands in the genital area
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Women Are At a Greater Risk...
Women are approximately 4 times more likely to acquire a herpes
simplex type 2 infection than men.
It has been suggested that women may be more prone to genital herpes
infections because:
- A women's genital area has a greater surface area of cells
moist with body fluids (mucosal cells) than men.
- Hormone changes during a womans menstrual cycle may affect
the immune system making it easier for the herpes simplex virus
to cause an infection.
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2 Main Types of Herpes Virus HSV-1 and HSV-2
There are two main kinds of herpes simplex virus:
-
Type 1 (HSV-1)
-
Type 2 (HSV-2)
Both types of HSV can infect either the oral or genital regions.
But typically HSV-1 infection occur in the oral region and HSV-2
infection occur in the genital region.
The terminology of herpes can be quite confusing; the two viruses
are sometimes referred to by the sites they preferentially infect.
So HSV-1 can be called "oral herpes," (or sometimes "cold sores")
and HSV-2 can be called "genital herpes." but as mentioned above
this is not always the case.
People whose herpes infections are not located in the virus's
"preferred" location may experience fewer, less severe outbreaks.
For example, if Mary has an HSV-1 infection of the mouth, and Jill
has an HSV-1 infection of the genitals, Mary is likely to experience
more frequent and/or severe outbreaks than Jill.
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Treatments of a herpes symptom
Pharmacotherapy
There are several prescription antiviral medications for controlling
a herpes symptom outbreak, including:
-
aciclovir (Zovirax)
-
valaciclovir (Valtrex)
-
famciclovir (Famvir)
-
penciclovir
Aciclovir was the original and prototypical member of this class
and generic brands are now available at a greatly reduced cost.
Valaciclovir and famciclovir
(available at drugstore.com Pharmacy) are prodrugs of aciclovir
and penciclovir respectively, with improved oral bioavailability.
Docosanol (Abreva) is another treatment of a herpes symptom that
may be effective.
Non-prescription analgesics can reduce the herpes symptom of pain
and fever during initial outbreaks.
Aciclovir is the recommended antiviral for suppressive therapy
to prevent transmission of herpes simplex to a new born baby.
The use of valaciclovir and famciclovir, while potentially improving
treatment compliance and efficacy, are still undergoing safety evaluation
in this context. (Leung & Sacks, 2003)
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Alternative Theraphys:
Since herpes is a viral infection, a daily multi-vitamin to maintain
immune system health can help lessen a herpes symptom and shorten
herpes symptom outbreaks.
Eating dairy products and other foods high in lysine and low in
arginine might also help; additionally, many pharmacies and health
food stores carry lysine supplements.
Experimental Theraphys
Limited evidence suggests that low dose aspirin (125 mg daily)
might be beneficial to manage a herpes symptom in patients with
recurrent HSV infections.\
A small study of 21 volunteers with recurrent HSV indicated a
significant reduction in duration of active HSV infections, milder
herpes symptoms, and longer herpes symptom-free periods as compared
to a control group. (Karadi, Karpati & Romics, 1998).
A recent animal study found that aspirin inhibited thermal stress-induced
ocular viral shedding of HSV-1, and a possible benefit in reducing
recurrences. (Gebhardt, Varnell, & Kaufman, 2004) Aspirin is not
recommended in persons under 18 years of age with herpes simplex
due to the increased risk of Reye's syndrome.
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Long-term effects
The long-term effects of herpes are not well known, but the blisters,
a herpes symptom, may leave scars, and historically it was thought
to contribute to the risk of cervical cancer in women.
Subsequently, another virus, human papillomavirus (HPV), has been
shown to be the cause of cervical cancer in women. Additionally,
people with herpes are at a higher risk of HIV transmission because
of open blisters.
In newborns, however, herpes can cause serious damage: death, neurological
damage, mental retardation, and blindness.
References
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External Resources

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