Herpes Simplex
Herpes Simplex
Herpes Simplex
healthline.com /health/herpes-simplex
HSV-1: Also known as oral herpes, this type can cause cold sores and fever blisters around the mouth and on
the face.
HSV-2: This type is generally responsible for genital herpes outbreaks.
Causes
HSV-1
Infection with HSV-1 can happen from general interactions such as:
The virus spreads more quickly when an infected person is experiencing an outbreak. Anywhere from 30 to 95
percent of adults are seropositive for HSV-1, though they may never experience an outbreak. Its also possible to get
genital herpes from HSV-1 if someone who performed oral sex had cold sores during that time.
HSV-2
HSV-2 is contracted through forms of sexual contact with a person who has HSV-2. It is estimated that around 20
percent of sexually active adults in the United States are infected with HSV-2, according to the American Academy of
Dermatology (AAD). While HSV-2 infections are spread through contact with a herpes sore, the AAD reports that
most people get HSV-1 from an infected person who is asymptomatic, or does not have sores.
Risk factors
In cases of sexually transmitted HSV, people are more at risk when they participate in risky sexual behavior without
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the use of protection, such as condoms. Other risk factors for HSV-2 include:
If a pregnant woman is having an outbreak of genital herpes at the time of childbirth, it can expose the baby to both
types of HSV, and may put them at risk for serious complications.
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Symptoms
You may also experience symptoms that are similar to the flu. These symptoms can include:
HSV can also spread to the eyes, causing a condition called herpes keratitis. This can cause symptoms such as eye
pain, discharge, and a gritty feeling in the eye.
Diagnosis
Blood tests looking for antibodies to HSV-1 and HSV-2 can also help diagnose these infections. This is especially
helpful when there are no sores present.
Treatment
These medications can help infected individuals reduce the risk of spreading the virus to others. The medications
also help to lower the intensity and frequency of outbreaks. These medications may come in oral (pill) form, or may
be applied as a cream. For severe outbreaks, these medications may also be administered by injection.
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Outlook
stress
menstrual periods
fever or illness
sun exposure or sunburn
It is believed that outbreaks may become less intense over time because the body starts creating antibodies. If a
generally healthy individual is infected with the virus, there are usually no complications.
Prevention
If you are experiencing an outbreak of HSV-1, some preventative steps to take include:
Individuals with HSV-2 should avoid any type of sexual activity with other people during an outbreak. If the individual
is not experiencing symptoms but has been diagnosed with the virus, a condom should be used during intercourse.
But even when using a condom, the virus can still be passed to a partner from uncovered skin. Women who are
pregnant and infected may have to take medicine to prevent the virus from infecting their unborn babies.
What do I need to know about dating with herpes simplex? Do you have any tips for people dating with
herpes?
The herpes virus can be shed from an infected person even when there are no lesions visible. So caution is
important. Some may wish to take daily prophylactic oral Valtrex (an antiviral oral medicine) to help cut down
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on shedding. Herpes can also be spread on any skin: fingers, lips, etc. Depending on sexual practices,
herpes simplex can be transferred to genitals and or buttocks from the lips of someone who has fever blisters.
Honesty between partners is very important so these issues can be discussed openly.
- Sarah Taylor, MD
Answers represent the opinions of our medical experts. All content is strictly informational and should not be
considered medical advice.
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