Stop Saying Cold Sores Aren't "Real Herpes"



Should I Tell My Date That I Get Cold Sores?

Can you have herpes but never even know it? And how do you navigate the maze of sex and dating when you know you are infected with herpes? Those are among the questions recently posed by readers of the Consults blog. Leone, associate professor at the University of North Carolina School of Medicine and Public Health, provides advice about symptom-free herpes, telling your partner you have herpes and more.

I wish this article would mention that it is possible to have herpes but never suffer any symptoms, and to discuss for what percentages of those infected for whom this is true. B, New York City. We know that nearly 20 percent of adults in the United States have genital herpes due to the type 2 herpes simplex virus, or HSV-2, yet only 10 percent to 15 percent are aware of their infection. Rather, many patients do not seek out their infection status and should be better informed. Among those who are infected with the herpes virus, about 10 percent remain symptom free and have no outbreaks after acquiring infection.

Indeed, most genital herpes outbreaks cause minimal signs or symptoms and can be mistaken for all sorts of other problems not related to sexually transmitted disease. Burning, dating with hsv 1 oral and tingling sensations, with fissures, cracks or irritation, may all be indicative of a genital herpes outbreak. Everyone is entitled to a genital itch from time to time, but persistence of symptoms for several days or recurrent signs or symptoms should prompt consideration of genital herpes infection.

Infection should be confirmed either by isolation of the virus by culture or PCR polymerase chain reactionor by serologic blood testing for HSV antibodies. A negative culture, however, does not rule out genital herpes infection, since cultures are the least sensitive way to diagnose genital herpes. If a culture is negative, infection can be determined by serologic testing of the blood.

The presence of dating with hsv 1 oral means an individual is infected. Virtually dating with hsv 1 oral individuals who are infected with HSV-2 will shed HSV-2 asymptomatically and will be at risk of transmitting infection to sexual partners, even when they are not having outbreaks. Up to 70 percent of sexual transmission of HSV-2 occurs in the absence of signs and symptoms.

The risk of transmission can be significantly reduced by sharing your diagnosis with partners before having sex, avoiding sex during outbreaks, using condoms and taking daily oral suppressive therapy. It is up to you and your partner to decide the best approaches to take to reduce the dating with hsv 1 oral of transmission. This is an infection that can be controlled, and transmission can be reduced, but it all depends on the first step of knowing your infection status.

I contracted genital herpes at age 18 and am now For most of my life my outbreaks were severe and monthly. These were the worst! I often had a burning wheel of 10 to 12 suppurating lesions right over or below my tailbone and could do nothing for 10 days or so but lie on my stomach and weep. About 8 years ago I began taking Valtrex Valcyclovir daily on a preventative basis: If I feel a pre-herpetic aura, I immediately double the dose for a few days and the lesion simply does not develop.

I have not suffered ONE full outbreak since starting on this preventative regimen. It has changed my life, as I know you can imagine. I hope you will share this with your doctor. Leone, I hope this story can help you to continue helping others. Tami Calliope, Montpelier, Vt. Thank you for sharing your experience. Talking about genital herpes is really important and, I hope, will contribute to reducing the stigma so strongly associated with this infection.

We know that genital herpes is really an infection involving the sensory nerves of the entire genital tract. Great work done by Dr. Anna Wald and colleagues at the University of Washington has demonstrated that shedding of HSV can occur from virtually any site in dating with hsv 1 oral genital tract at any time. This means dating with hsv 1 oral shedding, or finding the virus on the genital tract surface, and recurrent outbreaks can occur away from the initial site of infection.

It is one of the reasons why condoms help to reduce dating with hsv 1 oral, though not as effectively as in other diseases that are transmitted through genital secretions semen, cervical fluid, etc. It is also why we recommend oral daily suppressive therapy to control disease and asymptomatic shedding. When Oral Herpes Causes Genital Herpes. Agree with the comment that more should be said about transmission of the virus through asymptomatic shedding. I now have genital herpes oral herpes transmitted to my genital via oral sex.

We need to talk more about the risk associated with oral sex, since it can result in transmission of sexually transmitted infections such as herpes simplex virus HSVhuman pappiloma virus HPVgonorrhea and others. Up to 50 percent of new genital dating with hsv 1 oral infections in the United States dating with hsv 1 oral due to HSV type 1. Most of these infections are transmitted through oral sex.

About 60 percent of adults are infected with HSV-1, which is the type of herpes simplex responsible for more than 98 percent of cold sores, though it accounts for a growing number of genital infections as well. The HSV-1 virus can be shed in the mouth even when there are no symptoms; this occurs on anywhere from 6 percent to 30 percent of days.

Transmission from mouth to genitals can therefore occur even when cold sores are not present. This does not mean the end of oral sex, dating with hsv 1 oral it does mean that all sex yes, oral sex is sex has some risk and should be discussed with partners. What may be some good news is that genital HSV-1 tends not to cause recurrent disease.

On average, there is about one outbreak the first year, and fewer in subsequent years. In addition, HSV-1 is not shed often from the genital tract; shedding occurs on fewer than 5 percent of days. Telling a Partner You Have Herpes. Thank you for doing this. There seems to be very little information available on this topic in general and especially for gay men and lesbians.

A few years ago, I had some internal anal pain and was diagnosed with herpes simplex virus type 2.


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