Herpes is a common virus that can cause infections of the mouth and lips (cold sores) or genitals. This sheet provides information about genital herpes only. If you have questions about oral herpes please speak to one of our staff.
WHAT IS IT EXACTLY?
Herpes is a virus, also known as the Herpes simplex virus (HSV). There are two types of HSV. HSV-1 can cause genital herpes, but it more commonly causes infections of the mouth and lips. Most genital herpes is caused by HSV-2.
Once someone has been infected with HSV, the virus stays in the body indefinitely, although the symptoms (tingling and sores) will decrease over time in both their frequency and severity. If you have HSV in one part of the body, you can still get it in a different part of your body
HOW CAN I GET HERPES?
- Genital herpes is spread through direct contact and you can become infected by:
- Having vaginal or anal sex with someone with genital herpes
- Receiving oral sex from someone who has oral herpes (cold sores)
- Touching herpes sores/blisters and then touching your eyes, mouth and/or genitals
In most cases, infections occur when a partner has an outbreak. Sometimes people can be infected even when there are no sores – this is called asymptomatic shedding.
HOW DOES IT LOOK LIKE?
Approximately 2 – 20 days after contact with an infected person a rash or blisters may appear. During the primary (first) outbreak, there may also be an itching or tingling sensation on the skin, flu-like symptoms, fever, painful urination and/or enlarged nodes. The sores or blisters during the primary outbreak are often very painful but will heal within 1-2 weeks without scarring.
Recurrences can vary from person to person. Recurrent outbreaks are usually less painful, less frequent and the sores will heal faster. In some cases, some people never experience any outbreaks after their primary outbreak. Factors that may trigger outbreaks include stress, illness, injury to the infected area, menstruation and a compromised immune system.
HOW IS IT TESTED?
Herpes can be diagnosed by a physical examination. If there are sores present, a swab is taken and sent to a lab for testing. If you do not have a sore then there is no way to definitively test for HSV. Blood tests currently available are not useful because they cannot tell you where on your body you have HSV.
IS IT TREATABLE?
There is no cure for herpes although there are anti-viral medications that help reduce the symptoms and speed the healing of the sores or blisters. You can take these medications when you feel an outbreak starting. If you have frequent outbreaks, you can consider taking these medications on an ongoing basis, although they are expensive. Please follow-up with your doctor or a walk-in clinic regarding repeat prescriptions for antiviral medications. Supplementing the diet with foods rich in the amino-acid lysine have also been shown to reduce outbreaks. Pain medication, witch hazel, salt water baths, cold compresses to the affected area and urinating in water, may relieve the discomfort.
WHAT ABOUT MY SEXUAL PARTNER(S)?
Although it can be difficult, talking about having HSV to your sexual partners is important. It’s not uncommon to worry about how people are going to react. Despite being a common virus, there is still a lot of stigma and fear that surrounds HSV. If you talk about HSV with your friends or partner, their reaction can vary. While they may initially be surprised or upset, you could also find out they may already have HSV or that HSV is not something they’re worried about once they have the correct information.
HOW DO I PREVENT MYSELF FROM GETTING IT (or spreading it if I already have it?)
To reduce the risk of transmitting HSV avoid sexual contact when you have an active outbreak, or just before an outbreak starts. A tingling sensation often signals that an outbreak is about to begin. HSV-1 can be transmitted to the genitals, so do not give oral sex when you have cold sores. Using latex condoms, gloves, dams and other barriers during sex also provides some, but not total, protection. Anti-viral medications can also reduce the risk of transmission however the cost is significant.