Genital Herpes Treatments and Oral Herpes Treatment

Questions about Cold Sores! Help me out!?

Okay so i understand about 80% of the population has it.

If your partner has a cold sore, it does not mean that she has Genital Herpes. It means she just has mouth herpes. Herpes is a localised infection – it stays in the place it was caught. So if you caught it on the mouth, only your mouth will ever be infectious and vice versa.

Herpes simplex 1 is a herpes virus. It is spread by skin to skin contact, and once the virus is in your body it hides in the nerve ganglion in that area, reappearing on the skin from time to time as a sore or small rash of blisters.

Herpes simplex 1 is the usual cause of cold sores on the mouth – about 98% of cold sores are caused by hsv-1, while the other 2% are caused by hsv-2. People catch herpes simplex 1 through kissing other people who have oral herpes. Oral herpes is often caught as a baby or small child, from a kiss from a parent or other relative who has oral herpes. They in turn probably caught it from being kissed by their parents. It is unconnected to sexual behaviour – it is usually caught before puberty.

Oral herpes can be caught through giving oral sex, but this is very rare. Since genital herpes is often a different virus, hsv-2, a person who caught oral herpes this way would most likely have oral hsv-2. Only 2% of oral herpes is caused by hsv-2.

Yes, if you have never had a cold sore, there is a risk of catching oral herpes if you kiss her. It is low as long as you avoid contact when she has a cold sore, but there is always a small risk. That is why so many people have oral herpes (70% of adults).

If you have one, it will go on its own and you don’t need to treat it. If you did catch it from her, and had never had the virus before, you would probably experience a primary outbreak which is more severe, and might need to get antiviral medication such as valtrex from the doctor. Some people swear by topical antivirals, zovirax etc, or abreva, but I am not sure otc meds work. What does work is antiviral medication taken as soon as you experience the first symptoms of a cold sore, such as a tingle on the lips. However, you need a prescription for these.

No, it is likely that your partner caught cold sores as a baby or small child from an affectionate and non-sexual kiss, or even by sharing a glass. Oral herpes is not normally caught from sexual activity.

One more thing I would add, although your partner does not have genital herpes herself, herpes simplex one causes half of all genital herpes infections these days. In other words, though you cannot catch genital herpes if you have intercourse with her, if her mouth makes contact with your genitals you ARE at risk of getting genital herpes from her oral infection.

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Genital Herpes Diagnosis and Treatment

Diagnosis of genital herpes starts when the physician asks for a medical examination to be carried out. It is the clinical test through which it can be definitely confirmed whether the person is suffering from genital herpes or not. But before even that test is done, the medicine man will normally physically examine the affected area, but this act may still be inconclusive. And so a clinical test becomes necessary.

Genital herpes is a sexually transmitted disease that can happen to both men and women. It is caused by the Herpes Simplex Virus, which is also known as HSV. Actually there are 19 viruses that cause the damage – HSV 1 and HSV 24. But in most cases it is the type 25 that causes the problem. Diagnosis of genital herpes involves identifying the presence of the virus in the body.

Like discusses earlier, the physician would ask for a clinical test to be carried out when the symptoms start to appear. The test results would confirm the presence of the Herpes Simplex Virus. Though many doctors are able to properly diagnose genital herpes by just looking at the sores, but it is in most cases better to get the examination done to be sure. And in some cases there are almost no symptoms at all – an examination becomes essential in these cases.

There is the PCR or the Nucleic Acid Amplification Test in which the sample is collected from the genital area, urethra or the cervix and then sent for cell culture. However this needs to be done within 72 hours of the lesions becoming visible. There is the swab test culture but here the laboratory report may have errors in it because the laboratory is not always able to detect the presence of the virus in the body.

Type specific tests on the other hand can tell whether the person is affected with HSV 1 or HSV
48
. A normal blood test will be able to diagnose genital herpes because it cannot differentiate between the
49 types – and mostly only the type 50 causes genital herpes.

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